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Past papers Medicine part 1

July 2007

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.

MEDICINE PART 1 FCPS PAST PAPERS, MCQs RECALLS, PRACTICE PAPER FREE DOWNLOAD

Questions:

1) What structure is located superio-posterior to pituatory fossa
Mastoid air cells
Ethmoid sinus
Sphenoid sinus

2) Which Lung function Test is diagnostic of Asthma?
FEV1
FVC
FRC
RLC

3) Bee sting, shock like condition of a child, flushed, what mechanism is involved
Type 1 reaction
Type 2
Etc

4) What sensory receptors sense VIBRATION?
Pacinion corpuscles
Ruffini
Etc

5) Cause of anemia in Pregnancy
Fall in Hb
Decreased heme
Volume Expansion.

6) Cut to the postero lateral area of FOREARM near the head of Radius, a nerve is cut, cant appose thumb, no sensory loss, difficulty (I guess extending) thumb, injury to
Radial
Median
Ulner

7) Structure not passing through FLEXOR RETINACULUM of forearm
Ulnar nerve
Median Nerve
Flexor policis longus
Etc

8)Cause of SQUAMOUS METAPLASIA in a 38yrs old lady
Multiparity
HSV infection
IUCD

9) Mild CCF symptoms, Monotherapy to be prescribed
ACE-I
Thiazide
Frusimide
Ca Channel blockers

10)Pregnancy Induced Hypertension, Rx?
Methyldopa
11) Side Effects of ACE inhibitors
Hyperkalemia
HypoKalemia
Hypercalemia
Hypocalcemia

12)BARRETT’S Esophagus, whats the cause?
Loss of Myenteric nerve plexus
Failure of relaxation of LES

13) Which is not a branch of VAGUS
Lacrimal Nerve

14) Volume of Distribution, Defination?

15) First pass Hepatic Metabolism, Basic concept.

16) Branches of BASILAR Artery

17) Vertebral Artery Branches. Like, which is a branch of it.
(Circle of Willis was a hot thing this time, more than 3 Q)

18)Which of these form Circle of Willis
Post communicating artery
Vertebral A
Basilar A

19) RENIN ANGIOTENSIN System
Mechanism of Aldosterone release, the basic concept.

20)Body concerves body water by
ADH release
Cortisol release
Aldosterone

21) METAPLASIA, Defination.

22) HYPERPLASIA Definition.

23) VOLUME DEPLETION, Which mechanism is activated
Renin angio aldo system
ADH
Etc

24) Which drug has a n ATROPINE LIKE ACTION
Physostigmine
Scopolamine

25)Old obese Diabetic, newly diagnosed, choice of Rx?
Biguanides
Biguanides plus sulphonylurea
Insulin

26) BARRETT ESOPHAGUS can lead to:
Adenocarcinoma esophagus
Adenocarcinoma Stomach
Sq carcinoma Esophagus
Stricture

27) Location of PSEUDO STRATIFIED SQUAMOUS Epithelium

28) STRATIFIED SQUAMOUS Epithelium, characters

29) Pseudo Stratified COLUMNER CILIATED Epithelium, Location?

30) Histological section of a lymphoid tissue, a cortex and a medulla seen, and some ?ducts visible, Identify.

31) Which cells cannot PHAGOCYTOSE
Kuffners cells
Mast cells
Monocytes
Polymorphs

32) SENSORY RECEPTERS in Joints

33) Complement system is activated by the interaction of ?some factor with
A (cant remember the options)
B
C

33) Most Important use of ECF
Excretion of CO2 from body
Electrolyte exchange
Cell nutrition

34) Reasons for susceptibility to infections in AIDS
Decrease in CD4 count
CD8

35) HAIRY LEUKOPLAKIA is seen in
Fungal infection
HIV
Etc

36) Following PARTIAL HEPATECTOMY, remaining part can regenerate in
10 days
15-25 days
5 weeks
7 weeks

37) Which drug binds to COX-2 recepters and not to COX-1
Aspirin
Indomethacin
Piroxicam
Meloxicam
Ibuprofen

38) What is transmitted through corpus callosum.

