Sunday, January 3, 2010

MCQS for MRCS Part-2

MRCS

Q1.A 60-year-old woman complains of pain and swelling of gradual onset in both
her knees over a period of 2 years. On examination there is evidence of excess
synovial fluid and synovial thickening in both knee joints and local tenderness.
Standing X-rays of her knees show diminution of joint space, sclerosis and cysts
in the adjacent bones. Osteophytes are also seen at the articular margins.
Theme: Pathological fracture
a Osteoporosis
b Osteomalacia
c Metastatic carcinoma
d Osteoblastoma
e Giant cell tumour

Q2.Metastatic calcification:
A occurs in normal tissue
B is characterised by psammoma bodies
C is associated with hyperparathyroidism
D characteristically occurs in osteoarthritis

Q3.The cephalic vein:
A begins in the region of the anatomical snuffbox
B at the elbow is deep to the lateral cutaneous nerve of the forearm
C ends by joining the brachial vein
D is medial to the biceps muscle in the arm
E has no valves

Q4.Chest injuries
a Tension pneumothorax
b Aortic rupture
c Haemothorax
d Aortic dissection
e Ruptured spleen
f Cardiac tamponade

Q5. Swollen, painful joints
a Osteoarthritis
b Gout
c Rheumatoid arthritis
d Tuberculous arthritis
e Neuropathic joint disease

Q6. A 34-year-old woman presents with a 2-month history of severe unilateral
Raynaud's phenomenon.
Theme:Lower leg ulceration
a Chronic obliterative arterial disease
b Superficial venous dysfunction
c Deep venous dysfunction
d Rheumatoid arthritis
e Squamous cell carcinoma

Q7.An 80-year-old retired chef has noticed that the edge of an ulcer situated above
the medial malleolus for 17 years has recently become ‘heaped up’ and bleeds
easily on contact.
Theme: Aneurysms
a Immediate ultrasound
b Insert intravenous lines, crossmatch blood and transfer to theatre
c Check the pulse and blood pressure half hourly
d Immediate CT scan
e Immediate endovascular stenting

Q8. A construction worker has his left leg trapped under falling bricks. At a followup
clinic 8 weeks later, it is observed that on the left side he has a foot drop and
diminished sensation on the lateral aspect of his leg and the dorsum of the foot,
with marginal sparing. He is unable to dorsiflex his left ankle or foot.
Theme: Conditions of the parotid gland
a Mumps
b Carcinoma
c Abscess
d Sjögren’s syndrome
e Mikulicz’s syndrome
f Pleomorphic adenoma
g Sialectasis

MCQS for MRCS part-1

MRCS

Q1. A 55-year-old man presents to the upper gastrointestinal clinic with symptoms of indigestion. He undergoes upper gastrointestinal (GI) endoscopy and visits you later to discuss his results. You tell him he has Barrett's oesophagus and he wants to know more. The following are features of Barrett's oesophagus except:-
1. Small intestinal metaplasia of the normal squamous mucosa.
2. Increased risk of oesophageal adenocarcinoma.
3. A Association with gastro-oesophageal reflux disease.
4. The presence of goblet cells.
5. The presence of cuboidal mucosal phenotype.

Q2. Utilising the posterior approach to a surgical procedure on the kidney, the surgeon will find that
True / False
1. The perirenal fat is exterior to the renal fascia (of Gerota)
2. The peritoneum needs to be opened
3. The pleura reaches below the level of the 12th rib
4. The renal artery is posterior to the renal vein
5. The subcostal nerve is anterior to the kidney

Q3. Injury --- cant dorsiflex ankle, area os sensory defect over mid foot,
1. deep peroneal n
2.superfec. per. n
3.tibial n
4.common per. n

Q4. first structure when opening pop fossa
1.solius
2. popletius
3. pop. artery
4.pop. vein
5.tibial n.

MCQS for MRCP part-2

MRCP

Q1.Aspirin inhibits platelet function by acetylating :
a) prostaglandin reductase
b) thromboxane synthetase
c) cyclooxygenase
d) succinic dehydrogenase
e) NADH-cytochrome-c-reductase

Q2.Marfan syndrome is associated with defective encoding of
a) collagen
b) elastin
c) fibrillin
d) elastin
e) laminin

Q3.The most common type of nontraumatic acute monoarthritis in young, sexually active persons.
a) Lyme disease
b) Nongonococcal septic arthritis
c) Gonococcal arthritis
d) gout
e) Spontaneous osteonecrosis

Q4..This patient with advanced HIV disease noted the appearance of these lesions on her face over several weeks.
What is the causative agent?
(Please select 1 option)
0. Bartonella henselae
0. Cryptococcus neoformans
0. Human herpes virus 8
0. Human papilloma virus
0. Pox virus


Q5.Muscarinic Acetylcholine receptors are selectively blocked by :
a) atropine
b) C5
c) muscarine
d) curare and C6
e) nicotine


