Monday, 8 July 2013

Medicine June 2012 FCPS Part-1 Paper

1 intraembryonic coelom develop from
a )lateral plate mesoderm
b)paraxial mesoderm    
c)extraembryonic coelom

2 regarding fetal circulation
a)single umblical artery in diabetic
b) singleumblical artery in htn
c) single artery in 5 % singleton pregnancy

3 chorionic villi main component
diciduaparietalis
chorionic plates
               


4 cardiac output main determinant
a )heart rate
b) stroke volume
c) venous return



5 insulin deficiency
 a) hypokalemia
 b) metabolic alkalosis
c) increase fat mobilization from liver



6 high plasma calcium causes
a) inc 1 25 dihydrocholecalciferol
b)tetany
c)inc 24 25 dihydrocholecalciferol


7 bradycardia is not feature of
a) ivedrophonium
b) ocularmasage
c) puling of extra ocular muscles
d) local atropine

8 hypercalcemianot related to

a)hcc carcinoma
b) ovarianca
c) breastca
d)prostate ca



8 all are secondary metastatic bone tumor except
Thyroid
 breast
prostate
 liver




9 after hyperpolarization is due to increase
k
cl
na




10 qrs is prior to
ventricular systole
ventricular diastole
atrial systole
atrial diastole




11 Early asthma attack asociated with
a) inc co2 tension
 b) inc lung compliance
c) dec co2 tension




12.In summer season fasting man which is increased
a)ADH
 b) ANP
c) Insulin
d)Aldosterone




13 which inc in extracellular volume expansion
 a) ANP
 b) Angiotensin 2
c) aldosterone




14 first part of duodenum
a) related to caudate part of liver
 b) surounded by hepatoduodenal ligament
c) circular fold present internaly




15 most lethal premalignant lesion of oral cavity
 a) erythroplakia
b) leukoplakia
 c) lichenplanus




16 Oral Contraceptive Pills  increase risk of
a) thromboembolisim
b) breastca
 c) endometrialca




17 most common cause of subacute endocarditis
staphylococcus
streptococci viridian
enterococci




18 growth factor receptor present on
a) nucleus
 b) plasma membrane




19 in activated toxin used as toxoid vaccine in
 a) measles
b) mumps
 c) tetanus




20 adult polycystic kidney associated with
 a) X- linked
 b) Autosomal Dominant
c) Autosomal Recessive




21 diagnosis of typhoid during 2nd week by
 a) blood culture and widal
 b) blood culture
 c) widal




22 50 yr old male presented with abdominal pain raised serum amylase. Omentum shows
a)gangrenous necrosis
b) fat necrosis




23 diagnostic feature of plasamodiumfalipirum
a)black water fever
b)malaria
c)DIC


24 granulamatousinflamation w/o caseous least likely cause is
 a) sarcoidosis
 b) leprosy
 c) tuberclosis

25 50 yr old male present with severe abdominal pain raised amylase omentumshow
a) fat necrosis
b) granulomatousinflamation

26 which vitamin used as coenzyme in faty acid synthesis
a.biotin
b.vit B6
c.vit c

27 which of following harmone act as steroid harmone on its target tissue
thyroid
Parathyroid 
adh

28 regarding immunoglobulin which is true
 a) incomplete form excreted in urine
 b) arelipoprotien
c) are secreted in milk as Ig E
d have two heavy chain which are non specific

29 metabolisim of brain
 a) take free fatty acid from blood
 b) contain large stores of glycogen
 c) 20 % o2 consumption at rest

30 regarding glycolysis most apropiate
 a) pyruvate is end product of aerobic and lactate of anaerobic
 b) reversible process

31 )pituarity lies posterio superior to
a)frontal sinus
 b) ethmoidal sinus
 c) sphenoid sinus

32 simple squamous epithelium lies
a) pct
 b) dct
c) neck of nephron at urinary pole
d collecting duct
e)loop of henle

33 fibrocartilage
a) intervertebral discs
b) epiglottis
 c) laryngeal cartilage

34 regarding thyroid
a)parathyroid lies anteri posterior
b) epithelium changes shape according to function
 c) collecting ducts are present in gland epithelium

35 spinal cord
a) in new born conusmedularis end at L3
b)posterior median sulcus deeper than anterior
 c) filumterminlum attach at s2
d) spinal nerve form 2 cm beyond intervertebral faramina .

