FCPS past papers mcqs recalls Old examination practice papers download

Surgery

March 2008

Note: Some questions are incomplete are missing. So please be patient as we will update when we find complete questionnaire. If you have complete questions please share with us. Thank you.

Questions:

1] A newborn child has abdominal swelling on the right side of the umbilical cord. It is not covered with amnion. The condition is

A} Gastroschisis
B} omphalocele

2] Which of the following is not related to Meckel’s Diverticulum?

A} is remnant of urachas
B} lies 60 cm proximal to illeocecal Valve

3] A boy is excreting meconium from rectum and has severe constipation. The rectal examination showed no ganglion cells. The condition is called

A} Intussusceptions
B} Hirschsprung’s disease

4] Regarding somites

A} They develop on both sides of notochord.
B} they develop from lateral plate mesoderm

5] Regarding diaphragmatic hernia the most likely is

A} Absence of septum transversum
B} Failure of pluiroperitoneal membrane

6] Which one of the following is not the derivative of 1st (mandible) pharyngeal arch?
A} Incus
B} Malleus
C} Stapes
D}
E}

7] Embrologically, Which one of the following is not the developmental remant

A} lateral umbilical ligament
B} Medial umbilical ligament
C} Median umbilical ligament
D} ligamentum teres
E} ligamentum venosum

8] The part of mouth derived from ectoderm is

A} Epithelium of parotid salivary gland
B} Epithelium of Tongue
C} Floor f mouth
D}
E}

9] A male with Gynaecomastia, small testes, diagnosed as Klienfelters syndrome. The karyotype involved is

A} 45 XO
B} 46 XX
C} 47 XXX
D} 47 XXy
E} 47 XX

10] Somites are derived from

A} Intermediate mesoderm
B} Paraxial mesoderm
C} Lateral plate mesoderm
D} Ectoderm
E} Endoderm

11] An I/V Urograph of 8 year old boy shows Excretion of dye normal I kidney but absence of shadow on left side. Instead there is a small shadow just above the bladder on the left side. Which one of the following is most likely?

A} Horse shoe kidney
B} Constricted ectopic kidney
C} Pelvis kidney
D} Non rotating kidney
E} Unilateral renal agenesis

12] Which one of the following is not formed from urogenital sinus?

A} Bartholin’s gland
B} Urethral glands
C} Para urethral glands
D} Seminal vesicle
E}

13] Virus damage the cell by

A} making the pores in cell membrane
B} Forming free radicals
C} Altering the formation of proteins
D} Nuclear damage
E} using energy for their own metabolism

14] The tissue damage by Ionization Radiation is due to
A) Damage to Golgi bodies
B} Formation of free radicals
C} Hydropic degeneration
D} Metaphase of cell
E} Swelling of cells
15] All are features of IRREVERSIBLE cell injury EXCEPT
A} Karyolysis
B} Karyorhexis
C} Autolysis
D} Shrinkage of mitochondria
E} Appearance of myelin figure
16] Which one of the following is least likely involved in increasing Osteoporosis

A} Increased wt: on bone
B} Renal cell carcinoma
C} Carcinoma prostate
D}
E}

17] Patient X-Ray shows hilar lymph nodes. Granuloma but no necrosis. What is the diagnosis?

A} Sarcoidosis
B} Silicosis
C} Tuberculosis
D}
E}

18] In women the most common form of necrosis after trauma is due to

A} Trauma to fatty tissue
B}
C}
D}
E}

19] Dystrophic calcification is present in which of the following

A} Acute pancreatitis
B} Malaria
C} Tuberculosis
D}
E}

20] Which one of the following is most likely feature of reversible injury?

A} Cell swelling
B} Karyorhexis
C} Decreased glycogen
D} Myelin figures
E}

21] A person fell on road and got an abrasion on elbow the first event likely occur would be

A} Vasoconstriction
B} Platelet adhesion
C} Platelet aggregation
D}
E}

22] Which one of the following facilitates phagocytosis in neutrophils?

A} C5a
B} C3a
C} C3b
D} C3 - C5 complex
E}

23] Which one of the following is potent antioxidant?

A} Vitamin A
B} Vitamin C
C} Vitamin E
D} Transferrin
E}

24] Which one of the following among Arachidonic acid metabolite is most likely function mediated in phagocytosis?

A} Chemo taxis
B} Diapedisis
C} Transmigration
D}
E}

25] Which one of the following is potent COX-II INHIBITOR?

A} Aspirin
B} Celocoxib
C} Indomethacin
D} Meloxicam
E} Piroxicam
26] In case of pulmonary embolism extensive infarction causes sudden death due to

A} Air embolism
B} Fat embolism
C} Thromboembolism
D}
E}

27] A patient was operated for abdominal surgery. A few days after he developed pain and swelling in his right leg. Which one of the following is most likely?

A} endothelial injury
B} hypercoagubility
C} stasis and endothelial injury
D}
E}

28] A soldier has profuse bleeding. He was admitted in the hospital. Which one of the following should be given immediately?

Fresh frozen plasma
B} 20 days old blood
C} 3 days old blood
D}
E}

29] A boy was born with the condition of polycystic kidney disease. Which one of the following is correct?

A} Autosomal Dominant disorder
B} Autosomal recessive disorder
C} X- linked disorder
D}
E}

30] In a renal transplantation, which one of the following is single most significant test to be done?

A} ABO blood grouping of donor and recipient
B} HLA typing and matching
C} Donor and recipient should be close relatives
D}
E}

31] A organ was transplanted to the patient, but within 10 mins the organ failed. Which one of the following is likely etiology?

