Upload
quransunnat
View
250
Download
2
Embed Size (px)
Citation preview
8/19/2019 Medicine MCQs
1/30
MEDICINE & ALLIED 4th JUNE 2014 (Paper A & B – Mixed)
NOTE: ALL MCQs are recall questions. Human error is Possible.
Special Thanks to Dr Sahil Syed, Dr Hammad, Dr Jawad, Dr Suleman Sami, Dr
Qamar Subhan, Dr Umbreen Hashim & Members of FCPS Prep 2005-2010
group of FB.
Good Luck for your Result. May ALLAH help you all (aameen)
●●●●●● ●●●●●● ●●●●●● ●●●●●● ●●●●●●
1. MRSA sensitive to:
aztreonam
co amoxiclav
clotrimoxazole
metronidazole
2. primary hepatocellular carcinoma : aflatoxin b1
hep E
hep C
alpha 1 antitrypsin deficiency
3. Braodman area 3 1 2
1 recieves all somatic sensation
2 special sensory
3 granular cortex something
4. serology not helpful in
a) toxoplasmosis
b) ambisis
c) giardiasis
d) ameobic liver abscess
8/19/2019 Medicine MCQs
2/30
5. Virus causes cancer via
1 proto oncoogene
2 oncogene
3 nucleic acid
4 promotr gene
6. Byssinosis occurres in people working in
1)garment factory
2)lead factory
3)textile industry
4)cement factory
7. OPD , 2 year old boy comes with fever, bowel disturbance... mcv mch
mchc all raised ... detected by
serum vit b12 levels
intrinsic factor antibodies
8. 1st line phagocyte in blood
neutrophil
monocyte
macrophage
9. old aged Person living at 12000ft had a hx of of MI 6 year back...both
lower limbs swelling and bluish discoloration ...cause
A. cardio-pulmonary failure
B. venous thrombosis
C. CO Poisoning
10. a lady delivered 34 weeks baby who was at 30th percentile of weight
and height, cleft lip cleft palate, microcephaly , 6 fingers in both hands ...
axial something ... whats the diagnosis :
a: 45X
b: 46XXy
c: 74 XY+13
d: 74 XY + 18
11. Esophageal stage of swallowing most effected by :
8/19/2019 Medicine MCQs
3/30
myasthenia
cerebral cortex stroke just above lateral gyrus
Scleroderma
12. cancer cells combatted by :
natural killers (BOTH NK cells & CD8 are Anti-Neoplastic)
cd8 and t lymphos
cell mediated
13. TCA.... what is false:
A. sedation
B. alpha blocker
C. Sympthomimetic
D. beta agonist activity
14. DIC is stimulated by??
tissue thromboplastin
15. Thiazides causes..
Hypokalemia
Hyponatremia
Hypocalcemia
16. Hyperpolarization is caused by..
Na+ influx
K+ influx
Cl- influx
17. Pt of chronic renal failure going to dialysis..normocytic normochromic
anemia .. Drug given:
Erythropoietin
Frolic acid
Vit b6
Vit b12
18. Tricuspid auscultation area?
A. 2nd right ic space
8/19/2019 Medicine MCQs
4/30
B. 2Nd left ic space
C. 3Rd left ic space
D. Mitral area
E. Lower half of left border of sternum
19. Parotid ducts opens into (Asim MCQ)
Second upper molar teeth between cheeks and teeth
20. Histamine releasing opioid analgesic.
A. Morphine
Tramol
butyrophenie
fentanyl
21. vitamin b12 def can be found out by urine test of
methylmalonic acid
pyruvic acid
22. a patient known case of lambago comes with sudden left side chest
pain.. Cardiac enzymes r normal.. No retrosternal pain also not radiated..
But tenderness at 5,6 intercostal spaces at posterior side..
MI
Costochondritis
Aortic aneurysm
Pleuritis
23.