36 autsomal dominant
a) affected person are usually heterozygotes
b) clinicallyalwaz expressed in pt containing mutated gene
 c) unaffected children v 50 % chance of transmission of gene from affected parent

37 atypical lymphocytosis doesnot occur in
a)congenitalsyphillis
b) whooping cough
 c) burkitt lymphoma
c) infectious mononucleosis
d) walderstormmacroglobulimia

38 dialysis fluid differ from plasma
 a) contain less calcium than plasma
 b) contain more pottasium than plasma
 c) contain more glucose than plasma

39 antibody produced by
 a) plasma cells
b)eosinophills
 c) monocytes

40 isoniazid induced peripheral neuropathy prevented by
a) Vit B1
b) Vit B6
c)Vit B12
 d) Niacin

41 which type of collagen increase strength in wound healing
a) type 1
 b) type 2
c) type 3
d)type 4

42 in stage of starvation which type of sequence is correct
carbohydrate-fat-protein
carbohydrate-protein-fat
fat-carbohydrate-protein
d protein-fat-carbohydrate

43 straberryhemangioma
a) occur in pregnancy and cirrhosis
b) regress spontaneously by 5 yr
 c) most commonly in lt atrium
 d) bypolyvinychloride

44 clostridumtetani
may occur weeks to months after innoculation
g +ve aerobic
secrete exotoxin


45 ligamentumarteriosum connect
a) left pulmonary artery with arch of aorta
b)pulmonary trunk with arch of aorta

46 regarding SLE all are correct except
a)ANA +ve
 b) HLA b27 present
c )glomerulonephritis is most common cause of death

47 Neural tissue derived from
a)ectoderm
b )ectoderm+mesoderm
c)ectoderm+endoderm

48 which of following pituarityharmone inhibited by hypothalamus
a) growthharmone
b) prolactin



50 true epithelium not found in
a) blood vessel
b)thyroid
c)intraarticular space of joints
d)body cavities

51 during pregnancy fetus v chance of developing renal agensis and oligohydraminos which is responsible
a) captopril
b) spirononlactone

52 in gas gangrene death is due to
A toxemic shock

54 which one of folowing is malignant tumor
a)chondroma
b) glioma
 c) pseudolymphoma
d)meningioma

 55 patient with loss of little finger sensation after posterior dislocation of elbow joint what is most likely injured
flexor collaterall ligament
ulnar collateral ligament
radial collateral ligament


 56 About scalp most inapropiate
a)resist infection transmission
b)vessels in superficial fascia

57 stab wound at supraclavicular region causes lesion of axillary musculcutaneous long thoracic nerves which one of following is invovled
a)C4
b C6
 cT1

58 prehepatic blood flow obstruction ocurrsin all except
a)buddchiari
 b) pleural effusion
c polycythemia rubravera

59 bilateral loss of all sensation occur in
 a) complete transection of spinal cord

60 regarding venous pulse all are except
a)v wave due to venous retuurn
b)a wave due to atrial diastole

61 splenic infarction comonly occur in
a) ITP
b) CML
c)hypersplenisim

62 in which of folowingdec arterial o2 saturatio w/o dec arterial o2 tension
a) anemia
b) low v/q
 c) carbon monoxide poisning

63 female lady with recurrent rashes on thigh abdomen and limbs after taking sea food which of following is responsible for it
a)delayed cell type
 b) localized anaphylaxis
c)immune complex mediated

64 protein canot cross glomeruli because
a) -ve charge of proteoglycans on basement membrane
b)fenestrated endothelium

65 ligamentumarteriosum connect
 a) left pulmonary artey with arch of aorta
 b) pulmonary trunk with arch of aorta

66 regarding sle all are correct except
a) ANA +ve
b) HLA b27 +ve
 c) glomerulonephritis is most common

67.BMR mainly increased by
a)thyroxine
 b) pregnancy
c) excercise
d) stress
e)phenobarbital

68 cerebellum
a) connectedto medulla thru middle cerebellar peduncle
b)cordination
c)lies below tentorium cerebelli

69 mysthania gravis which antibody present
igG
ig M

70 10 yr old child with achilles tendon xanthoma blood cholestrol 820mg folowing is most likely case
a)HDL receptor defeciency
b) LDL receptor defeciency

71 all of following cause sinusoidal portal hypertension except
a)alcoholisim
b) fatty liver
 c) ch active hepatitis
d) schistosomiasis

72 theraupeticdose can be measured by
a) plasma half life
 b) potency
c)efficacy

73 warfarin dose adjusted with
a)cimetidine
b)isoniazid

74 drug contraindicated in CLD
a) lorazepam
 b) paracetamol
c)pentazocine

75 EBV causes burkitt lymphoma which is appropriate
a)affectdna repair
b) producedna toxin
 c) cause mitochondria injury
 d) everyafricanburkittlymphomapt transmit ebv genome
 e) everypt of burkitt lymphoma v antibodies against viral capsid antigen

76 CCK gastrin most apropiate
a)5homology aminoacids
 b) same five terminal aminoacids(t)

77 gastrin main function
a)stimulate GIT motility
b)inchcl and pepsin secretion

78 which of folowing is not GIT hormone
a) guanylin
b)neurotensin
c) melatonin
d) substance p
 e) motilin

79 renal main compensation in respiratory alkalosis
a)dec production of ammonia
b increase NaHCO3 secretion