A} Antibody mediated
B} T-Cell mediated
C} Preformed antibodies
D}
E}

32] AIDS occur in the presence of

A} Kaposi’s sarcoma
B}
C}
D}
E}

33] A 2 year old boy is suspected as HIV positive, which one of the following is the confirmatory test in the boy

A} ELISA test
B} Western Blot test
C} PCR
D} Increased levels of HIV in T lymphocytes
E}

34] A 10 year old boy was operated for gastrectomy, which one of the following type of anemia is developed postoperatively

A} Megaloblastic anemia
B} Iron deficiency anemia
C} Normocytic norm chromic anemia
D}
E}

35] Autoimmunity is not involved in which one of the following

A} Pernicious anemia
B} Grave’s disease
C} Diabetes mellitus
D} Hashimoto’s thyroiditis
E} Thymoma

36] In case of hashimoto’s thyroiditis, which one of the following is seen?

A} Anti thyroglobulin
B}
C}
D}
E}

37] To differentiate Chron’s disease from Ulcerative colitis, which one of the following is likely significant regarding Chron’s disease

A} has increased frequency to cancer
B} Involves both small and large intestine
C}
D}
E}

38] Regarding alcoholic hepatitis, following is finding

A} Mallory bodies
B}
C}
D}
E}

39] A 20 year old girl has developed Galactorrhea due to prolactinoma. Bromocriptine is given to treat it the drug causes
A} Inhibition of prolaction from pituitary gland
B} Decreased prolaction from hypothalamus
C} Inhibition of prolaction from breast
D} Stimulation of prolaction of anterior pituitary
E}

40] An unconscious patient presented in ED does not respond to Naloxone. Which of the following drug has been taken by this patient?

A} Morphine
B} Heroine
C} Pethidine
D} Phenobarbital
E}

41] Strongest layer of small intestine is

A} Mucosa
B} Sub mucosa
C} Circular layer
D} Serosa
E} Longitudinal layer

42] Regarding adrenal medulla which one of the following is true?

A} Secretes epinephrine and Norepinepinephrine in 80/20 ratio
B}
C}
D}
E}

43] R.E.R most likely

A} Synthesizes protein
B} Synthesizes lipids
C}
D}
E}

44] Half life of insulin is

A} 5 mins
B} 90 mins
C} 120 mins
D}
E}

45] Insulin

A} Converts glycogen to glucose
B} Stimulates protein synthesis
C} Stimulates lipolysis
D}
E}

46] Which one of the following most likely contains abundant cholesterol?

A} VLDL
B} LDL
C} Chylmicrons
D} HDL
E}

47] Which one of the following most likely causes Increase in GFR?

A} Constriction of afferent arteriole
B} Constriction Of efferent arteriole
C}
D}
E}

48] Gastric emptying is delayed by

A} Gastrin
B} Secretin
C} CCK
D}
E}

49] Which one of the following pancreatic enzyme is most likely involved in fat absorption

A} Amylase
B} Lipase
C}
D}
E}

50] Smooth muscle

A} Contain sarcomere
B} T-tubules are present
C} Gap junctions are present
D} Forms motor end plate
E}

51] Steady pressure on skin is perceived by

A} Pacinian’s corpuscle
B} Ruffini’s corpuscle
C} Meissener’s Corpuscle
D} Golgi tendon organs
E}

52] Which one of the following is related to pain?

A} Serotonin
B} Substance P
C}
D}
E}

53] Free nerve endings have receptor for

A} Light touch
B} Pressure
C} Pain
D} Vibration
E}

54] Which one of the following has highest pressure?

A} Pulmonary artery
B} Left atrium
C} Right atrium
D} SVC
E}

55] Flow of current through junctions in the muscle

A} Smooth muscle
B} Skeletal muscle
C} Cardiac muscle
D}
E}

56] A profusely bleeding patient develops hypotension, which one of the following would be immediate mechanism to maintain B.P

A} Baroreceptor reflex
B} Chemoreceptor reflex
C} Secretion of ADH
D} Aldosterone
E} Renin angiotensin mechanism

57] Water enters into the cell by

A} Pinocytosis
B} through pores
C} Simple diffusion
D} Facilitated diffusion
E} Active transport

58] Insulin secretion is controlled by

A} Glucagon
B} increased glucose
C} Decreased glucose
D}
E}

59] Systolic B.P is highest in

A} Pulmonary arteries
B} Cerebral arteries
C} Renal arteries
D} Brachial arteries
E}

60] End diastolic volume depends on

A} Atrial contraction
B} Distensibility of ventricles
C} Duration of diastole
D} Venous return
E}

61] Mean electrical axis of heart is deviated to left if

A} Heart is angulated on right side
B} Pulmonary stenosis
C} Right bundle branch block
D} COPD
E}

62] Pulse Oxymeter measurement gives error in the reading if

A} Pt. is dark skin
B} Increased conc: of Hb A
C} Increased Conc: of Hb F
D} Aortic stenosis
E}

63] Secretion of potassium by distal collecting tubule decrease by

A} Increase in potassium in diet
B} Hyperaldosteronism
C} Metabolic alkalosis
D} Spironalactone intake
E} Thiazide diuretic

64] Absorption of iron is markedly affected by

A} Ingestion with meal
B} Partial gastrectomy
C} Trivalent form
D}
E}

65] Patient with pancreatitis has developed steatorrhea due to deficiency of

A} Lipase
B} Pepsin
C} Amylase
D} Renin
E}

66] Absorptive surface of small intestine is

A} 50
B} 100
C} 200
D} 350
E} 500

67] Daily dietary protein for 70 kg. Man is

A} 12 gm
B} 120gm
C} 200 gm
D} 150 gm
E}

68] Source for metabolic fuel for liver in post absorptive state is

A} Glucose
B} Ketones
C} Glycerol
D} Fatty acids
E}

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