There is lesion of upper trunk.. All wil occur except (Asim’s MCQ)adduction of arm
medial rotation of arm
Sensory loss over forearm
Elbow extension
Supination
8/19/2019 Medicine MCQs
5/30
24. Typhoid diagnose in 2nd week best by :
widal
blood cs
blood cs plus widal
only widal
stool cs
25. Pt with nose lesion , granuloma, proteinuria
leprpsy
wegner's
26. Which hormone not required for growth of sperm:
GH
bHCG
Prolactin
FSH
27. Steatorrhea due 2 chronic pancreatitis occur due to deficient: 1,amylase
2.lipase
28. Female with lush push bodyline , well develped brest ,, complained
amenorrhoea since puberty , short vagina , uterus not palpable, testes in
inguinal region.
male psuedohermaphrodite
female pseudoherma
testicular feminization
29. Dissection of aorta:
medial necrosis (Cystic Medical Necrosis – Rubin’s Pathology)
30. Subclavian artery arches over: (Asim’s MCQ)
clavicle
8/19/2019 Medicine MCQs
6/30
1st rib
2nd rib
31. What’s the hallmark of aids:
progressive immune-depression
opportunistic infections
32. in tractus solitarius
A. 1st order neuron of taste (ant 2/3 tongue)
B. 2nd order neuron of taste (ant 2/3 tongue)
33. wound healing
ascorbic acid
34. Autosomal dominant. whats wrong:
50% offspring effected
complete penetrance
50% females effected
Variable expression
35. radiation causes cancer usually in :
A. 5-10 yr
B. more than 10 yrs
36. what white blood cells are raised in acute viral infection
A. Neutrophils
B. Lymphocytes
37. protein fat carbohydrates deposition by
A. GH
B. glucagon
C. insulin
8/19/2019 Medicine MCQs
7/30
38. Appendix ..pain in flexion & Medial Rotation of hip. (Asim & Shoaib MCQ)
A. Pelvic
B. Retrocecal
C. Preileal
D. Post ileal
39. body utilizs nutrients in what order:
CHO, fats , protein
fat, prot CHO
cho Prot fat
40. myasthenia gravis Pt, Dr gv some medication due to which Pt conditions
improved. What’s mode of action of medication:
anticholinesterase
chlonergic
anticholinergic
41. Skeletal muscles
A. are innervated by somatic nervous system
B. are non straited
C. intercalated disc
42. Shock characteristic:
tissue hypoxia
low BP
tachycardia
43. Scenario about nerve supply to tip of the nose
Opthalmic division of trigeminal nerve
44. Neurogenic shock mediated by: loss of vasomotor tone
heart pumping decrease
45. Scenario on lacrimation while eating like that
Facial nerve
8/19/2019 Medicine MCQs
8/30
8/19/2019 Medicine MCQs
9/30
3. thrombin
4. thromboplastin
5. Prothrombin
54. Osteogenic imperfecta
Defect in synthesis of collagen
55. liver in its place coz of
attachment with IVC
ligaments
56. Jugulodiagastric lymph node drains into
Palatine tonsils and tongue
57. Right adrenal gland
Pyrimidal in shape
58. oblique fissure in lung extends from : (Asim’s MCQ)
t3 - t6
t2 t6
t4 t6
59. inappropriate about adrenal gland
neonate adrenal is same the size of adult adrenal gland
60. factor 9 def, aptt high PT low
Christmas disease
factor 8 def
61. sixty year old lady having unilateral severe head ache...temporal atery
biopsy
A. Giant cell artiritis B. Takayasu
8/19/2019 Medicine MCQs
10/30
62. bile acids
absorbed in ileum
63. bile acids helps fat digestion by:
Facilitate absorption of Lipid
Hydrolysis of LIPID
64. stone in the parotid duct (Asim’s MCQ)
Apoptosis
necrosis
degeration
65. Artificial respiration is not necessary if lesion occur at.. A.c2 B.c3 C.above
c5 D.below c5
66. epithelium changes in endocervix
Metaplasia
dysplasia
67. Squamous cell Carcinoma
marjolin ulcer
bowen's disease
68. Peroxisomes
Long chain fatty acid
69. Pt for renal transplant , what investigation is not necessary in the donor:
(Asim’s MCQ)
Serum Renin
UCE
HLA
CBC
8/19/2019 Medicine MCQs
11/30
70. Hormone involved in gluconeogenisis
Glucagon
71. Inhibit gastric acid secretions (Asim’s MCQ)
Secretin
72. Naked Person with 80% humidity in air & 21 degree temp:
heat loss by (Ganong’s MCQ: Ch# 17 MCQ#2)