80 RBCs osmotic fragility most apropiate
a)some drugs causes lysis
b)swell up in hypotonic
c)shrink in hypertonic
 d) complete destruction of rbc in 0.35 %nacl
e in membrane defect of rbcs

81 corpus striatum
a)amagdyloid + lentiform
b) caudate +putamen
 c) caudate + globuspelidus
 d) amagdyloid + globuspallidus

82 in mucosal changes in chronic rhinitis which cell increase
a)mast cells
 b) lymphocytes
c) goblet cells
 d) basophils

83 17-ketosteroids
a)include testosterone
b) index of adrenal androgen

84 pt on TPN most common complication
hyperglycemia
hyponatremia
hyperkalemia

85 main potent chemotactic agent
c3a
c5a


86 i/m morphine
a ) independent of blood flow
b) stable in slow release
c) pain relief in 3 -4 hr
d peak little variable
 e) onset in  108 min

87 falciform ligament contain
 a) triangular ligament
b) round (teres )ligament

88 pt v difficulty in comprehension and intellectual brain function which brain area affected
a) brocas
b) wernicks

89 maximum ventricular filling occur during
 a) isovolumetric relaxation
b) atrial systole
c) rapid inflow
d)diastasis

90 sweat gland
a) numerous on back as compare to palm
b) innervated by sympathetic

91 which of following is important mediator of inflamation
a) complement system
b)opsonin

92 which of folowing not carcinogen
a)bacterial product
 b) pollution
c) viruses

93about  lung
a)pulmonary artery o2 saturation 75 %
b) rt ventricular pressure 25 / 10
c) pulmonary artery pressure 10mmhg less than rt ventricular systole..

94 irritant receptors in airways
a)present near epithelium
b) stimulated by stretching
c)causes coughing and broncoconstriction
d)rapidly adapting

95 in inc airway reesistance
a)inc in residual volume

96 sympathetic stimulation causes
a)bronchodilation
b)vasodilation in skin

97 65 yr old women complaints of dry eyes which ganglion damaged
a) pteregopalatine
b) otic ganglion
c) ciliary ganglion

98 posterior triangle of neck
a)contain posterior rami of C 2,3,4
b) trapezius form floor
c) roof formed by investing layer of deep cervical fascia

99 lung bronchopulmonary segment
seperrate arterial supply
directlyy connected with each other

100 content of posterior mediastinum
a) trachea
 b) Superior Vena Cava
 c) descending thoracic aorta

101 fooreign body in superior lobar bronchus which of following lobe collapsed
a)apical superior
b)superior basal

102 secondrycartilagenous joint
 a) maniburosternal
b) costochondral

103 HLAgene present on chromosome number
a)4
b) 6

104 Rightsuprerenal vein drain into
a)rt renal vein
b) inferior vena cava

105 regarding anus
a)supplied by superior and inferior rectal vein
b inferior mesentric drain into portal vein .

106 juglodigastric lymph node drain
a)palatine tonsil and tongue

107 detoxification of drug occur in
a)mitochondria
b) SER
c) RER

108 fibrous and parietal pericardium suplied by
a)phrenic nerve
 b) intercostal nerve

109 azygousvein
a) in venography to visualize dye injected into ascending thoracic
 b) posterior to abdominal aorta
c) arise form right renal vein
d)arise from lt renal
e) pass via T8 diaphragmatic opening

110 kidney most inappropiate
a) reciecve 10 % of cardiac output
b)cortex richly vascularized than medulla

111 complete common peroneal nerve lesion result in complete loss of
a) dorsiflexion of foot
 b) eversion of foot
 c) inversion of foot
 d) sensory loss of dorsum of foot

112 person lie uncovered in room heat loss via
a) conduction
 b) radiation
c) convection

113 axillary block done but lateral forearm sensation spared which of following nerve not blocked
a) axillary
b) musculocutaneous

114 dimnished jaw jerk due to lesion of
a) mesencephalic nucleus of trigeminal
b) facial motor nucleus

115)mast cell beneath epithelium
 a) contain granule in cytoplasm
b)resemble eosinophil in function
 c) release histamine and heparin
d contain IgA on surface

 116) epiphyseal plate
 a) contain mature collagen
 b) increase in length of bone in adolescent
 c) elastic cartilage

117)DIC most inapropiate
a) widesspreadmicrovascular thrombi
b) fibrin degradation products low levels
c)may be treated by heparin

 118) left ventricular failure
a) inc pulmonary capillary pressure
 b) orthopnea when standing

119 most sensitive growth hormone test
a) arginine infusion test
 b) insulin tolerance test
 c) excercise tolerance test

120 damaged endothelium exposed collagen activate clottting via
xII
vIII
vII

121 light enter into one eye
a)constrict pupil and dilate opposite
b)no change in size of pupil whose muscuranic receptor blocked by atropine

122 basilar artery and Internal carotid artery comunicate by
posterior comunicatingartery
posterior cerebellar artery
canterior communicating artery

123 right optic nerve lesion
alt homonymous homonopia
b) rt homonymous homonopia..

