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1 SiiidjMate nen Med Xe Gessosson — FEcboctowramate — fcarcananeatamemar — LZ) itotamoderamenpert com FCPS-1 September Attempt 2020 Papers PDF ‘Sc | Paper Patt 1 | Medicine and Allied 29% September Evening/Afternoon Shift_| 6 2__| Medicine and Allied 29 September Night Shift 14 3___| Medicine and Allied 30% September Afternoon Shift 25 4 __ | Medicine and Allied 30 September Night Shift 40 5 | Medicine and Allied 1 October Night Shift 49 6 __| Surgery and Allied 1 October Morning Shift 59 7 Surgery and Allied 15* OCTOBER AFTERNOON SHIFT rk 8 | Diagnostic radiology 29" September Moruing Shik 80 ‘9 | Diagnostic radiology 29" September Afternoon Shift a8 10 | Gynae and Obs 30" September Morning Shift 7 TT | Gynas and Qhs 30" September Evening Shift Tit iz _| Ophthalmology Paper September/October Attempt 2020 126 13_| ENT Paper September/October Attempt 2020 (Prepared by | 147 Dr Atta ham And Dr Khyali Gull) 14 | Anesthesia Paper September/October Attempt 2020 ist 15 | Dentistry Paper September/October Attempt 2020 163 fed firm All September Attempt FCPS-1 Papers (Medexam 2 F Stig; Mate Scememememnet ae Med-EX‘ea Sessossin — FEcetownamate Ff fStcaraseatramtport erogenadexamenper.com NOTE: All The papers That have been collected ahave been discussed on our telegram group but still this isa real crude form of papers that needs to be rechecked and modified (though have been checked once) and a few unanswered questions ‘We are making different posts on our facebook group FCPS-1 Help https://web.facebook.com/groups/FCPS1HELP/ socom. FCPS-1 HELP v Joined rey N@@ * You and 19,070 others are members you can search for paper by writing its date and name as exactly mentioned in contents and reach that post Go through that post for already discussed questions if any and then post under the post of that paper if it has NOT been discussed DON'T forget to write the page number and point number that you are discussing so itis easier for people to search through and comment You can also discuss by mentioning page number and point number on our telegram group hnuips:/ /tume/fepsistudymateMedexam DOWNLOAD TELEGRAM APP , CREATE UR ACCOUNT AND THEN JOIN BY CLICKING THIS LINK YOU MAY HAVE TO USE VPN IF IT IS NOT WORKING ONLY FOR THE FIRST TIME IT'S A WHATSAPP LIKE APPLICATION fed ire All September Attempt FCPS-1 Papers (Medexam 5 F wonamedoxamoxpertcom Med-tXsps SeSoossin fF faccoackewardmate ff facsocokonectrameaport atoconecacaipertte ie Seas CURC U rt aMule) e https://t.me/fcps1studymateMedexam Share link Join our 3-Month course for February attempt by contacting Medexam expert’s contact number 03005519111 or 03020700016 Or by reaching out to studymate-Dr Ahmad Hassan Via whatsapp 03080491304 To Order Call Zubair Book Depot Lahore 0300-4632223 tempt FCPS~1 Papers (Medexam : F Sa Mate wnurnedoramoxpercom Med- Xe SSeSoossin fF faccooskewardmate ff faccasotanedtramtapert |eomederamexpert om For Comprehen: Pees ester oftred parm All september Attempt FCPS-1 Papers (edexam 5 ‘ fate remedies Med-tXpp Q iosson FES ovnimate FL ctomamectiomemar — LZ) itotmoceramenpert om Med-EXé4 Stig Mate SIGN UP NOW! e Join Our Online Courses Offend fem AN Seneca napa 7 aparece 5 5 Stig; Mate seememmemmnetaes Med-tXp SeSoossin Ff faccoockewardmate ff faccusotonedtramtaport |elomederamexpertom Coming Soon #i! in Bookstores near you -y Attempt InshaAllah ) Suigy Med: FCPS MATE Gynaecology & Obstetrics Coy eee) 4-Medicine and Allied 29" September Evening/Afternoon Shift 29" September Medicine and Allied Evening/Afternoon Shift (Poorly recalled paper) 1. Diplotene stage in which phase? - Prophase 2. Warfarin MOA? - Warfarin competitively inhibits the vitamin K epoxide reductase ‘complex 1 (VKORC1), which is an essential enzyme for activating the vitamin K available in the body. Through this mechanism, warfarin can deplete functional vitamin K reserves and therefore reduce the synthesis of active clotting factors (2,7,9,10,Protein C and Protein S) 3. Cimetidine and warfarin? cimetidine inhibit hepatic microsomal activity, which may cause reduced metabolic clearance of warfarin and augment its anticoagulant effect effet ire all september Axempt FCPS-1 Papers edexan ; F Stig; Mate sceemememeape sen Med-EX‘Sea Sessossin — FEcbetownamate ff fcceoaraseatramtport erogenadexamenper.com 4, Inflammatory cells — Neutrophils 5. Philadelphia chromosome ~ Translocation 9;22 = present in CML. 6. Megaloblastic anemia- vit def? ~ Vitamin B12 and Folic acid deficiency but prefer Folic acid if no obvious hint in the scenario and if there is hint of Gastrectomy etc. go for 812 deficiency 7. Mode of Inheritance of diseases 8 Down syndrome karyotype = Trisomy 21 9. Left gastric Artery is a branch of Celiac trunk 10. Direct inguinal hernia relation is medial to the inferior epigastric vessels, 11. Bronchogenic Carcinoma is due to exposure to Asbestos 12. Thalamus lesion ~ Thalamic pain syndrome 13. Memory loss lesion? - Hippocampus 14. Typhoid diagnostic test - Widal Test 15, Heart failure cause ~ Edema 16. Persistant anemia cause? Repeat (poor recall) 17. Sarcoidosis repeat (Poor recall) 18. Viruses act by altering? 19. Virus causes cancer by — oncogene Virus causes cancer by alteration in Protooncogene Virus causes cancer by — alteration in protein synthesis > Alteration in protooncogene ofed farm All September Attempt FCPS-1 Papers (Medexam 8 Stig; Mate Scenetemepetsen Med-tX pps Sessossin — FEsEeownamate Ff fctcoraseatramtort etogenadexamenper.com 20. intermediate filaments role in carcinoma 21. Calculation of physiologic dead space 22. Hyperthyroidism lab findings — Increased T3 23. Histological findings of chronic bronchitis — increased Reid index 24, Sternocostal surface of heart formed by - RV 25. Pelvis avulsion muscle 227? 