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Paper-3 exam for FCPS PART-1 with Dr Sohrab
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Paper-3 exam for FCPS PART-1 with Dr Sohrab
paper-3 exam for FCPS PART-1 with Dr Sohrab
1
Personal infomations
2
True and false
3
multiple choice
Name
*
Phone number
*
Email
Direct arterial blood supply of lung a) An internal thoracic artery b) A superior epigastric artery c) Posterior intercostal artery d) A bronchial artery e) Pulmonary arteries
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
What are the causes of chronic type 1 respiratory failure? a) Acute severe asthma b) Upper airway obstruction c) Sleep apnoea d) Pneumothorax e) ARDS
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Functional residual capacity is a) Volume of air exhaled during expiration b) Maximal amount of air that can be expired c) Amount of air left in the lung at the end of expiration d) The resting volume of respiration system e) Measured by spirometry
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Causes of bronchiectasis include a) Pulmonary TB b) Pulmonary hypo-gamma globulinemia c) Viral pneumonia d) Whooping cough e) Cystic fibrosis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Protective agents in the lung-lining fluid a) Surfactant c) Complement b) Immunoglobulins d) Proteinase enzyme e) Fatty acid in mucosa
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Brain stem pneumotaxic center damage causes a) Increase of tidal volume b) Apnea if vagus is also cut c) Irregular breathing with gasping d) Cessation of respiration e) Prolonged inspiratory spasm
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Below which provide maximum pulmonary resistance a) Alveoli b) Trachea c) Small bronchi d) Large bronchi e) Medium size bronchi
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding incidental pulmonary nodule a) Appears on imaging as focal opacity < 3cm b) Invariably beyond the vision of bronchoscope c) Central calcium deposition cause hamatoma d) Pop-com pattern is granuloma e) Needed CT for diagnosis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
No metastatic extra-pulmonary manifestation of bronchogenic carcinoma a) SIADH causing hyponatremia b) Hypercalemia c) Nephritic syndrome d) Hypocalcemia e) Stroke
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding inspiration a) Abdominal pressure in more positive b) Diaphragm is flattened c) Anterior posterior diameter is increased d) Lateral diameter of lung is decreased e) Vertical diameter of lung in decreased
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Erythropoietin -- a) Released from peritubular capillary b) Released from macula dense c) Released from JG cells d) Released from Extra-glom rube cell & mesangial cells e) Released from laics cell
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Metabolic acidosis with increased anion gap can be found in a) Renal failure b) Renal tubular acidosis c) Lactic acidosis d) Diarrhea e) Diabetic ketoacidosis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding minimal change nephropathy a) Proteinuria is common b) Relapse is frequent c) Frequently progress to CKD d) Is a common cause of nephrotic syndrome in children e) Does not occur in adults
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
At least which amount of urine is needed to excrete waste a) 200 ml b) 400 ml c) 500 ml d) 700 ml e) 800 ml
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
In case of IgA nephropathy [FCPS-Medicine-July-2019] a) Thematuria is d earliest sign b) Proteinuria is early feature c) Progress to end stage renal disease d) Asymptomatic presentations dominate in older adults e) Responds to immune suppressive therapy is poor
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Which of the following are not affected by drug induced SLE a) CNS b) Kidney c) Pleura d) Skin e) Heart
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Anti-nuclear antibodies can be found in a) Autoimmune hepatitis b) Systemic sclerosis. c) Dermatomyositis d) Rheumatoid arthritis e) Ankylosing spondylitis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding Juvenile Idiopathic arthritis a) Associated with high fever b) Salmon rash may be present c) Lymphadenopathy d) Micrognathia may occur in chronic case e) RA & ANF positive
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding juvenile idiopathic arthritis-- a) Oligo arthritis is most common b) Uveitis symptomatic c) ANA is negative, ESR & CRP may be normal d) Cardiac involvement e) Treatment option is methotrexate
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
X-ray signs of osteoarthritis a) Subchondral cysts b) Joint narrowing c) Intra articular panna formation d) Periarticular osteoporosis e) Subchondral sclerosis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Secondary syphilis - a) Gumma b) Condylomata lata c) Tabes dorsalis d) Hutchison's teeth e) Maculopapular eruption
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Opportunistic fungi are a) Candida b) Histoplasma c) Epidermophyton d) Trichophyton e) Cryptococcus
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Opportunistic mycoses are a) Mucor b) Mycetam c) Aspergilus d) Candida e) Rhizopore
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding brucellosis a) Brucellosis is an enzootic infection b) Survive for long period in RE system c) B. suies causes most severe disease d) It has tendency to relapse e) Physical signs are specific
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Cryptosporidiosis characteristics? [FCP: a) Fungus b) Host in both animal and humans c) Cause self limiting infection d) Faeco oral route transmission e) Incubation period is 7-10 days
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
A female patient after giving 4 child birth develops urinary incontinence. What will be advice you want to give?