124 left optic nerve lesion?
a)rt homonymous heminopia
 b) lt homonymous heminopia

125 all are parasympathetic cranial nerve except
a)III
b v
cvII

127 REM sleep
 a) beta wave predominate
 b) sleep walking
c) canot recall dream

128 Cranial nerve emerge from pons
motor fibre from v vI VII
 CN VII
 CN III IV

 129 cervical dysplasia caused by
a) IUCD
b)HPV

130 during excercice coronary blood flow maintained by
 a) sympathetic stimulation
 b) local metabolites

131 ECF and ICF difference
a) ECF contain high Na Ca (t )
b)ICF contain high Na low K

132 during intravascular hemolysis hb bind to
a)hepatoglobin
b) albumin

133 pt suffering from severe diarheoa
a)dec k content of body
b) decna content of body

134 middle aged old male taking betel nuts and pan he z most likely to develop
a) submucous fibrosis
b)erythroplakia
c)leukoplakia
d)keratinization

135 which of folowingdec gastric empting
a) Alcohol
 b) Mg sulfate
caluminium sulfate

136 investigation of choice in diabetic nephropathy
a) urine albumin

137 basic drug binds to
a)Alphaglycoprotien
b) albumin

138 cavernous sinus
oculomotor trochlear and opthlmic present in lateral wall..
connected posteriorly to facial vein
drain directly into straight sinus

139 greatest pressure drop in arteriole because
a) highest resistance in arterioles

140 nicotinic ach receptor
a) numerous in cns
b) blocked by curare

141 most serious effect of diptheria toxin is on
a) larynx
 b) pharnx
c)heart

142 regarding tubocurarine
a) causus ganglionic blockade

143 ideal physician
a)good bed side skill manner
b) good medical knowledge
 c) integrated regular....

144 pt doctor relationship
a) active listening

145 5 yr child with generalized edema and protienuria of 3.6 gm in 24 hr the most important underlying mechanism of edema
 a) increased hydrostatic pressure
b) dec colloid osmotic pressure

146 left hemidisection of spinal cord which of folowingnot be present on ipsilateral side
a) loss of vibration
b)loss of pain
c) loss of two point discrimination

147 external juglar vein most likely
a) begin on surface of sternocliedomastoid behind angle of mandible
b) terminate by piercind deep cervical fascia

148 a pt with diabetic kadidnot respond to treatment and died autopsy show inflamatory lesion in kidney brain and lung with some fungus most likely organism
a)mucor mycosis

149 35 yr old female diagnosed to with PAN 2 yr back present with bp 220/120 ch feature confirming diagnosis
a) fibrinoid necrosis of arterioles

150 26 yr old women present at 36 week of gestation with bilirubin 30 mmol /l most life threatning hepatitis to mother in near future would be
a) hepatitis c
b) hepatitis b
 c) hepatitis e





151) on which of following hypothalamus have inhibitor effect..
a>prolactin
b>gh>
 c >acth




152)most specific test for growth harmone excess
a> arginine
b>excercise tolerance tese
c> insulin tolerance test




153 )primary auditory cortex lies in which lobe?
occipital
superior temporal
inferior temporal




154 regarding hypercalcemia what will happen
a>calcitonin decrease
b> 1 ,25 oh vitd incresae
24 25 oh increase
tetany




155 blood pressure in capillaries decrease because
they have  highest cross sectional area
..other i dnt remember..








156 folowing not decrease blood pressure..
.a> press eye    
b>press extraocular muscle
c>giving atropine




157 one question was regarding strawberyhemangioma
mostcomomn site in left atrium
regress by 5 year




158 regarding broncho pulmonary segment
each v independent blood supply
 b>are connected indirectly




159 rt apical segmental bronchi suply
a>rt superior apical


160) O2 saturation decrease and o2 tensin high in
 a> anemia
co poisning
hypoventilaton




161) difference between alveolar to arterial po2 donot change in
a>congrt to lt shunt
b>atelectasis
hypoventilation
d>


162)decrease in blood po2 type of hyoxemia
a> hypoxia

 163 regardin left venticular failure
pulmonary capillaries congestion occur
b> orthopnea on standing

 164 in posterior fracture to elbow of child loss of sensation on little fingre v occured which ligament / tendon ruptured
ulnar collateral
 radial collateral
flexor carpi ulnaris tendon


 165 regarding posterior triangle of neck
 a>trpezius form floor
 b >sternocliedomastoid lie posteriorly
c>deep cervical fascia cover it
d>containts posterior rami of c2c3 c4


166)scenario of bilary colic pain drug given in adjuvant to morphine
a>pethidine
 b>hyosine




167 pethidine when given iv l cause
mi depression
tachcardia
halulcination
dysphoria..
delirium