A. conduction and radiation
B. By vaporization of sweat
C. Elevated metabolism
D. Respiration
E. Urination
73. Derived from neural crest (Asim’s MCQ)
autonomic ganglia
74. Rapidly adopting fibers... A. baroreceptors, B. pacinian corpuscles, C.
meissner
75. Nutritional deficiency..scaly dermatitis,alopecia
Zinc
76. Not supplied by vagus nerve (Asim’s MCQ)
A. stomach
B. ascending colon
C. Jejunum
77. Which will shift the O2.HB curve to the extreme left...
A. CO poisoning
B. fetal Hb ,
8/19/2019 Medicine MCQs
12/30
C. acidosis,
D. inc 2,3 bis
78. Secretary vesicles found in organelle
A. Golgi apparatus (Transport vesicle from ER to Golgi Modification of Transport
vesicle inside Golgi Secretary Vesicle)
B. ER
79. Cristanee concavity toward nucleus
Golgi apparatus
80. Inappropriate about atropine..
A. Increase CUTANEOUS BLOOD FLOW
B contraindicated in inc intra-ocular pressure
81. Widest part of epidural space
A. L2
B. C7
82. About collagen.... most abundant protein in the body
83. High pressure oxygen for 24 hrs (Scenario of Some Smoker).
Spontaneous Pneumothorax
84. Warfarin given for DVT, what is Appropriate?
Not given in pregnancy
Rapidly antagonized by FFP
85. 5th week what happens?
A. Heart has definite form (NOT True as Upper as it occurs at the end of 8 th week )
B. Limb buds appear (NOT True as Upper limb buds in 4 th week & Lower limb in 5 th )
In These options (If other 3 were wrong, then Option B is appropriate.)
8/19/2019 Medicine MCQs
13/30
8/19/2019 Medicine MCQs
14/30
93. Hormone that stores carbohydrates, lipids and proteins in cells is also
called hormones of abundance
A. GH
B. Cortisol
C. Thyroid hormoneD. Estrogen
E. Insulin
94. Starling law of heart (Ganong’s MCQ: Ch#30, Q# 6)
A. Explain the increase in cardiac output that occur when venous return is
increase
B. explain the inc in heart rate by exercise.
C. does not operate during exercise.
D. explains the increase in cardiac output when the sympathetic nerves supplying
the heart are stimulated.
E. does not operate in the failing heart.
95. Trigeminal ganglia
A. Completely covered by dura
B. Freely bathed in csf
C. Lies in MCF on the side of cavernous sinus
96. Short limb..short height...intelligence normal (case of achondroplasia)
A. Autosomal dominant
B. Autosomal recessive
97. Drug which enhances the hypoglycemic effect of sulphonylurea?
A. Phenylbutazone, (Ref: Textbook of Diabetes – Table 24-6)
B. thiazide.
C. OCP
98. Tx of hypercalcemia
A. Calcinomimetic
8/19/2019 Medicine MCQs
15/30
B. Bisphosph
C. Furesimide
99. 45x0/46xy....A short stature n prominent crease line...
A. BRACHECEPHALY AND MENTAL RETARDATION
B. GONADAL DYSGENESIS WITH FOLLICULAR APLASIA
100. Neostigmine action: inhibit Ach esterase
101. Venous return increased by
A. intrathorcic pressureB. Valve in veins
C. Muscle contraction of leg
102. A LADY HAD AN ROAD ACCIDENT AND GOT HEAD INJURY.SHE LATER
DEVELOPED complaint of polydypsia and polyuria..lab findings were
given in which urine osmolarity is low and plasma osmolarity high. After
giving vasopressin urine osmolarity increased and plasma osomalilty
decreased…what is diagnosis???