For more MCQS visit

medicinemcq.blogspot.com/search/label/MRCP%20Part%202

MCQS for MRCP part-1

MRCP

Q1.A 28 patient with a 10 year history of bronchial asthma presents with footdrop, he is noted to have purpura and painful skin nodules, the chest radiograph shows several peripheral nodules, these features are characteristic of:
a) Leoffler's syndrome
b) Idiopathic Hypereosinophilic Syndrome
c) chronic eosinophilic pneumonia
d) Churg-Strauss syndrome
e) Allergic bronchopulmonary aspergillosis

Q2.A sexually active patient presents with a pharyngitis , diarrhea and lymphadenopathy three weeks following exposure to an individual infected with HIV.
What is the test of choice for HIV in acutely infected individuals during the short period between infection and seroconversion?
a) viral lysate EIA
b) Fluoxetine
c) p24 antigen
d) Radioimmunoprecipitation assay
e) Polymerase chain reaction

Q3.A selective, reversible alpha-1 blocker which may be used in the pre-operative preparation of patients with phaeochromocytoma
a) phenylephrine
b) prazosin
c) clonidine
d) yohimbine
e) idazoxan

Q4.A patient suffering from hemochromatosis classically presents with the following triad:
a) micro-nodular liver cirrhosis, iron deficiency anemia & diabetes mellitus
b) micro-nodular liver cirrhosis, diabetes mellitus & bronze pigmentation of skin
c) diabetes mellitus, sickle cell anemia, bronze pigmentation of skin
d) micro-nodular liver cirrhosis, diabetes mellitus & sickle cell anemia
e) micro-nodular liver cirrhosis, Kayser-Fleischer rings & diabetes mellitus

Q5.An 18-year-old male presented with excessive bleeding following a tooth extraction.
His investigations showed:
Platelet count 260 x 109/l (150-400)
Prothrombin time 13 s (11.5-15.5)
Activated partial thromboplastin time 86 s (30-40)
Factor VIII 110 IU/dl (50-150)
Deficiency of which of the following clotting factors is the most likely explanation for this patient? (Please select 1 option)
0. II
0. V
0. VII
0. IX
0. X

Q6.A fifty-five year old with chronic cardiac failure is on treatment with digoxin and the a loop diuretic.
This combination is likely to cause digoxin toxicity by the following reason:
a) this combination increases the half-life of digoxin
b) diuretics decrease potassium levels
c) frusemide and digoxin interact to form a poisonous compound
d) digoxin is a competitive inhibitor of frusemide
e) the above statement is wrong, loop diuretics are not a recognised cause of increased digoxin toxicity


For more MCQS visit

http://medicinemcq.blogspot.com/search/label/MRCP%20Part%201

MCQS for FCPS part-1 Radilogy

Radilogy

1. habitual smoker the epithelium will be
a. continuous stratified sq epi
b. pseudo stratified epi with patches of stratified sq epi

2.pt has difficulty rising from sitting position but flexion of leg is normal, which musle is involved
a.ileopsoas
b.gluteusmaximus (ans)
c. sartorius

3. thin filament is covered by
a. titin
b. tropomyosin ( ans)
c. troponin t

4.embolism all are true except
a. take place with damage to fat tissue only (ans)
b. trauma to the breast

5.diapgragm doesnot arise from
a. T10(ans)
b. 7th costal cartilage
c.9th rib
d. L1

6. most radiosensitive tumour
a. bone
b. lung
c. lymphnode
d. brain

7. diagnostic criteria for soft tissue tumours
a. pleomorphism
b. mitotic figures
c. increase vascularity

8.which hormone is responsible for fetal brain development
a. growth hormone
b. prolactin
c. thyroid hormone (ans)

9.artery which is adjacent to the phrenic nerve
a. internal thoracic
b. musculophrenic
c. pericardiophrenic (ans)

10.medial quadrant of breast lymph drainage
a. internal thoracic nodes (ans)
b. posterior nodes
c. axillary nodes

MCQS for FCPS part-1 GYNAE OBS

GYNAE OBS
1-pacinians corpuscles
Tactile touch
Fine touch
Temp
Pain
Vibration(I think it was nt in option nt sure)

2-coccygeal part of spinal cord lie at the level of w/h vertebra
C2
L2
S1
S2

3-shigella..
endotoxemia
neurotoxin
verotoxin
enterotoxin
exotoxin

4-in primary infertility,,diagnosis of failure of ovulation by ??
a-wid lower abdominal pain,,..,,
b-rise in basal body temp
c-middle of menstual cycle,,,
d-thick mucosa sec frm cx wch nt show fern pattern....

5-lumbar puncture
L2 L3
L3 L4
L4 L5
S1 S2

6-in haemophilia
PT INC
APTT INC
Inc bleeding time

7-Etiology of cleft palate.
a-anticonvulsant
b-multiple preg
c-multifactorial
d-inc maternal age

8-female pelvis also called as
Android
Anthropoid
Platypelloid
Mesatipellic

9-w/c is present in de cavity of cavernous sinus
Abducent nerv
Trochlear
Occulomotor

10-wall of inguinal canal Not formed by???????
ext oblique apponeurosis
lacunar lig
internal oblique
conjoint tendon
transversalis fascia

11-structure lying b/w labium majus nd minus
Urethral gland
Bulbourethral gland
Minor urethral gland

12-gestational age estimated frm.,.,.,.,.
Abd circumference.,,.
Biparital diameter.,.,.,. wks
Crown rump length ,,, 8 weeks.