26. Anaphylactic vs hypovolemic chock = cardiac output 27. DIC scenarios(2) 28. ASOT marker in? = PSGN 29. ANa marker in? 30. Sjogren syn scenario. Marker? Anti-SSA 31. Embolism scenario 32. Berry aneurysm scenario 33. Hypokalemia ecg findings — U wave 34. Hormone acting on Nalk pump — Thyroid 35. GH needs which hormone for sufficient action = Somatomedin 36. Pheocytochroma scenario fed ire All September Attempt FCPS-1 Papers (Medexam 9 . Stig; mate wrsumedexamexpertcom Med-EX Sou Sessossin — FEcboowramate ff fccecoraneatramtrport rtogenad-examenper.com 37. GI secretions (2-3 ques) 38. Atrial fibrillation ecg findings? P waves absent 39, Heart block findings (2-3 ques) 40. Theta waves in which stage of sleep? Stage 2 41. Dysplasia definition = A term used to describe the presence of abnormal cells within a tissue or organ, 42. Mesonephric duct structure? In males each mesonephric duet becomes differentiated into four related structures: a duct of the epididymis, a ductus deferens, an ejaculatory duet, and a seminal vesicle In females the mesonephric ducts are largely suppressed. 43. External ear canal embryo? 1* pharyngeal cleft 44, Ear lobe numbness. Nerve involved? Auriculotemporal 45. Vocal cords paralysis scenario. Nerve invovied? = RLN 46. Pan chewing ~ Submucosal fibrosis 47. Rh incompatability & blood transfusion 48. Steroids use in diabetes complication? 49. Hemoptysis+hematuria+focal glomerular changes- disease? = Wegner's granulomatosis 50. Oxytocin hormone action = The two main actions of oxytocin in the body are contraction of the womb (uterus) during childbirth and lactation. And ejection of Milk from the breast (lactiferous ducts) fed ire All September Attempt FCPS-1 Papers (Medexam 10 Stig; mate wawmedexamexpert.com Med-tXsps Sesiossin — FEcboowramate Ff ccecoraneatramtrpart etogenadexamenper.com 51. Neurosecretory hormone? = can be noth oxytocin or ADH (these are the hormones that are produced by nuclei of hypothalamus and are transported to the posterior pituitary for secretion) 52. Negative feedback scenario 53. Moderate exercise, no effects on which organ? 54. Loss of heat with raised temp via? (poor recall), 55. Cleft palate cause? Failure of fusion of the palatine prominences causes cleft palate (CP) 86. Inheritance- multifactorial 57. Meningitis complication scenario- hydrocephalus, 58. Hemolytic anemia scenario 59. B12 prophylaxis in ileal resection 60. Three layers of muscles in which part of Gi = Stomach 61. Infection of danger area of face spreads to? Cavernous Sinus 62. MAO! with barbiturate. Side effect = Respiratory arrest may occur 63. Visual accomodation involves? (poor recall) 64. Inc heart rate, effect on duration of cardiac cycle = Decrease 65. Interstitial fluid in 70kg man = 11 Litres 66. Clark's nucleus level in spinal cord at? T1-L2 fed firm All September Attempt FCPS-1 Papers (Medexam 1 ) weedeamenpetcen Med-EXSen SEescossion ff fcoogwandmate ff nockmedtrameapert etocniehaciinparecie NOTE: All The papers That have been collected ahave been discussed on our telegram group but stil this is a real crude form of papers that needs to be rechecked and modified (though have been checked once) and a few unanswered questions We are making different posts on our facebook group FCPS-1 Help https://web.facebook.com/groups/FCPS1HELP/ ~ FCPS-1 HELP v Joined BSD oo aa” You and 19,070 others are members you can search for paper by writing its date and name as exactly mentioned in contents and reach that post Go through that post for already discussed questions i if it has NOT been discussed ny and then post under the post of that paper DON’T forget to write the page number and point number that you are discussing so it is easier for people to search through and comment You can also discuss by mentioning page number and point number on our telegram group hhetps://t.me/fepsistudymateMedexam DOWNLOAD TELEGRAM APP , CREATE UR ACCOUNT AND THEN JOIN BY CLICKING THIS LINK YOU MAY HAVE TO USE VPN IF IT IS NOT WORKING ONLY FOR THE FIRST TIME IT’S A WHATSAPP LIKE APPLICATION Ofed pare All September Attempt FCPS~1 Papers (Medexam 12 ; wonamedoxamexpertcom Med-tXsps SeSoossin fF faccoackewardmate ff facsocokonectrameaport atoconecacaipertte ie Seas CURC U rt aMule) e https://t.me/fcps1studymateMedexam Share link Join our 3-Month course for February attempt by contacting Medexam expert’s contact number 03005519111 or 03020700016 Or by reaching out to studymate-Dr Ahmad Hassan Via whatsapp 03080491304 To Order Call Zubair Book Depot Lahore 0300-4632223 tempt FCPS~1 Papers (Medexam 13 } Sa Mate weurnedoramoxpercom Med- Xe SSeSoossin fF faccooskewardmate ff faccasotanedtramtapert |eomederamexpert om For Comprehen: Pees ester oftred parm All september Attempt FCPS-1 Papers (edexam 14 r) Stig; Mate aera Med-tXsp1 SeSoossin Ff faccoockewardmate ff faccusotonedtramtaport |nomederamexpertom Coming Soon #i! in Bookstores near you -y_Attemnt InshaAllah ) Coy Suigy Med: FCPS MATE Gynaecology & Obstetrics eee) 2-Medicine and Allied 29" September Night Shift Medicine and Allied 29” September 2020 Night Shift 1 most imp test for autoimmune disease Anti ana (correct) Anti dna Total leukocyte count Ant ra 2 imp test for diagnosing lymphoma Immuno histochemistry Elisa Immuneflourescense (correct) Radioimmune assay Leucocyte count 3.subdural hematoma vessel = Superior cerebral vein 4,Extradural hematoma = Middle meningeal artery 5.subarachnoid hemorthage scenario (Lumbar puncture is hemorrhagic) = answer was, subarachnoid hemorrhage 6.keratits, xerostomia joint pain =Sjogren syndrome, fed firm all september Axtempt FCPS-1 Papers edexan 5 Stig; Mate Seetnemenpet ser Med-tX pp [SeSoossin fF faccoockewardmate ff faceocotonedtrameaport |eomed eramexpertom 7.imp hormone for partuirition = Fetal cortisol > fatal acth 8.alpha 1 antitrypsin wala scenario (lung and liver involvement) 9.4 year old child with ho RTI 11 days back, fever epixtaxis hb 5.2 tlc raised plt low = Test? Bleeding time (ITP case) 10.Dysphagi, dysertria, hemipatesis, ipsilateral horner ipilateral cerebellar damage Pica (correct answer) Aica Asa Sup cerebellar artery 11..half life of carboxyhemoglobin at 100% 02. = 5 minutes 12. Action of dopamine after administration = 9 minutes (if asked about half life = 2 minutes) 13. Inspiratory capacity = Clear definition then. Pt ny inspire Kia max and then expired till tidal volume 14. Residual volume ? Volume remaining in lungs after full expirations: 15. Ph 7.49, poo2 60 hco3 30 = partially compensated metabolic alkalosis 18.outermost layer of