A. Central Diabetes Insipidus
B. SIADH
C. Nephrogenic Diabetes Insipidus
103. Chrons disease diff from Ulcerative colitis
Perianal lesions
104. An immunocompromize pt developed s/s of pneumonia BAL fluid
revealed boat shaped cyst organism (Nov 2013 Medicine paper MCQ = repeated)
A) Toxoplasma gondii
B) H. influenza
C) Pneumocystis carinii
8/19/2019 Medicine MCQs
16/30
105. Hormone inhibited by feedback from hypothalamus? Prolactin
106. Pneumothorax
Ipsilatrral lung collapse and chest wall spring out
107. A patient burning and recovered completely what factor determines that
complete recovery will occur? A. underlying
Granulation tissue, B. local edema
C. Blood supply
108. Typhoid test (Asim’s MCQ)
A. 1:160 O antigen
B. 1:160 H ag
C. 1:80 O ag
D. 1:160 O and H antigen
109. Pt unable to invert his foot while the lateral rotation is intact structure
involved
A. tibialis ant & tibialis post
B. tibials ant & fallicus H longus
110. What happen in lower motor neuron lesion..?? A.
muscle wasting.. B
hypertonia..
111. Vomiting center situated
Medulla oblongata
112. Lower motor neuron lesion
A. Decrease motor tone B. spastic
113. Chorea, athetosis region involved
Basal ganglia
8/19/2019 Medicine MCQs
17/30
8/19/2019 Medicine MCQs
18/30
121. Estrogen is released by?
A. ovary
B. uterus
122. Which is malignant?
A. Glioma
B. Meningioma
C. H. mole
123. Clostridium perfingens exotoxin action by..
A. coagulase .
B. phopholipase
124. Pt with bronchial ca present with hemoptysis due to?? (Asim’s MCQ)
A) Erosion of bronchial vessel
B) pulm vein
C) pulm artery.
125. Cavernous sinus thrombosis
A. superior opthalmic vein
B. inferior opthalmic vein
126. Inappropriate about hcg..
A. It causes ovulation..
B. Little similar as thyroid,
C. it causes LEUITINIZATION OF FOLLICLES
127. major part of energy utilized during breathing is to overcome (Asim’s
MCQ)
8/19/2019 Medicine MCQs
19/30
A. Elastic recoil of lungs
B. Resistance of chest wall
C. Large airway resistance
128. Side effect of chlorpromazine.. A. dystonia
129. Immunological function is significantly reduced in
A. dec basophils
B. ACTH
C. dec neutrophis
D. liver failure
130. Patient came with complaint of hirsutism .muscle wasting .skin
pigmentation and truncal obesity, hyprtension hyprglycemia...
A.Cushing disease
B. Primary inc in ACTH
131. Decrease in PR interval
A. 1st
degree Heart Block
B. 2nd degree Heart Block
C. WPW syndrome
132. Slow Pain transmitted by unmyelinated c fibers..
A. substance p
B. serotonin
C. Ach
133. Which hormone decrease gastric motility..???
A. CCK ..
B secretin..
8/19/2019 Medicine MCQs
20/30
8/19/2019 Medicine MCQs
21/30
140. Aids not associated with..
A squamous cell carcinoma..
B lymphoid series of bone marrow (Leukemia is Unlikely in AIDS)
141. Lymph nodes not present in?
A. Spleen
B. Thymus
142. Basic drugs bind to..?? (Chandkian’s MCQ with wrong key answer)
A. alpha 1 glycoprotein..
B. albumin
143. Thrombocytopenia APPROPRIATE
A. inc clotting time causing dec platelet count
B. thrombocytonpenia impairs APTT pathway
C. DIC occurs due to Dec in platelet count/ DIC causes decrease in platelet
count
144. A child with thrombocytopenia after acute viral infection due to....
A. Anti-platelet antibody (Explanation: In ITP Body own cells attack on
Platelets – The reason why We give Steroids or do Splenectomy is because it is
Autoimmune process and SPLEEN is the main culprit site. Antibodies Formed in SPLEEN
BY Plasma Cells) .