a) Pelvic muscle exercise
b) Estrogen patch
c) Surgery
d) Catheter
c) Bladder retrainng
Deposition of IgA occurs in
a) Focal segmental glomerulosclerosis
b) Mesengiocapillary glomerulonephritis
c) IgA nephropathy
d) Minimal change disease
e) Membranous GN
High urinary fractional excretion of sodium is found in which?
a) Heart failure
b) Hypovolemia
c) Acute glomerulonephritis
d) Urinary tract infection
e) Acute tubular necrosis
A female patient present with persistent proteinuria. Which investigation leads us to renal biopsy?
a) 24 hour urinary protein 65 mg/day
b) ACR 150 mg/ml
c) PCR 50 mg/ml
d) Bence jones proteinuria
e) Pus cell 11-15/ HPF
Most important investigation finding in urine R/M/E of Glomerulonephritis
a) RBC cart
b) Granular cast
c) Hyaline taste
d) RBC cast
e) Reticular cast
Limited joint movement in which joint
a) Temperomandibular
b) Sacroiliac
c) Subtalar
d) Knee
e) Costovertebral joint
Most common problem in RA
a) Osteitis
b) Chondritis
c) Synovitis
d) Capsulitis.
e) Periosteitis
Long term control of asthma drug of first choice is
a) Sustain release theophylline
b) Montelukast
c) Salmeterol
d) Systemic corticosteroids
e) Salbutamol
A patient of 50 yrs is taking cigarette 25/ pack yr. & increase mucosal bronchial secretion which of the following cell is responsible for it
a) Goblet cell
b) Clara cells
c) Epithelial cells
d) Columnar cells
e) Goblet cells
Most common cause of hospital acquired pneumonia
a) Pseudomonas aeruginosa
b) Mycoplasma pneumonitis
c) Streptococcus pneumonitis
d) Moraxella catarrhalis
e) Klebsiella
Most important cause of hypersomnolence
a) Depression
b) Opiates
c) Narcolepsy
d) Restless leg syndrome
e) Sleep deprivation
Patient has lung mass on x-ray, Na-128, cl-90, K-3.8. Which type of lung cancer is most likely
a) SCLC (Small cell lung carcinoma)
b) Squamous
c) Adeno carcinoma
d) Lymphoma
e) Large cell
Autoantibody screening for prognosis of diseases
a) RA for rheumatoid arthritis
b) ANA for SLE
c) Anti-Ds for SLE
d) Anti SCL 70 for SLE
e) Anti Ro/Sm for Sjogrein's syndrome
A 71-year-old lady with scoliosis presented with sudden onset severe back pain. X-ray shows osteopenia with a transverse fracture & vertebral collapse. BMD is normal. What is the probable diagnosis?
a) Osteoporosis
b) Osteosclerosis
c) Osteomalacia
d) Osteopetrosis
e) Osteodystrophy
A 90 yrs old patient presented with fracture of tibia. Which of the following cell is responsible for increased destruction of bone?
a) Osteoclast
b) Osteoblast
c) Osteoprogenitor cell
d) Osteocyte
e), Chondroblast
Which of the following is the method of developing bacterial drug resistance?
a) Decrease of bacterial enzymes that activate a drug
b) Use of the drug in a metabolic pathway
c) Production of more substrates to compete with the drug for a binding site
d) Change of the molecular target of the drug
e) Decrease of bacterial enzymes that modify the drug
Which in the most confirmatory test in the Kala-azar?
a) Aldehyde test
b) Rk 39 test
c) ELISA test
d) PCR test
e) LD body detection test
Which is the commonest organism in pt of central venous catheter?
a) Streptococcus aureus
b) Staph. Epidermidis
c) Staph. Saprophyticus
d) Staph. Mitis
e) Staph. Sanguis
A patient come with vomiting and diarrhea 5 hrs after eating reheated fried rice and meat. Which organism is responsible for this food poisoning?
a) Salmonella
b) C.perfringens
c) Bacillus cereus
d) E. coli
e) Retrovirus
Wuchereria bancrofti microfilaria are found mostly in
a) Lymphatics
b) Hydrocele
c) Peripheral blood at night
d) Pulmonary eosinophilia in p. circulation
e) Lymph nodes
Which of the following are called 'Heart Failure Cells'?
a) Epithelioid cells
b) Kupffer cells
c) Alveolar Macrophages
d) CD 4+ T-cells
e) Cardiac myocytes
Which is the most prominent clue for the diagnosis of SLE?
a) High ESR
b) High CRP
c) Leucopenia
d) Anemia
e) Thrombocytopenia
Opsonization property of which immunoglobulin?
a) IgE
b) IgG
c) IgD
d) IgA
e) IgM
Humoral immunity by
a) T cell
b) B cell
c) NK cell
d) Macrophage
e) Basophil
Liver macrophages?
a) Kupfer cell
b) Microglia
c) Messangial
d) Monocyte
e) Histocyte