retina = pigmented layer! AIC (correct) "1D-k or A-c 18, Brain eating parasite = Nigleria fowleri 19.donut shaped cyst - eryptosporidium 17. Chlymydial blindness spe 20. Yellow vaginal discharge = trichomonas (chlamydia was not in options) 21. conversion of typsinogen to tryosine - enterokinase wasnt in options /enteropeptidase was so that is the answer other option that could have been correct after this was alkaline pH 222. Subacute endocarditis organism? = $ . Viridans 23. Psgn scenario type of hypersensitivity asked = type 3 24. Ppd test type of reaction = Type 4 25. Antitumor cells = NK cells > TNF= 26. Corona virus test" Sarscov 1'/Sarscov2 (correct) 27.delayed gastric emptying =CCK (fatty meal was mentioned) | 28. Atrial flutter - saw tooth p waves on egg 29. Ischemic heart disease pt abnormal qrs drug HR 140-200 drug? iLignociane’ 30. Travellers diarrhea not responding to antidiarrheals norfloxacin ¥ 31. Travellers diarrhea diphenoxylatev 32. Anterior to ive which vessel ight Testicular artery 33. Adrenalectomy not permitted to resident cause adrenal gland anteriorly overlain by 2) Because of IVC 34. Bladder cancer common agent? Aniline dye oftrd farm All September Attempt FCPS-1 Papers (Medexam 16 Stig; Mate seetemennetsen Med-EX‘Sen SeSoossin fF faccbockewardmate ff facencotanectrameaport [noted eramexpertom Angiosarcoma = Vinyl chloride 35. Obstructive lung disease ka scenario! Element pucha tha?” Nicotine (correct) Nickle Dont know = 36. Not occur in edema= increase capillary oncotic pressure 37. Extensive burns = Hypoalbuminemia St corneum, spinosum ,lacidum rupture acute problem’ :Acute water loss¥ sensation effect’ Sebum” Hair follicle 38. Tb ka scenario cervical lymphadenopathy caseous necrosis¥ 39. Itp scenario most useful test? cet APTT ct Platelet count (correct)i 40. Hemophilia circumeisin wala scenario test asked'= APTT best test 41.dilated cardiomyopathy dysfunction? Left ventricle filled defect 42.glycogenolysis, gluconeogenesis ketogenesis hormone? GH 43. Thyroid receptors where? “On cell membrane! Pressure 44, Increase acth symptom? - Hyperpigmentation (there was also a scenario with raised pH , raised Na , low Potassium and the answer was hyperaldosteronism) 45. Leprosy ka scenario = Nasal scrapings obtained ,dislorted nose acid fast bacilli 48. Calcium and phosphate balance="PTH 47. Majority of seminal fluid from= seminal vesicle! 48. Humid environment cause of loss of heat= sweating. 1 49. Pins and needle sensation anti tb drug? | Isoniazid’ 50. Drug for thyrotoxicosis in Sth month of pregnancy=" Methimazole 51. Dorsomedial nucleus of thalamus functior anxiety 52. Ventricles completely depolarized in which state?/1ST segment in athlete what is permanently increased at rest? |Stroke vol 54. alA ratio is more than? Other option 65,75,25,50 Correct is 75 58. Index of total peripheral resistance= mean arterial pressure! oftrd fae All September Attempt FCPS-1 Papers (Medexam v Stig; Mate ~enetnemenpetser Med-tX pps Grsiossin — FEeeownamate Ff fcctooraseatramtport efogenadexamenper.com 56.nutmeg liver in?L Chronic passive 57. Industry worker cause of angiosarcoma? "Vinyl. 58. Halo around organism? Cryptococcus neoformans 59.anemia because of intrinsic factor deficency=" Pemecious anemia 60.mesentry fat type of necrosis 2 moqs th mae fats Enzymatic ek mae q k fats option nai thal/Ek 61. Ek pancreas men calcification type pf necrosis Fibrinoid-Enzymaticy - Liquefactive' -Coagulative: 62.perferntial thorough fare channel Small caliber Having smooth Ms¥= Open on demand Precapillary sphincter’ 63. CD means=Cluster of differentiation 64.aldosterone acts on ||Cdv'||Loop of henle | Pet 64. Lady after hemorrage goes in aki part of nephron most likely affected? IPCT) 65. Boy after hemorrahge 1.5 loss type of anemia? "Normochromic normocytic 66. Glucocorticoids causes | Neutropenia \-Eosinophilia’ Thrombocytopenia - Lypmphocytopeniav 667. Selective cox 2 inhibitor |-Meloxicamy | Ibuprofen | Indomethacir 68.aplastic anemia diagnosting feature Pancytopenia’iFatty marrowv | 69.trigeminal reflex konsi hai Corneal /Pupillary' Accomodation Aspirin 70. Diff btw vagus and phrenic in relation to aorta? | Phmnic pass in front of anterior lung root 711. Riboflavin kya karata | Nadph ya fmnv etc 72.large proteins cannot pass through membrane cause? | -ve charge 73.von griek disease due to deficency of ? Glucose 6 phosphatase 74.largest mol wt protein’ Troponin troomyosin complex. Actin \titin (correct). Myosin 76. Skin of glans penis lymphatic drainage? Superficial inguinal 77. Upper 113 of esophagus supply= Inferior thyroid! || 78.ant cruciate ligament effect on tibia rotation? “Anterior 79.sucralfate and cimetidine not together given why? "sucralfate decreases cimetidine ofted fae All September Attempt FCPS-1 Papers (Medexam 18 Stig; Mate Senetemepet sen Med-EX‘Sent SSessossin Ff tccomnewaramate FRttbookaMedtomexport etocinacaicpertcae absorption 80. Kaplan meir curve? tudy patient survival 81.92 phase between?! Between S-M 82. Sarcomere btw 2 z lines¥ 83. Feature of melas syndrome red ragged fibres 84. Continuos capillary present in? brain 85. Prospagnosia means? _INot remember faces 86. Virus structure?! Genom having DNA or RNA with or without nuclear covering 87. What does hiv virus does after entry into cell? Form a provirus) Doubles ra Convert RNA to DNAY| Remain latent 88. Unlocking of knee joint muscle?! |Poplitius 89.55 yr man testicular swelling no marker raised but Idh raise? Seminoma’ Lymphoma "‘Teratoma Yolk sac tumor! 980. Medial part of frontal md parietal lobe supply /Mca’ IAcay Pca." '1 91. Glossopharyngeal nerve damage loss of which taste sensation’ |Sweet! sour bitter ¥"1 92. Heart rate 75, 0.3 wala scenarioa 225 pe kya ho ga? 0.1¥ 93, Placenta formed by ? Chorionic frundosum (correct) Functionalis layer (POOR RECALL) 94, Hemiballismus due to? Subthalamic nuclei ‘95. In dialysis patient how to check gtr?” Creatinene clearance 96. Right optic tract lesion effect?’ Left homonomious hemianopia 97. Hik pump blocker drug? omeprazole 98, Preterminal bronchioles epithelium? Pseudostartified sq epi 99. Cm| ka scenarioa tha shyd translocation puchi the! 9:22 100. Ureter epithelium: Trasitional 101. Transudate feature Less cells¥ Cloudy colour!) 