MCQS for FCPS part-1 Anesthesia

ANESTHESIA

1. Apart frm measuring end tidal CO2 conc., capnograph can also measure
a. CO2 saturation
b. PO2
c. reduced Hb
d. oxyHb

2. PTH
a. inc PO4 abs from renal tubules
b. inc Ca resorption from bones
c. CRF
d. Anemia


3. Lidocaine. MOA?
a. dec abnormal tissue conduction and no effect on normal tissue
b. inc PR interval
c. dec atrial contraction
d. dec AV conduction
e. inc QRS
f. inc QT

4. Esophagus histology
a. covered by squamous ep
b. has str. sq in upper 1/3
c. has str. sq. in lower 1/3
d. has 3 layers of muscles
e. esophageal opening acting as anatomical sphincter

5. Thich filaments:
a. actin
b. myocin
c. tropomyocin
d. actin and myocin
e. troponin

6. Most important buffer is interstitial fluid
a. Hb
b. H2CO3
c. H2PO4
d. Proteins

7. Regarding Nitroglycerine, all are true except
a. extensive 1st pass effect
b. venodilator
c. dec venous return
d. dec HR
e. t1/2 is 3-5 min

8. Thirst is dec by:
a. ADH
b. aldosterone
c. Ag II
d. baroreceptor efferent
e. inc Hematocrit


9. Bile from liver is different from that from GB in:
a. has more HCO3-
b. has more mucous and pigments
c. has more anions


10. Mediators of inflammation
a. C3a
b. C5a
c. IL1
d. TNF alpha

11. Anesthetics differ from anelgesics in:
a. only alter A delta and C fibers
b. Anesthetics effect at cerebral level and analgesics at spinal cord level
c. affects only pain and temp and no other sensory modalities

MCQS for FCPS part-1 Surgery

Surgery

1.WATER ABSORBTION IN PROXIMAL CONVULATED TUBULES?
A.55% ABSORED
B.ASECNDING LIMB IS PERMIALE FOR WATER
C.WATER ABSORED THORUGH FASCILITED DIFFUSION

2.ESSENTIONAL AMINO ACID
A.TYROSINE
B.ALANINE
C.ARGININE
D.PHENYALANINE

3.CRANIAL NERVES CARRINYING PARASYMPATHATIC FIBERS?
A.3,7,8,10
B.3.7.9.10
C.4,7,9,10

4.OXYTOCIN AND ADH ORIGENATED BY?
A.POST PITUTARY
B.HYPOTHALAMUS
C.ANT PITUTARY


5.EARLIEST SIGN OF ASPIRIN OVER DOSE?
A.TINNITUS
B.GASTRIC UPSET
C.METABOLIC ALKLOSIS


6.T.B ULCER MARGIN?
A.EVERETED
B.INVERTED
C.INDIFINE
D.INDURATED


7.APEX OF HEART?
A.3RTH INTERCOSTAL SPACE.
B.TOWARDS RIGHT
C.8CM FROM MID LINE

8.ORGAN TRANSPLANT REJECTED IN 10 MIN
A.CELL MEDIATED IMUNITY
B.ANTIBODY
C.PLASMA CELL
D.NATURAL KILLER CELL

9.CONTENT OF INGUINAL HERNIA?
A.INF:EPIGASTRIC ARTERY
B.LYMPH OF FUNDUS OF UTERUS.
C.OVARIAN ARTERY.
D.FEMORAL ARETY

10.AFTER MULTIPULE BLOOD TRANSFUSION?
A.HYPOKALEMIA
B.HYPERKALEMIA
C.HYPOCALCEMIA
D.RAISED BUN
For more MCQS visit

fcpspastpapers.blogspot.com/2009/09/surgery-june-2009.html

MCQS for FCPS part 1 Medicine

Medicine

1.which is not caused by parasympathelic stimulation
increased GIT motility
micturation
miosis
sweating


2. fracture of surgical neck of humerus, patinet cant raise arm and sensory loss on lateral surface of arm. damage to
axillary nerve
musculo cutaneous nerve

3. Digoxin is drug of choice in
Atrial flutter
Atrial Fibrillation
Ventricular Tachycardia
Bradycardia

4. which has memory function
Ig G
Ig M
Ig A
Ig E


5.Gonococcus in easily identified in exudate specimen by
gram staining
Z N staining
culture


6. which is not oncogenic
Hep B virus
Hep D virus
Herpes Simplex virus
EBV

7. Processus vaginalis
covers testis only*
covers ductus deferens
forms ext spermatic fascia
arises from parietal peritoneum
arises from visceral peritoneum


8. Otic ganglion lies under
foramen ovale*
foramen spinosum
maxillart nerve
stylomastoid foramen

9. pseudo hypoparathyroidism.
Due to inc ca
Dec vit D
PTHrP
For more MCQS visit

http://fcpspastpapers.blogspot.com/