B. immune complex formation.
C. consumptional coagulopathy
145. Minimal change in blood flow to an organ during exercise
8/19/2019 Medicine MCQs
22/30
A) Heart
B) Brain
C) Skeletal muscles
D) Kidneys.
E) Lung.
146. Congenital anomaly associated with urothelial CA is
A. bladder extrophy (Adenocarcinoma has association with B. Extrophy – Conn’s
Current Therapy 2013)
B. unilateral agenesis of kidney
C. double ureter
D. Horse shoe kidney
147. Lipoprotein with highest cholesterol content (Asim’s MCQ)
A) HDL
B) LDL
C) IDL
D) VLDL
E) Chylomicrons
148. One question about leprosy drugs (Asked about Inappropriate
statement):
Answer = CLOFAZIMINE IS NOT GIVEN IN PT RESISTENT TO DAPSONE
149. Galactorrhea (Asim’s MCQ with little modification of question stem)
A. Chromophoes are smallest
B. chromophils are 50% of total
150. Scenario of turner syndrome.
8/19/2019 Medicine MCQs
23/30
A. bracheceephale with mental retardation
short stature with prominent simian crease
B. gonadal dysgenesis with follicular aplasia
151. Inappropriate about dopamine.
A: contraindicated in septic shock...
B. causes increase myocardial infarct area..
C. 10 microgram per kg dose of dopamine causes vasoconstriction
a. Hyernatremia
A. heart failure
B. excessive ADH
152. A vertical lesion in optic chiasma causes..
A bitemporal hemiaopia..
B. right sided homonomous hemianopia
153. Warfarin causes decrease in..
A. Fibrinogen
B. Factor 13
C. Prothrombin
154. Essential amino acid is.. Phenylalanine
155. Atomic bomb,... release of Stroncium-90 which affect milk products..so it
causes
A.osteosarcoma
B.nasopharyngeak CA
3.leukemia
8/19/2019 Medicine MCQs
24/30
156. Vertical artery along face, deep to submandibular gland is..??
A. Facial
B. Maxillary
C. Lingual
157. Tumor which also invade neural tissue
A.adenoCA
B.hemangiopericytoma
158. which one is NOT autosomal recessive
A. ataxia talengiectasia
B. carcinoma ovary
159. good patient and doc relationship...active listening
160. One glucose give ATP.. A. 38 (8 in Glycolysis & 30 from Kreb’s Cylce) | some folks
are using FA as reference that it is 32 BUT it is NOT Correct. According to Modern
P/O (Phosphate/Oxygen) ratio 1 NADH2 = 2.5 ATP & 1 FADH2 = 1.5 ATP. The sum of
ALL ATPs, NADH2 & FADH2 produced by 1 molecule of glucose is equal to 31 ATPs
(NOT 32) So again 32 is NOT correct. ALL Major Biochemistry Texts still follow the
Traditional (Old) P/O ratio (NADH2 = 3ATP & FADH2 = 2 ATP) So Correct answer is 38
161. Digoxin don't cause
A. inc intracellular Ca
B. inc intracellular Na
C. inc intracellular K
162. inferior thyroid artery is
branch of thyrocervical trunk
8/19/2019 Medicine MCQs
25/30
163. Pt with gum bleed in petechia advised bone marrow likely DX
A) Lymphoma
B) Leucopenia
C) Leukemia
164. fluid having specific gravity of 1.006 cause is
A. CCF (Specific gravity less than 1.016 is Transudative)
B. Ca lung
C. pneumonia
D. TB
165. a patient came in semi comatose state,,shifting dullness was
positive..liver biopsy taken and there were mallory bodies n fibrosis of
liver : Alcoholic Hepatitis
166. A lady after abdominal surgery presented with dyspnea susp DVT cause
(Asim’s MCQs)
A) Endothelial injury
B) Endothelial injury & stasis
C) Stasis & hypercoagulablity.