102. Structure deep to carotid sheath? Vagus’ Intemal jugular” Trachea Sympathetic trunk (correct) Deep INSIDE carotid sheath = vagus Deep to carotid sheath = sympathetic trunk 103. Atlantoaxial joint movement?” Rotation’ ofted farm All September Attempt FCPS-1 Papers (Medexam yi Selig Mate ~menrmnnon Med -BX SeSoossin Ff faccbockewardmate ff facencotanectrameaport |eomed eramexpertom 4104. Drs nd pharmaceutical company relation etc wala scenario?? Mutual benefit of patient 105. lodine excreted through?/Urine 106. Lateral part of thenar spared nerve effected? 1C8-T1 or Ulnar (whatever was in options) 107. What increases LES pressure Smokingy' /Alocohall Anticholinergics 108. Last thing to ask patient in interview? don't show authority/power | 109. Renin release inhibited by Increse catecholamines ~ Increase sympathetic activity by renal nervey Decrease arterial pressure 110. Pretracheal fascia drainage? Anterior mediastinum 111. Most related to lateral corticospinal tract? “Rubro: iReticulo! Vestibular” Ventral 112. Aorta compression at hiatus which structure? /Azygous and thorasic duct: 113. Intestinal contents in thorax. Dec air sounds. 4 Saal Ka bacha Eik patent pleuro peritoneal mem wala scenario option men canal tha membrane ki jagah | Dont know 114. Blood stained csf?| Subarachnoid 115. Nucleus pulposus derived from? Notochord 116. Grading of cells tells’ Type of epithelium” Mitosis in cells. ¥/ 117. Rheumatic fever men organism shyd esa scenrio™Group a (correct) Group b streptococci: 118. Decerebrate injry in animal ka scenario?’ Loss of skill movement 119. Primary cartilagenous joint?" ichondrosternal 120. Tragus of external ear derived from! 1st arc! 1st pouch \2nd arc.| 1st cleft(correct) 121. Loss of pain but not temperature loss Syringimyelia¥ (anterior/ventral spinothalamic wasn't in options) 122 . LA hypertrophy pulmonary hin loud s1\Lv plus left vent hypertrophy Left ventricle hyprtrophy! Ans= left ventricular diastolic filling defect 123. Most common cause by smoking?? | Thromboangitis obliterns¥_ 124. Superficial thrombophlebitis? Saphenous involvemnty ~ Asymptomatic’ Deep veins thromboembolism 125 . Most common finding in acute mi??~St elevation" oftrd farm All September Attempt FCPS-1 Papers (Medexam 20 Stig; Mate ~emememepet ser Med-tXpp1 [SeSoossin fF faccbackewardmate ff faceocotanectrameaport |eotmed eramexpertom 4126. Rbb (right bundle branch) present in | SeptomarginalY Sulcusterminalis 127. Valve damage long scenario due to \Chordae tendinaev ” Septomarginal! Crista terminalis 128. Least absorption of drug ? Least efffective dose needed! 129. Condition with different vessel in same person esa kuch thal Kawaski Microscopic polyangitis! Giant cell arteritis! Takayasul Pan (correct) 130. Emphysema due to? Loss elastic recoil 131. Norepinephrine causes arteriolar constriction by? \Nicotine receptor: 132. When look towards near object what increases? \ Size of pupil! |Parsympathetic on cillary¥ Symp on ciliary 133 desmoplasia means? growth of fibrous tissue 134, Naloxane given no improvement which drug taken? Phenobarbitone! 135. Leiomyoma ?/ Benign epithelial! /Benign mesenchymal tumor (correct) 136 lipids after metabolism absorbed in form of?/\Chylomicron”| 137. Vit deficency in pancreatectomy? Vit D 138. Smoking related carcinoma? SCC 139. Moa of benzodiazipines? Stimulation of GABA 140. Extensive PE cause of death! Air \Fat_ Thromboemboliv 141, Pregnant Women on hilly areas which cardiac defect in baby occur? |PDA\ 142. Increase in stroke volume by keeping hr constant ? “Increase both pulse press and MAP; 143. Bronchoscopy which segment seen first? [Right Upper lobe 144 Not allow the wall to properly move backward’ \Ans: chordia tendinae 145Stemocoastal surace of heart formed by RA Left AA RV (correct) ne ofted fae All September Attempt FCPS-1 Papers (Medexam 21 > Stig; Mate scenememepetsen Med-EX‘Sen Sesoossin — FE ownamate Ff cctcaraseatramtrport rrogenadexamenper.com 146Patient is dehydrated maximum water absorbed from where Pot(correct) Det Collecting 147 What is the purpose of giving combined ATT. ‘A. To prevent the development of resistance (correct) B. They enhance each others actions C. To prevent side effects of individual drugs 148 Sarcoidosis- erythema nodosum 149 Farmer lung- grain dust 150- action of aldosterone = sodium reabsorption 151- severe diarthoea = metabolic alkalosis 152- sensations in reticular fibre - substance p NOTE: All The papers That have been collected ahave been discussed on our telegram group but still this is a real crude form of papers that needs to be rechecked and modified (though have been checked once) and a few unanswered questions ‘We are making different posts on our facebook group FCPS-1 Help https://web.facebook.com/groups/FCPS1HELP/ fed firm All September Attempt FCPS-1 Papers (Medexam 22 Stig Mate monn Med Srsiossin — FEeeownamate ff fccecorameatramtort eeepc somomn FCPS-1 HELP v Joined Group N@@ * vou and 19,070 others are members you can search for paper by writing its date and name as exactly mentioned in contents and reach that post Go through that post for already discussed questions if any and then post under the post of that paper if ithaas NOT been discussed DON’T forget to write the page number and point number that you are discussing so it is easier for people to search through and comment You can also discuss by mentioning page number and point number on our telegram group hutps://t.me/fepsistudymateMedexam DOWNLOAD TELEGRAM APP, CREATE UR ACCOUNT AND THEN JOIN BY CLICKING THIS LINK YOU MAY HAVE TO USE VPN IF IT IS NOT WORKING ONLY FOR THE FIRST TIME IT’S A WHATSAPP LIKE APPLICATION Le Sea rele CURL NUE) eR Rey oe https://t.me/feps1studymateMedexam Share link Offend rn aaa ber 7 Para Dts 23 } Sestossin — FEeoownamate Ff cctoorameatramtport efogenadexamenper.com Join our 3-Month course for February attempt by contacting Medexam expert's contact number 03005519111 or 03020700016 Or by reaching out to studymate-Dr Ahmad Hassan Via whatsapp 03080491304 To Order Call Zubair Book Depot Lahore 0300-4632223 effet ire All September