Medicine MCQs

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


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 :


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


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


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


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


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


8/30


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


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


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 ,


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.)


13/30


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


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


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


17/30


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)


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..


20/30


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


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.


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


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


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


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


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


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.


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


30/30

●●●●●● ●●●●●● ●●●●●●

JOIN us for FCPS1 Prep at : www.facebook.com/groups/102979646495000/

Medicine MCQs

Documents

Transcript of Medicine MCQs