39) What is the result of a lesion at the OPTIC CHIASMA

40) What structure is Not related to OPTIC TRACT?
Lateral Geniculate body
Medial ~

41) Area of brain affected in BITEMPORAL HEMIANOPIA

42) CSF pressure is increased when what structure is blocked :
Internal Jugular vein
Common carotid

43)Functions of CEREBELLUM

44) Venous drainage of the HEART
Anterior cardiac sinus
Inferior vena cava
Cardiac vein

45) RIGHT HEART BORDER is formed by
RA
RA+SVC
RA+RV

46) CIRCUMFLEX ARTERY supplies
LA LV
Apex
LA
L auricle

47) Whats correct regarding HEART?
Atria and Ventricles contract simultaneously.
Contraction starts from Left apex
Left Atria is 3 times larger than Right atria.
Left atria is 1st to contract
Excitation passes from Atria to Ventricles directly.

48) What structures are present in the free border of the LESSER SAC
Cause of abdominal angina, occlusion of:
Superior Mesenteric A
Inferior Mesenteric A

49) Lymph Nodes involved in Ca CERVIX are?

50) Ca Cervix is caused by:
IUCD
HSV
HIV

51) Sympathetic stimulationof Beta recepters causes
Bronchial dilatation

52) Mix lesion of loss of pain and Temperature of one side and Proprioception of the other side, whats the cause/where is the lesion.

53) In Cervical part of spinal cord, whats deficient?
Grey matter
White matter
Anterior Horn
Lateral horm
Posterior horn.

54) In REM sleep, the following happens:
Dreams
Sleep Walking.

55) Lesion in the Broca’s area:
Can’t write
Can’t speak except in few words

56) Surfactant:
Decreases compliance
Decreases when alveolar size decreased
Has a low turnover rate

57) An athlete at rest:
Increased Stroke rate
Increased cardiac output
Increased Heart rate

58) H-K-ATPase pump is blocked by
Omeprazole
Cimetidine
Bismuth

59) Murmur of MS best heard at
Apex
Tricuspid area
Etc

60) In Hypertension, Renin release is mediated by
Renal artery dilation
Na in distal limb loop of Henle

61) Vasodilation is mediated by
Histamine

62) Tidal Volume is a part of which capacity

63) Pneumoconiosis, whats the differenciating lesion
Fibrosis
Pleural plaques

64) Mesothelioma:
Pleural Plaques

65)Asthma, which investigation is diagnostic: (BRS-Physio Page 136 to confirm)
Decreased Fev1
Decreased FRC

66) Thellasemia, Where is the defect – in Heme or Globin

67) CCF, raised Ph, carbon dioxide 44mmhg, Hco3 raised.
Whats the metabolic disorder.

68) Histology of nephron, which part is in the medulla
Loop of Henle
Collecting duct

69) Infusion of I/V dextrose, how will body respond
Decrease in insulin release
Increase in Glucagon
Cortisol release
Somatostatin release

70) Bone lesion in the elderly, bone matrix is being eroded, which hormone is responsible

71) CRF, Hypertension, which of these changes CANNOT happen:
Raised Potassium
Decreased Calcium
Decreased Hb
Decreased Po4

72) Release of ADH happens under what circumstances,
(Basic concept)

73) Acid is released in stomach when
Proteins are ingested
Fat
Carbohydrate

74) Crohn’s disease, differenciating lesion from UC:
Perianal disease
Etc

75) Appendicitis, on lab test major finding :
Raised TLC
Water levels in R Iliac fossa

76) Polypeptide hormone:
Growth Hormone
And 4 steriod hormones mentioned

77) Protein synthesis in secretory cells:
RER
SER
Golgi A

78) Peroxisomes release:
Hydrolysing enzymes

79) Hormone/s responsible for BREAST ATROPHY
E
P
E+P

80) Dumb Question>>
Which Hormone is responsible for respiration during the leutinisation phase
FSH
LH
E (Do leave a comment if you think this Q makes any sense)
P
LH

81) Hashimoto’s Thyroiditis (Scenario given), whats the cause?

82) Pheocromocytoma, whats the treatment?
Alpha blockers
Beta blockers
Both Alpha+ Beta.