167. Broadman’s Area 3 2 1,,,
A. agranular cortex..
B. Primary Somatosensory Cortex
168. secondary center of ossification (Asim’s MCQ)
EPIPHYSIS
169. acclimatized...rapid ascent
a) 2 3 DPG
8/19/2019 Medicine MCQs
26/30
b) PO2 is normal
c) PO2 is lower than normal
d) Pulmonary edema
170. Pregnant lady with normocytic normochromic Anemia. Cause?
plasma volume expansion
171. Adrenal insensitivity syndrome which is inappropriate test
A. Serum LH FSH
B. Serum progesterone
C. US abd
172. Endocervical epithelium of lady reveals sq epi cause?
A) Dysplasia
B) Anaplasia
C) metaplasia
173. Water Intoxication causes??? (Asim’s MCQ)
A) Slow pulse
B) Thirst
C) Altered behavior.
174. In complete heart block
A. Atrial rate is lower than ventricular rate
B. Ventricular fibrillation is commonC. Fainting occur cuz atrial unable to pump blood into ventricles
D. Fainting occur because of prolong periods during which ventricles fail to
Contract (Ganong’s MCQs Chapter 29 Q # 5 24 th Ed)
175. Burning hot sensation occurs when temp of the surrounding is
A.28
B.32
8/19/2019 Medicine MCQs
27/30
C.42
D. Above 45 (Thermal nocioreceptors activate when Temperature Falls Below 5 C – COLD or
shoot Above 45 C)
176. Slow growing Tumor/Carcinoma of Thyroid?
A. Follicular
B. Papillary
177. Low molecular weight heparin
A) can cause thrombocytopenia
B) produced by fragmentation n degradation of heparin
178. Clostridium tetani main site of action is? A.
cerebral cortex B.
Exotoxin produces lethal effects
179. Pt having Hypertension 210/120 and Creatinine 7, defect is in? (Rabia Ali
MCQ)
A. JG apparatus | B. Mecula Densa
180. Gastrectomy after 3 months anemia
A. microcytic hypochromic
B. megaloblastic
181. Drug contraindicated in impaired renal failure:
` Gentamicin
182. Solubility of drug is increased by which factor
A. increase lipid solubility
183. Gastric secretions are inhibited by what.
A. secretin
8/19/2019 Medicine MCQs
28/30
B. Ach
184. In slow wave sleep what is unlikely.
A. Inc muscle tone
B. Dreams unable to recall
C. Delta waves
185. Bradykinin ...
A. kallikren
186. Alpha adrenergic stimulation causes
A.. Vasodilation
B. Lipolysis
C. Pupillary dilation
187. GFR Clinically Measure by:
A. Creatinine
B. Inulin
C. PAH
188. Inappropriate regarding Azygous VeinPass through Esophageal Opening
189. Rh Agglutinins
A. present of RBC surface
B. present in month of Rh -ve mother when give birth to rh +ve fetus
190. Artery involved Anterior wall MI
LAD artery
191. Taste fibers through.
8/19/2019 Medicine MCQs
29/30
tractus solitarius
192. After giving Glucocorticoids, there will be? (Asim’s MCQ)
Decrease Lymphocytes
Decrease Neutrophil
193. Multiple long bone fracture...B.P 90/, Pulse 115. Initial management?
(Asim’s MCQ)
A. Fracture stabilization
B. Volume replacement
C. Tracheostomy
194. Atrial fibrillation
A. Pulses deficit
195. The process by which DNA is transferred from one bacterium to another
by a virus is known as
A. TRANSDUCTION
196. Fracture of Long Bones
Fat Embolism
197. Thirst is Reduced By? (Asim’s MCQ)
A. Angiotensin II
B. INC Volume of ECF
C. Stimulation of Hypothalamus
8/19/2019 Medicine MCQs
30/30
●●●●●● ●●●●●● ●●●●●●
JOIN us for FCPS1 Prep at : www.facebook.com/groups/102979646495000/