168 morphine when given intramuscularly
duration of action 3 -4 hr
 onset 0f action 104 min
 sustained release





169 ccfpt with crepitations came first time drug  given
a> furosemide




170 corpus striatum conssist of
a> putamen + caudate




171 hla on which chromosome
 a>4
b> 6



171)a female pregnant have cat as a pet what infection can occur in child
 a> toxoplasmosis




172)intaembryonic coelom develop from
axial mesoderm
lateral plate mesoderm
paraxial mesoderm

extraembryonic mesoderm


173)cardiac output depends on
stoke volume
heart rate
venous return




174) end diastolic volume depend upon
a> venous return
 b >distensibilty of heart
 c> duration of diastole




175 a 5 yr child developed proteinuria >3 g / dl and developed edema cause of edema l be a> decreased oncotic pressure




176 a girl developed uritcariarashe at arm yrunk leg and face after ating sea food what l be the cause of it
localized tpe 1
b generalized type 2 hypersensitivity



177 symptoms of mysthania gravis were given like then was question which is pathology
antigen a
complex are formed ..




178which is secondrycartilagenous joint
sternoclavicular
 b> between 1st rib and sternum
c> between maniburum and sternum






179fibrocartilage
larynx
  trachea
 between vertebrae




180standard deviation is used to
a> measure sample size




181juglodigastric lymph node drain
a> palatine tonsil and tongue.



182)whichdoesnot contain true epithelium
 a> vessels
serous cavities
joint cavities




183) main function of gastrin
a>inc gastrointestinal motility
b>inc acid pepsin secretion





184gatrin and cck
a v same 1st 90 aa
b>v same 5 terminal 5 carboxl terminal




185 which antacid delays gastric emptying (wrong question)
alcohol
sodabicarb




186 kidney compensate for alkalosis by
dec H2 production
 in NaHCO3 secretion




187)regarding cerebral metabolisim
a> consume 20 percent of o2




188)regarding kidney which is false
a> 10 percent blood flow..




189)symptoms of acute rhinitis which cell responsible
a> mast cells




190) primary phagocytic
 a> neutrophils
b> macrophage



191) chronic rhinitis cell present in nodule
 a> lymphocyte
b>goblet cells
macrophage
c> mast cell




192 regarding kidney glomerular filtrate is
 a>ultrafiltrate




193 protein donot pass thru kidney because
 a> -ve charge in basement membrane and mesangium




194)basic drug bind to
a>glycoprotien


195most malignant lesion of oral cavity
a>erytoplakia




196 heat loss when person sitting nude
 a> convection


197.which of following is major circulating phagocyte??
a.macrophage
b.neutrophil(correct)
c.monocyte
d.mast cell
e.dendritic cell