83) Hypertension, Increased Na, Decreased K, whats the reason
Ans: Hyperaldosteronism

84) Non Anionic Gap Metabolic Acidosis is seen in

85) Effects of Insulin on body fat deposits/metabolism

86) Gametogenesis

87) Modes of inheritance, ( 2+ questions were there) Like which is what. Autosomal Dominant was asked

88) Autosomal Recessive disorders are:

89) Wheat contains which vitamin/mineral

90) Child having diarrhea, has been on glutin free diet for 8-10 days. Whats the diagnosis
Shigella
Whipples
Celiac disease

91) Young girl with emlarded clitoris
Androgenital syndrome
Down
Etc

92) An old man hit by car bumper> #fibula, which nerve is affected.
Ans: common paroneal

93) Knee fully extended, in a locked-in position, which nerve is affected.

94) Right foot in the air, Left pelvis sinks down, which nerve is affected?
L Superior Gluteal Nerve (correct)
R Superior Glut
L Inferior Glut
R Inferior Glut

95) About Ca Colon,
Right sided present early
Cause is increased fat intake, low fibre (correct)

96) Man, previously had a disorder in U bladder, now came for follow up and is found to have Ca, whats the cause:
Nitrosamine
Schistosoma

97) Lateral quadrant of breast drains into which group of Lymph node.

98) CA anterior 2/3 tongue, which group of lymph nodes are involved:
L anterior superior submandibular
R
L Post Sup submandibular
R post sup submandibular.

99) Chorda Tympani, course.
Option: joins lingual nerve when exits skull.

100) About Lacrimal gland,
Is located in lacrimal fossa on the lateral side
Both glands drained by single duct.

101) Lacrimal duct opens at:
Superior
Inf
Middle
Spheno ethmoidal recess

102) In pure motor stroke, which area is involved

103) Functions of Corpus callosum, Globus pallidus, Putamen.

104) A patient on a psychiatric drug, side effects mentioned, which drug is responsible.
Clorpromazine
SSRI
Etc

105) A man, around 35 brought to emergency, sweating, salivation, Heart rate 45, BP 60/40, whats the treatment.
Atropine (correct) (Organo phosphate poisoning.)
Lignocaine
Digoxin

106) This area is normally resonant to percussion
2-4 Intercostal space on Right
2-4 Intercostal space on Left
5-6 I/c space on Right
5-6 I/c space on

107) Boy, age 10, history of trauma to chin 2 years ago presents with inability to open mouth fully, cause?
Sub mucous fibrosis
Misplaced Injection
Ankylosis of TM joint

The Q's below are courtesy of 'Dr Daffodil'.
108) Vitamin raised in disturbed homocystine metabolisma.B1.b.B6c.B12
109)Vit B 6 involve ina.oxidationb.reductionc.Carboxylation
110) End product of Purinea.uric acidb.urea
111) Miscellesa. contains more Triglyseridesb.absorb fats in duodenum
112) Chemotherapy causesa.degenerationb.apoptosis

113) Corpus callosum containsa.commisural fibersassociation fibers
114) Aphasia a.paralysis of muscles of palate/toungueb.due to damage of frontal cortex in dominant hemisphere
115) Tabes dorsalis causes bladder incontinence due to a.Atonic bladderb.automaticc.neuropathic
116) Dopamine regulates a.Prolactineb.Somatostatin
117) Neurotransmitter related to emotionsa.ACHb.Norepinephrinc.glutamted.Dopamine
118) Proencephalin is abnduntly found ina.Basal ?Gangliab.Cerebellumc.Thalmus
119) Regarding pul. circulationa. resistance is (dont remember % or ratio) less than systemic circulation
120) During Ventricular ejectiona. min pressure difference b/w Lt. Vent. and Aorta
121)Facial nerve/chorda tympani?( dont exactly remember)a. supply mucus membrane of int. earb.gives secretomotor fibers to Parotid gland
122)Disease of cervix inolves lymh nodesa.Int. illiacb.Int. n ext. illiacc.depp inguinald.Para aortic
123) prostate CA which lymph nodes be involveda.Int.illiacb.Para aorticc.Deep Inguinal
124) Radiotherapy effect the most a.ovaryb. Ut. tubesc.uterusd.cervix
125)CSF showing raised neutro,proteins ,low glucose .which drug to givea.ceftriaxoneb.rifampicin
126) Insensible lossoesa.200-400b.500-600c.800-1200127) Pri. opsonin in classic pathwaya.C5ab.C3ac.IgGd.C3b

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