Attempt FCPS-1 Papers (Medexam 24 } Sa iMate vu rnedoramoxpercom Med- Xe SSeSoossin fF faccoockewardmate ff faccusotonedtramtaport [nomex eramexpert om offre pam All september Attempt FCPS-1 Papers (edexam 2s r) Stig; Mate waeeetmermneree Med-tXs SeSoossin Ff faccoockewardmate ff faccusotonedtramtaport |eomederamexpertom Coming Soon #i! in Bookstores near you -y_Attemnt InshaAllah ) Coy Suigy Med: FCPS MATE Gynaecology & Obstetrics eee) 3-Medicine and Allied 30" September Afternoon Shift Medicine 30” September Afternoon Shift Clara cells are present in Terminal Bronchioles Medial Longitudnal arch is formed from Calcaneum > Talus Which hernia protrudes from hesselbach’s triangle = Inguinal Left ventricular hypertrophy and early diastolic murmur due to Smooth voluntary movements are coordinated by = cerebellum Uleer on the posterior wall which of the following will lead to acute abcess/peritonitis, formation a)Left Subhepatic and Left Subphrenic space b)Right posterior Hepatic )Right anterior hepatic D)Omental (lesser sac)-CORRECT 7. Scenario of UMNL and Right hypertonia ,hyperreflexia and positive babinski sign a)Left broadman area 4 effet ire all september Axempt FCPS-1 Papers edexan ortic regurgitation oo bene 26 Stig; Mate Seetnemenpet ser Med-tXpps Srsiossin — FEeoowramate Ff fcctooraneatramtort erogenadexamenper.com b)Left intemal capsule o)Left Pyramids “CORRECT )Rubrospinal & Extensor of hip and flexor of knee = Semitendinosus 9. Atsteady state : Venous return = Pulmonary blood flow 10. Terminal lleum resection , what will be given = IV B-12, 11. Homonymous hemianopia = Lesion in optic tract 12. Scenario of thyrotoxicosis + Atrial fibrillation, Drug of choice = Propianolol 13. PTU action on = thyroid cell 14. Homunculus , highest distribution in motor homunculus = HAND 15. Supraoptic nucleus damage = Increased Urinary volume and Dilute urine (Due to loss of ADH) 16. Which hormone will increase in small cell (oat cell) carcinoma = ACTH 17. Most important lipoprotein wirth highest concentration of cholesterol and is used by the cel a)Albumin bound free fatty acids b)Chylomicrons o)HOL People are saying there was no LDL in options but LDL is the correct answer , if they wanted to write HDL then they should have written ‘that carries cholesterol back to the liver" 18, HLA B-27 = Reiter's syndrome 19. Scenario related to reiter’s syndrome , which eye disease will be present = Uveitis 20. Male travels to Bangkok and comes back with painless ulcer on penis with localized lymphadenopathy that Is rubbery and there is rash on palms and soles = a)Secondary Syphilis (correct) b)Chancroid o)AIDS 21. What will ncrease in hypothyroidism = Cholesterol 22. Man with fatigue from 4 months Jaundice , raised values of LFTs and Ballooning of hepatocytes on biopsy: a)Antimitichondrial antibodies (correct) D)Anti HbsAg +ve ¢)Sjorgen Syndrome 23. Esophageal varices morphologically present in = ajitis limited to submucosa bjitis frequent in lower third of esophagus-correct 24, Organism causing meningitis in >6 months old : aH. Influenza b)S. Pneumonia 0)Beta Hemolytic streptococci -correct 25, Treatment of Upper GI Bleed = Octreotide 26. Newbom with repeated infection which of the following is deficient a)lgA b)IgG (correct) o)lgM IGE Ofted fae All September Attempt FCPS-1 Papers (Medexam 27 } Be aj Mate wrconecaromnpertcorn Med-EXer SeSoossin fF faccoockewardmate ff facencotonedtrameaport |eomed eramexpertom 27. Which of the following is a potent antioxidant? A. Vit (correct) B. VitC Glutathione > transferrin > Vitamin E > Vitamin A > Vitamin C Tachyphylaxis is? ‘A. Produced by Morphine B. Diminished responsiveness to drug gradually (correct) C. Diminished responsiveness to drug rapidly 29. Regarding Weber syndrome, ipsilateral corticospinal tract and occulomotor nerve affected, What will be the picture? A. Contralateral hemiplegia, lateral deviation and contrateral ptosis (correct) B. Contralateral hemiplegia, contralateral lateral deviation and ipsilateral ptosis, C. Ipsilateral hemiplegia and contralateral lateral deviation and ptosis 30. Which drug inhibit transcription a)Streptomycin b)Tetracyclin(correct) ©)Rifampicin 31. MOA of TCA. 2) Inhibition of reuptake of serotonin and norepinephrine(correct) b)Inhibit monoamine oxidases 32. Segment of lung with its. own bronchus and arterial supply is called = bronchopulmonary segment 33, Nerve damaged that is in relation with Inferior thyroid artery = Recurrent laryngeal nerve 34, Acute treatment of Ulcerative colitis, a)Azathioprine b)IV Corticosteroids (correct) 35. Damage at Spinal Cord Level a)Autonomic bladder b)Spastic Bladder- correct 36. Endartery is Central retinal artery 37 Injury to muscle and then there is crepitus and foul smelling discharge = Toxemic shock 38. Pelvis fracture and then there is low blood pressure = hypovolemic shock 39. Injury to muscle in thigh and then there is development of bone = a)Metastatic calcification b)Metaplasia (Correct) (this is a scenario of Myositis ossificans) 40. Anaphylaxis and hypovolemic shock = TRP (can someone recall what is actually being asked) 41. Apple green birefringence and positive congored stain and damage to kidney a)Sjorgen Syndrome b)SLE (correct) 42. Highest Systolic BP = renal artery 43, Red green color blindness due to = Ethambutol 44, Old man with Mi_, died 5” day post mortem we will see = a)Neutrophils (Incorrect since they are present in 1-3 days) b)Macrophages (Correct, since seen in 4-7 days ) 45. Important characteristic component of inflammation = macrophage 46. Median nerve damaged, loss of which movement = Opposition of thumb Ofted parm All September Attempt FCPS-1 Papers (Medexam 2 8 28 > Stig; Mate Senetnemepetsen Med-EX‘Sent SeScossin fF faccockewaramate ff facencotanedtrameaport |elomed examexpertom 47. Scabies itching is due to a)Movement of Mites b)Hypersenstivity (correct) 48. pregnant female with hb 9 in first trimester. Her ferritin and tibe is normal. Investigation done. A. HDF B, HbA2(correct) ©. Bone marrow examination D. Serum folate study 49, Mandible retractor = Lateral pterygoid 50. Normal platelet count but bleeding time is increased = Platelet function