Paper II
1.cause of spleen infarct??
a.ITP
b.idiopathic thrombocytosis
c.CML(correct)
d.hyperspleenism
e.
2.which of following is major circulating phagocyte??
a.macrophage
b.neutrophil(correct)
c.monocyte
d.mast cell
e.dendritic cell
3.about single umbilical artery which is correct??
a.due to hypertension in pregnancy
b.normal in 5%
c.associated with maternal diabetes(correct)
d.
e.
4.organ least likely to b affected if blood supply blocked??
a.intestine
b.liver(correct)
c.pancreas
d.kidney
e.spleen
5.scenario on pregnant lady having cats in home…..??
a.toxoplasmosis(correct)
b.leshminiasis
c.EBV
d.cytomegalovirus
e.HIV
6.which of following vitamin is cofactor for fatty acid oxidation??
a.cobalamin
b.biotin(correct)
c.vitamin A
d.niacin
e.vitamin D
7.which is malignant tumor??
a.meningioma
b.chordoma
c.glioma(correct)
d.hydatiform mole
e.hamartoma
8.peripheral neuropathy due to INH treated with??
a.vitamin B12
b.vitamin B1
c.vitaminB6(correct)
d.vitamin A
e.vitamin E
9.diagnosis of typhoid in 2nd week by??
a.blood culture
b.widal test
c.bloodculture+widal test(correct)
d.urine culture
e.
 10.most serious side effect of diptheria toxin is on??
a.nerve
b.heart(correct)
c.
d.
e.
 11.which hormone act by steroid hormone mechanism??
a.prolactin
b.epinephrine
c.growth hormone
d.thyroid hormone(correct)
e.
 12.growth factor receptors r present on??
a.nucleus
b.cytosol
c.cell membrane(correct)
d.nuclear membrane
e.
 13.drug detoxification occurs in??
a.mitochondria
b.rough endoplasmic reticulum
c.smooth endoplasmic reticulum(correct)
d.peroxisomes
e.
 14.patient taking anti tuberculous drugs, cause of color blindness??
a.rifampicine
b.ethambutol(correct)
c.pyrazinamide
d.INH
e.streptomycin
 15.scenario on non caseating granuloma occurs in??
a.tuberculosis
b.leporsy
c.sarcoidosis(correct)
d.amoeboma
e.
‎16.one of following is not occur in shock??
a.tachycardia
b.decrease cardiac output
c.increase urine output(correct)
d.muscle weakness
e.
 17.during starvation which pattern of fuel consumption occur??
a.protein˃carbohydrate˃fatty acid
b.fattyacid˃protein˃carbohydrate
c.carbohydrate˃fattyacid˃protein(correct)
d.
e.
 18.cells increase in allergic condition??
a.basophils
b.neutrophils
c.mast cells(correct)
d.monocytes
e.macrophages
 19.antacid which delay gastric emptying??
a.magnesium hydroxide
b.sodium bicarbonate
c.aluminium hydroxide(correct)
d.magnesium carbonate
e.
 20.which of followin doesn’t cause hypercalcemia??
a.breast carcinoma
b.hepatocellular carcinoma
c.bronchogenic carcinoma
d.ovarian carcinoma
e.prostate carcinoma(correct)
 21.HLA gene present on??
 a.chromosome4
 b.chromosome7
 c.chromosome9
d.chromosome6(correct)
 e.chromosome3
 22.scenario in which patient is having loss of accomodation,which area involved??
a.pons
b.medulla
c.midbrain(correct)
d.cortex
e.
 23.organism of subacute endocarditis??
a.S.aureus
b.S.viridans(corrrect)
c.S.bovis
d.
e.
 24.haemoglobin bind to??
a.albumin
b.hepatoglobin(correct)
c.globulin
d.
e.
 25.scenario on volume expansion,which hormone increases??
a.aldosterone
 b.angiotensin1
c.ANP(correct)
d.renin
e.
 26.in chronic rhinitis which cells increases??
a.basophils
b.goblet cells(correct)
c.IgE
d.
e.
 27.juglodigastric lymph nodes drain??
a.palate
b.tongueand palatine tonsils(correct)
c.
d.
e.
 28.falciform ligament contains??
a.triangular ligament
b.round ligament(correct)
c.coronary ligament
d.
e.
 29.defect in language comprehension and intelligence??
a.frontal cortex
b.brocas area
c.wernicks area(correct)
d.
e.
 30.about cerebellum??
a.lies below tentorium cerebeli(correct)
b.connected by superior peduncles to pons
c.
d.
e.
‎31.which of following is potent chemotactic factor??
a.IL-1
 b.C3a
c.C5a(correct)
d.arachidonic acid
e.IL-8
 32.erythropoietin is secreted from??
a.maculadensa
b.peritubular interstitial cells(correct)
c.hepatocytes
d.
e.
 33.patient with posterior dislocation of elbow is having pain and numbness in little finger,which ligament or tendon damaged??
a.flexor carpi ulnaris
b.annular ligament
c.ulnar collateral ligament(correct)
d.radial collateral ligament
e.
 34.one of following is feature of acute tubular necrosis??
a.concentrated urine
b.oliguria
c.hyperkalemia(correct)
d.proteinuria
e.
 35.corpus striatum includes??
a.amygdala+caudate
b.amygdala+caudate+putamen
c.amygdala+putamen
d.caudate+putamen(correct)
e.caudate+globuspallidus
 36.which of following correct regarding brain??
a.needs glycogen
b.consume 20% oxygen at rest(correct)
c.
d.
e.
 37.drug contraindicated in CLD??
a.pentazocine
b.lorazepam
c.acetaminophen
d.hyosine
e.
 38.all of following form anterior relation of kidney except??
a.spleen
b.pancreas
c.diaphragm(correct)
d.
e.
 39.which artery connects basilar artery to internal carotid artery??
a.anterior cerebral artery
b.anterior communicating artery
c.middle cerebral artery
d.posterior communicating artery
e.inferior cerebellar artery
 40.true about sweat gland??
a.supplied by sympathetic cholinergic(correct)
b.
c.
d.
e.
 41.ifdorsalispedis artery is absent congenitally,which artery will supply area??
a.plantar arch
b.peroneal artery
c.medial planter artery(correct)
d.lateral planter artery
e.first metatarsal artery
 42.person chews bettlenuts,its associated with??
a.lichenplanus
b.lukoplakia
c.submucosal fibrosis(correct)
d.erythroplakia
e.
 43.patient having hypertension 210/120 ndcreatinine 7,defect is in??
a.maculadensa
b.JG apparatus(correct)
c.renal tubules
d.
e.
 44.intraembryoniccelom is formed by??
a.extraembryoniccelom
b.lateral plate mesoderm(correct)
c.
d.
e.
 45.which is correct regarding strawberry haemangioma??
a.regress within 5 years of age(correct)
b.
c.
d.

e.

Past Papers Of FCPS(part 1) from 2003-2013 (solved)

Medicine  2013

Medicine  2012

Medicine  2011

Medicine 2010

Medicine  2009

Medicine 2008

Medicine 2007

Medicine 2003

---------------------


Surgery June 2009

Surgery  October  2008

Surgery March 2008

Surgery  July 2007

--------------------

Gynae/Obs June

Gynae/Obs June

Gynae/Obs June 

Gynae/Obs March 

Gynae/Obs October 

Gynae/Obs June

--------------------

Radiology  January 2009

Radiology October 2007

--------------------


Anesthesia  June 2011

Anesthesia March 2008

Sunday, 9 June 2013

Syllabus and important topics for FCPS I, (PAPER-I)

Candidate for the fellowship of the college are expected to have a sound working knowledge of the structure and function of the human body and various mechanism  whereby these structures and functions are altered leading to diseased states.The emphasis in the FCPS Part 1 examinations is on comprehension of the various mechanisms by which body works and adjusts to external and internal changes. Concepts of the integration and interrelationship of various parts of the body are to be given more importance than finer details of structures and functions.

The outline of various topics given in this syllabus is a guide to what at the moment are considered to important topics which the candidate is expected to know.This is to help both the candidate and the examiner in defining the minimum boundaries of FCPS Part 1 examination.

PAPER-1


1.  ANATOMY

  • General features(Muscles,joints,blood vessels)
  • General embryology - General Aspects
  • Histology:- Epithelia, Muscles, Nerves , Blood vessels, Connective tissue and Lymphoid Tissue.
  • Brain and Spinal cord :- Spinal nerves , cranial nerves and vertebral column
  • Head and Neck:- Major blood vessels
  • Viscera:-(General features)  blood and nerve supply of Heart, lung, kidney and liver
  • Endocrine Glands:- Gross structure and important relations of Pituitary gland,thyroid gland,parathyroid gland and adrenal gland.


Recommended Books for Anatomy

Board Review Series
Snell's Anatomy
Essense
Netter Atlas

Recommended books for Neuro-Anatomy

Aftab Merchant
BRS

Recommended Books for Histology

BRS
Laiq hussain

Recommended books for Embyrology

Langman
Sharjeel
Highyeild


2.PHYSIOLOGY


  • Components of cell with major functions
  • Action potential and muscle contraction
  • Classification and properties of Nerve Fibres
  • Receptors:-Types and functions
  • Somatic Sensations,Transmission of pain
  • Function of sensory and motor areas
  • CSF:-Formation,functions and drainage
  • ANS:- Parts and functions
  • General properties and composition of blood including normal cell counts and functions of RBC's,WBC's and platelets
  • Mechanism of homeostatic coagulation factors and their actions
  • Blood groups ( types,antigens,antibodies,phenotypes,genotypes and their significance)
  • Conducting tissues of the heart: generation and propagation of cardiac impulse
  • cardiac cycle(pressure,volumes,valvular changes)
  • Blood pressure and its regulation
  • Respiration :Ventilation,transport of gases and regulation of respiration
  • Body fluids: compartments and regulation of osmotic equilibrium 
  • Regulation of ECF , blood volume and flow
  • Peripheral circulation
  • General functions of kidney
  • Regulation of body temperature


Recommended books for Physiology

BRS
Kaplan physiology
Guyton
Firdous


3.BIOCHEMISTRY


  • Requisites of balanced diet
  • General Principles of electrolyte balance
  • Role and function of endocrine hormones-feedback mechanism
  • Metabolism of CHO,protein,fats and vitamins

Recommended books for Biochemistry

Lippincott's biochemistry
Harper review



4.Pharmacology

  • Clinical Pharmacokinetics
  • Adverse reactions of common drugs
  • General Principles of Rational drug therapy

Recommended books for Pharmacology

Lippincott's 
Katzung review
Furruk Jabbar's compact




Saturday, 2 March 2013

Pelvis and Perineum.

Short Essay Questions.

Q.Write a brief note on pelvic diaphragm.

A.Pelvic diaphragm  is a gutter shaped sheet of muscles formed by the levatores anu and coccygeus muscles and their covering fascia.From their origin,the muscle fibres on the two sides slope downward and backward to the mid line,producing a gutter that sloped downward and forward.

It is incomplete anteriorly to allow for the passage of urethra in males and vagina in females.


Q.Write the contents of deep perineal pouch in males.

A.The contents of deep perineal pouch in males are:-

  1. Membranous part of urethra
  2. sphincter urethra 
  3. bulbourethral glands
  4. deep transverse perineal muscles
  5. internal pudendal vessels and their branches
  6. dorsal nerves of the penis


Q.Write the contents of deep perineal pouch in females.

A. The contents of deep perineal pouch in females are :-

  1. Part of urethra
  2. part of vagina
  3. sphincter urethrae 
  4. deep transverse perineal muscles
  5. internal pudendal vessels and their branches
  6. dorsal nerves of clitoris






Wednesday, 27 February 2013

Extra Practise Questions For AKU Admission Test.