defect, 51. Baby vaccinated leading to decreased platelets and petichiae = ITP 52. Tremors are due to = substantia niagra 83, Blood group antigen present ‘a)Only in blood (correct) 54, Arterial oxygen saturation 100: a)Right to left shunt b)Left to right shunt(correct) 58. which factor is increased 60% in pancreatic Ca,80% in colon ca n also high in Ascending cholangitis: a)CEA (correct) b)Ca-19-9 o)Ca-125 56. Diazepam relaxes smooth muscle tone by acting on a)Cerebral cortex(correct) b)NMJ ©)Perinuclear 57. Most important for Diagnosing streptococcus pneumonia a)Catalase positive b)Streptolysin(correct) 58. Outer sheath of nerves fibres a)Perineurium b)Epineurium )Endoneurium(correct) d)Epimysium 59. Increase venous return during exercise? a)Valves of viens b)Contraction of legs muscles(correct) Increase in arterial blood pressure 60. Ventricular fibrillation in thyrotoxicosis scenario, tx asked Beta blockers (correct) b)Digoxin )Verapar Amiodarone 61. Bells phenomenon Bells palsy a)Downward globe with forced eyelids closer Ofted parm All September Attempt FCPS-1 Papers (Medexam 29 r) Stig; Mate senetnemepetser Med-EX‘Sen [SeSoossin fF faccockewardmate ff facencokanedtrameaport |eomed eramexpertom b)Upward globe with forced eyelids closure (correct) o)increased sympathetic activity 62, Something about xerostomia, dry eyes, otitis media, in which lesion a)Pons(correct) b)Midbrain )Medulla 63. Sensory supply of dura in middle cranial fossa a)Trigeminal(correct) b)Facial }Glossopharyngeal 64. Non adapting receptors ? a)Baroreceptors b)Cold receptors ©)Pacinian receptors )Pain (correct) 65. Supinator damaged, which a)Brachailis b)Biceps brachii (correct) Triceps Extensor carpi ulnaris 66. Which of the following is inactivated in lungs a)Serotonin(correct) b)Angiotensin 2 ©)Prostaglandins d)Epinephrine 67. which electrolyte abnormality in ECF will be more dangerous to heart a)K(correct) b)ca o)Na 68. Segmental bronchus with its tissue called as Bronchopulmonary segment 69. When light falls on cones 70. pt with difficuty in breathing for some days on examination breath sounds Dec on both sides and percussion dullness. X Ray shows Bilateral pleural fluids in lungs.. Edema on thighs ++ 2}Hypoalbuminemia (correct) b)Hypematremia 71. Coordinted movements a)Spinocerebellar b)Basal ganglia(correct) 72. Aik spleen wala b tha k filtration kidhr hoti Trabecular arteries Igaya mene isme(correct) 73. Thrombocytopenia cause : Thiazide(correct) Chloramphenicol 74. Which hormones decreses contraction of esophagus,gall bladder, stomach. VIP,motilin , somatostatin(correct) Ofted farm All September Attempt FCPS~1 Papers (Medexam compensate 30 > Stig Mate ~menrmnnon Med -BX SeSoossin Ff faccockewardmate ff facencotanectrameapert |eomed eramexpertom 75. Patient emaciated with diarrhea. Puri biochem Dali ti bilirubin that much AIT and AST that much. Feto protein less than 10 and CEA was raised ... a)oolon CA. (correct) b)Citrhosis )HCC 76. Plasma osmolarity decreased by a)lsotonic dextrose solution b)Vasopressin(correct) 77. Which of the following structure takes part in crescent formation? ‘A. Parietal epithelial celis (correct) 78. Destruction of supra-optic nucleus, what will be the affects on urine assuming that fluid intake equals fluid loss? ‘A. Increase urine volume and very dilute urine (correct) B.Increase urine voumee and concentrated urine C. Decrease urine volume and concentrated urine 79. Prothrombin requires which vitamin for its synthesis? AL Vie B. Vit (Not sure if Vitk was in option or not, dont remember seeing it) 80. Female with 2 children, IV drug user, presented with fever and nonproductive cough OF crepitus on posterior surface of lungs. B/L pedal edema. Organism? ‘A. Pheumooystic Jerovici(correct) B. Kleibsella 81. What will ncrease to result in aldosterone secretion? A. Plasma K+ ion cone B. Renin(correct) 82, Parasympathetic overactivity will cause? A.Thick viscous saliva B. Decrease in HR(correct) 83, Damage to foramen ovale. Which part of head and neck will be affected? ‘A. Orbital region B. Midface(correct) C.Lower third of the face 84, Which nerve supplies the SCM? A. FacialN B. AccessoryN(correct) 85. Which of the following muscle will result in lateral increase of ribcage? A. External intercostal muscle(correct) B. Internal intercostal muscle (This is bucket handle movement) 86. Rhtive mother, Rh-ive father come to you for advice. What will you tell them? ‘A.B antigen is compatible will B antibody B. Blood antigens are food in blood only and not on body tissues C. Antigen antibody complex formation is a natural occurrence D. Hemolytic reaction will occur E. Fetal antigen will cross the placenta and enter maternal circulation (correct) 87. Oxidases are present in which of the following? A. Golgi Ofted parm All September Attempt FCPS-1 Papers (Medexam a Bi Mate veedoramoxpertcom Med-tXsps [SeSoossin fF faccoockewardmate ff facencotanectrameaport |eomed eramexpertom B. Lysosomes C. Peroxisomes (correct) 88. Preoptic nucleus of hypothalamus performs its function by which of the following mechanism? ‘A. Cutaneous dilation B. Muscular activity (correct) ‘A person enter operation theater where temp. is about 21°C and it is 80% humid. Major heat loss occurs through which of the following? A. Respiration B. Urination C. Vaporization of sweat D. Radiation & conduction(correct) 89. 60 year old male. C/O blood streaked sputum. Mass seen in lungs. Labs done and reveal cat cell carcinoma. Which of the following will be raised? A. ACTH (correct) B. PTH 90. A pationt has hypokalemia, metabolic alkalosis, normal renin levels, normal cortisol. raised aldosterone, bicarb 32, pH 7.5. What is this disease? A. Conns syndrome (correct) B. Cushings disease ©. Cushings syndrome D. Addisons disease 91. Cushing reflex occurs in response to? A. Increase in HR B. Increase in BP C. Increase in ICP (correct) 92. Type of HSR in Myasthenia Gravis? Type Il 93. Type of HSR in Graves disease? Type Il 94, HLAB27 is associated with which of the following ocular condition? ‘A. Sjogren syndrome B. Uvietis (correct) C. Steven Johnson syndrome 95. Female patient has complaint of right flank pain and hematuria. Labs reveal protein 5.4 and albumin raised. Histology of kidneys reveal damaged parenchyma with congo red staining and apply grain biferengence. Immunochemistry reveals lambda chains Diagnosis? ‘A, Multiple Myeloma (correct) B. Alzheimers disease 96. Levodopa causes? A. Libido B. Orthostatic hypotension (correct) 97. At angle of Louis? ‘A. Termination of thoracic duct B. Formation of SVC C. Convexity of aortic arch — correct Ofted parm All September Attempt FCPS-1 Papers (Medexam 32 ) Stig Mate ~menrmnnon Med -EX "SeScossin Ff faccoockewardmate ff faceocotonectrameaport |eomed examexpertom ‘98. Which of the following is a potent anabolic hormone? A. Estrogen B. Progesterone C. Testosterone-correct D. DHEA 99. When light falls on cones. How do they respond? ‘A. Increase in neurostransmitter release B. Increase in number of sodium channels-correct C. Activation of GMP 100, When Fibrinogen is converted to fibrin with help of Thrombin. Which of the following is released in blood and can be detected? A. Fibrin Peptide A -correct B. Factor Il C. Thrombin 101 What type of mutation occurs in sicke cell anemia? ‘A. Point mutation - correct B. Mis sense mutation C. Non mis sense mutation 102. A boy cuts his finger the first and foremost response towards injury is a)pain vasoconstriction (correct) c)vasodilation 103. recanalization? removal of thrombus from blocked artery or vessel 104. Which among cancer caused by virus ? - Human T cell leukemia 105, ESR decrease due to Increase in albumin 106, Causes of cysticercosis — Tinea Solium 107. Vitamin A is abundant in : a)Carrot (correct) b)Milk 108. EBV Causes = Burkitt's Lymphoma 109, After long-term fasting, gluconeogenesis depends on = Free fatty acids 110. Albumin 0.5g in 100ml in which Fluid a)Saliva b)Tear e)Lymph (correct) 114 What is not present in Atlas = Spinous process 112, When oxy hemoglobin curve shift to left this is called = Haldane effect 113, Which antacid causes decreased gastric emptying? — Aluminium Hydroxide 114. Tripple screening -Estriol 115. Fallopian tube — Serves as a conduit between peritoneum and uterus 116. Chronic diarrhea - crescent shaped organism = Giardia (ideally pear shaped would be better, but crescent shaped would indicate giardia too) 117. Left ventricle damage ~ LAD 118. Maxillary artery supplies ‘st arch 119. Tabes dorsalis - Atonic Bladder 120, Surfactant deficiency — RDS 121 Confidence interval — Mean and standard error of mean offed parm All September Attempt FCPS-1 Papers (Medexam 2 SiiidgMate emu Med Xe Sesiossin — FEeeowramate Ff fcctootasaatramtport eres aaapan 122. ‘Commencement of trachea ajca byes c)C8(correct) att Remember trachea is from C6 to T4 123. Hypersenstivity in hydrops foetalis ~ Type 2 124. Endotoxin causes activation of allt b)TNF )Complement activation -correct d)Leucocytosis 125. Maturation of seminefrous tubules ~ FSH and androgens 126. Short term mechanism of increasing blood pressure — baroreceptors 127. Vibrio cholera ( The recalls don't suggest wether mechanism was asked or how it causes diarrhea , if mechanism was asked go for cAMP if asked how will it lead to diarrhea choose Chloride secretion) 128. Circle of Villis is formed by Posterior communicating artery 129, Difference between dwarfism and creatinism = Mental retardation 130. Decrease in Oxygen saturation without decrease in oxygen tension ‘A)Hypoventilation b)CO Poisoning (correct) 131. Primiry oocyte start 1st division - during intrauterine life 132, Man working in ship industry is at risk of developing - asbestos 133, Pillars of medical ethics were asked (repeated) 134, Posterior interventricular groove has — Middle cardiac vein 135. Structure damaged in appendectomy - iliohypogastric 136. Apton beta blocker with prolonged PR interval. What is the reason 41HD 2.drug induced 1st degree heart block (correct) 137, Profound effect on heart by which metabolite in ecf? ajCa b)Mg ©)K (correct) 138. Sympathic overactivity causes? a)Bronchiolar dilation (correct) b)Pupillary constriction ©)Penile erection 139. Sweat gland:post ganglionic sympathetic cholinergic 140. Which inhalational agent increase cerebral blood flow a)Sevoflurane b)Halothane - correct 141. Normal Haemoglot a)Type A (correct) b)Type B o)Type F d)Type C FRC is equal to ERV + RV 142. offed parm All September Attempt FCPS-1 Papers (Medexam 34 Bi Mate acenetaromnpertcon Med-tX pp Srsiossin — FEcboowamate Ff fcctootaneatramtort etogenadexamenper.com 143, Side effect of Levodopa a)Orthostatic hypotension (correct) b)Diabetes c)Loss of Sexual activity 144, A patient from ajk is disturbed due to earthquake She is in a)situational orisis — correct b)Economic crisis o}Family orisis 145. Endotoxin of streptococcus = Streptolysin 146, Diabetic with Indigestion and Acidity , Drug of Choice a)Antacid b)PPI ©)Prokinetic (correct) 147. Increased Lung Compliance a)Obstructive Lung disease b)Old age (correct) o)Asthma 148, One meq was about G2 with Obstructed labour 50miles away from hospital died due to hypotension n tachycardia something like that : a)Amniotic fluid embolism - correct byDvT ¢)Fat embolism 149, Normal value of GFR = 125 mi/minute 150, Which vessel is formed by glomerular capillaries a)Afferent Arteriole b)Efferent arteriole — correct 0)Vasa recta )Peritubular capillaries e)Capillary tuft 151. The ability of the kidney to excrete a concentrated urine will increase if: a) the permeability of the proximal tubule to water decreases . b) the rate of blood flow through the medulla decreases ©) the rate of flow through the loop of Henle increases . - correct 4d) the activity of the Na-K pump in the loop of Henle decreases e) the permeability of the collecting duct to water decreases 152. Urine output in a 70kg man = 1.5 Litres 153. Which artery is thrombosed when anterior wall of LV is affected? = LAD 154. Mandibular division of trigeminal nerve supply: a)Forehead b)Middle of face o)Lower third of face — correct 155. Severe abdominal pain diagnosed as biliary colic disease, treatment besides morphine? a)Pethidine b)Hyoscine — correct Non adapting receptors ? 