English Practise Questions

1.If the singer's critics had not judged her hit song to be more the result of good fortune than of talent, her second album might have been met with widespread ___________rather than with just guarded anticipation.
                 
           (a)Ambivalence (b)Ridicule (c) Anger (d) Enthusiasm (e) Eloquence.

2.Through concern about the environment impact of the proposed nuclear waste dump was initially thought to be purely__________________matter,a poll showed that opposition to the plant was ____________,with overwhelming majorities objecting to the plan in cities hundreds of miles away.

         (a) Parochial......Widespread  (b) Inclusive...replete (c)Expansion...confined  (d)Similar...Fundamental.


3.A piece of Legislation is considered ____________ when it is supported by some members of both parties.

        (a) Indifferent (b) Biased (c) bipartisan (d) Prudent (e) Lackadaisical.


4.Art historians and the public alike find the Mona Lisa to be ___________ painting; the woman's smile ,at once playful and poignant,seems to defy understanding

        (a) An erratic (b) an illusion (c) an enigmatic (d) a distinguished (e) a vulgar.


5.French government officials declined to __________ the military records of officers who served in Vietnam,a move supported by a public that believed that such files,far from being ______________ administrative documents,were critical elements of the country's political history.

        (a) Suppose...national (b) expunge...trivial (c) assimilate...banal (d) ignore...foreign (e) idealize...prosaic


6.The teacher told the students to ___________ the book,as the exam would require knowledge of the most minute details.

        (a) peruse (b) conceal (c) discover (d) enlarge (e) demolish

7.Olivia toiled the labored for weeks,but all her _________came to nothing when the assignment was cancelled at the last minute.

       (a) gibberings (b) travails (c) misappropriations (d) idolatries  (e) alliterations


8.The little island hut seemed utterly derelict; like-wise,the village surrounding the hut also appeared to be __________,

       (a) peaceful (b) thriving (c) uninhabited (d) tropical (e) dangerous.


9.The researcher hoped that the controversy could be settled on the basis of ________facts and not on anecdotes.


       (a)comprehensive....humorous   (b) objective...biased  (c) lucid...Modest (d) idealized.....whimsical      
       (e) reprehensible....heinous.


10.According to the legend, Romulus and Remus, the founder of Rome , were ___________ children ,raised in the wild by a wolf.


        (a) dogged (b) idle (c) jaded (d) feral (e) prodigal.


11.Always looking for new species of insects,the entomologist was as ________________to explore the Amazon as her armchair-scientist peers were to __________it.

         (a) eager.....inure   (b) enthusiastic....entreat  (c)  egregious.....circumvent (d)insolent....pervade              
          (e) fervent....eschew.


12. The prejudice of the reporter's article helped to ___________and suppress many facts crucial to the criminal investigation.

 
          (a) distend  (b) buttress  (c) engender  (d) obfuscate  (e) transcribe .


13.Although investors hope that petroleum costs will ________as economic and political order is restored to oil-producing regions, in the light of recent military actions, prices will likely remain________________.

   
         (a) increase....minuscule (b) escalate ....meager   (c) normalize....volatile  (d) flag...nascent  (e) spike....ossified


14.The environmental organization disagreed with David's unsound proposal to use the local river as a dumping site for the chemical plant he managed; it claimed that his proposal would case _________of the local drinking water.


         (a) a dispersal  (b) a purification (c) a contamination  (d) an enforcement  (e) a polarization .



15. To show them how to recognize when a thunderstorm was _____________ and would soon strike, Mrs Hauser taught her sixth-grade science students to spot cumulonimbus clouds, or thunder heads.


       (a) volube (b) imminent (c) saturating (d) mercurial  (e) perilous.


16. The class thought  the new student was _____: her haughty and dismissive attitude made many of her classmates angry.


     (a) opulent (b) conceded  (c) arrogant  (d)  ominous  (e) agile .


17. When Helena won the worst dressed award at the halloween party , she was utterly ____, because she hadn't even worn a costume.


       (a) attired  (b) incompetent   (c) obscured (d) mortified  (e) rambunctious


18.Reacting to Ace Chemical Company's several decade of _______ dumping industrial waste into Onondaga lake, the government has ordered a clean up of the lake : however ,company executives counter that the __________ costs of a thorough clean up will bankrupt them.


       (a) imprecise.....fiscal (b) molecular .......excessive  (c) volatile.......pecuniary   (d) unconscionable.......remunerative   (e) indiscriminate.....exorbitant.




19.Despite mounting evidence that the researcher's findings were faked,the researcher himself staunchly ______such claims.


 (a) verified   (b)   repudiated  (c) disseminated   (d) embellished   (e) insinuated.


Answers to the above Questions:-

1.d
2.a
3.c
4.c
5.b
6.a
7.b
8.c
9.b
10.d
11.e
12.d
13.c
14.c
15.b
16.c
17.d
18.e
19.b