156. offed paren All September Attempt FCPS-1 Papers (Medexam 35 ) Stas Mate worconecinaromnpertcoen Med-EXert Sessossin — FEcbetowramate Ff fcceoonaseatramtrport etogenadexamenper.com ‘a)Baroreceptors b)Cold receptors ©)Pacinian receptors d)Pain receptors — correct 157. mev raised hai or mch b to investigation py kya Hypersegmented neutrophil 158. Most potent stimulus for aldosterone ‘A. Hyperkalemia - correct, B. Renin 159. Cheilosis ~ Riboflavin deficiency 160. Fanconi syndrome prominent feature a)Aminoacidemia b)Vitamin D toxicity )Glycosuria — correct d)Phosphatemia 161. Thoracic aorta lies posterior to root of left lung 162. _Diet rich in proteins , what should be consumed — riboflavin 163. Most common cause of non healing wound — infection NOTE: All The papers That have been collected ahave been discussed on our telegram group but still this isa real crude form of papers that needs to be rechecked and modified (though have been checked once) and a few unanswered questions We are making different posts on our facebook group FCPS-1 Help https://web.facebook.com/groups/FCPS1HELP/ zowomim. FCPS-1 HELP v Joined Bad cow V@@ ~ You and 19,070 others are members you can search for paper by writing its date and name as exactly mentioned in contents and reach that post offed fae All September Attempt FCPS-1 Papers (Medexam 36 Stig; Mate vwmederametpertcom Med. Xe Grssossin — FE ownamate Ff Stcorameatramtrprt erogenad-examenper.com Go through that post for already discussed questions if any and then post under the post of that paper if ithas NOT been discussed DON'T forget to write the page number and point number that you are discussing so it is easier for People to search through and comment You can also discuss by mentioning page number and point number on our telegram group hhttps:/ t.me/fepsistudymateMedexam DOWNLOAD TELEGRAM APP , CREATE UR ACCOUNT AND THEN JOIN BY CLICKING THIS LINK YOU MAY HAVE TO USE VPN IF IT IS NOT WORKING ONLY FOR THE FIRST TIME IT’S A WHATSAPP LIKE APPLICATION FCPS-1|MedExam|StudyMate 1713 members @e https://t.me/fcps1studymateMedexam Share link Join our 3-Month course for February attempt by contacting Medexam expert's contact number 03005519111 or 03020700016 Or by reaching out to studymate-Dr Ahmad Hassan Via whatsapp 03080491304 Offend farm Aaa aA eripORC PE 7 Pare ini 37 > Sti Mate Semetmemeapetses Med-tXpps Srssossin — FEeeownamate Ff cctootasectramtrport rfogenadexamenper.com To Order Call Zubair Book Depot Lahore 0300-4632223 cfed arm All September Attempt FCPS-1 Papers (Medexam 38 } Sa iMate weurnedoramoxpercom Med- Xe SSeSoossin fF faccoockewardmate ff faccusotonedtramtaport [nomex eramexpert om offre pam All september Attempt FCPS-1 Papers (edexam 39, > fate remedies Med-tXpp Q iosson FES ovnimate FL ctomamectiomemar — LZ) itotmoceramenpert om Med-EXé4 Stig Mate SIGN UP NOW! e Join Our Online Courses Offend fem AN Seneca napa 7 aparece 40 r) Stig; Mate waeeeemmnere Med-tXsp1 SeSoossin Ff faccoockewardmate ff faccusotonedtramtaport |nomederamexpertom Coming Soon #i! in Bookstores near you -y_Attemnt InshaAllah ) Coy Suigy Med: FCPS MATE Gynaecology & Obstetrics eee) 4- Medicine and Allied 30" September Night Shift Medicine and Allied 30" September 2020 ~ Night Shift 1. Locally Malignant ~ ameloblastoma 2. Condrocytes=mature cartilage 3. Diabetic gastroparesis =metoclopramide 4. Orofecal - Hep. E 5. Anterior to ear lobule inflammation and pain — Auriculotemporal nerve 6. 40degree abduction and winging of scapula -- long thoracic nerve 7. Osteon--- compact lamella 8. Distant metastases --- staging 9. Many mitosis — grading 10. Patient diabetic with abd pain and visible peristalsis Pyloric stenosis, 11. Ataxia plus face sensation lost lesion at-- cerbello pontine angle 12. Drug for Pseudomembranous Colitis -Vancomycin 13. ACA--- somesthestic association area 14. Fasciculus gracilis —- Lower limbs sensation effet ire all september Axempt FCPS-1 Papers edexan 41 > Selig Mate ~menrmnnon Med -BX SeSoossin fF faccockewardmate ff facencotonedtrameaport |nomed eramexpert om 15, 16, 17, 18, 31 33. 36. 37. 47. 48. 49, Anterolateral tract -- pain, Temperature and crude touch . Face Sensation plus hearing loss lesion at-internal auditory meaty .CN3 — diplopia . Horner syndome —~ partial ptosis and meiosis . Newborn have bleeding Vitamin k . Mother given have folic acid what causes neural tube defects- vitamin A toxicity Spinal nerve-- motor and sensory components Anti Parkinson drug-decrease risk of tardative dyskinesia with thioridazine . Muscle fiber covered by --Endomysium One question was dysphagia to liquid for 6 months - Neuromuscular discoordination Hodgkin disease -- spread by contagious spread Child with edema -- confimed by dec albumin Patient with vomiting hematemasis upper Gi endoscopy show columnar epithelium above 3 cm Esophageal junction cause — Metaplasia Worst prognostic for Burns - DIC Hemisection of spinal cord pain temp below the lession at opposite side Plastic factory worker with exposure to hydrocarbon develop fever and wtloss cause-- Bladder CA ‘Actin at rest - tropomyosin blocks myosin binding sites on actin Arrests cell in G1 TP53 Circumscion related scenario Hemophilia -- factor 8 (minor ) Factor 8 — Cryoprecipitates Factor 9 - FFPs Cervical ganglion at 2nd vertebra - Superio cervical ganglion . Mother was rh -ve baby was th _ve too in postnatal nursery she was transfused mistakenly with rh+be blood group — transfusion reaction will occur / reaction at next pregnancy . Side effects of lipid lowering drugs ~ Gl disturbance . Posterior resonance -- 10th space Xiphiod process -- T9 level Vertebra Atherosclerosis Initiating step - Endothelial injury Superior mesenteric artery — wet Gangrene Street food by 50/60yr old man and then lung abcess due to ~ direct extension from liver Nutmeg liver scenerio Alcoholic patient with raised JVP and hepatic congestion type ‘symptoms -- chronic alcoholism Mallory bodies + AST increasead--Alcaholic hepatitis ‘Active infection + inflammation Nanda + necrosis —Chronic active Hepatitis, upper 1/3rd of Medulla has —-Nucleus Ambigous Cranial nerve IX,X and XI -- nucleus Ambigous Prominent step in irresponsible cell injury, _ cell membrane damage Ofted fae All September Attempt FCPS-1 Papers (Medexam 42 > Stig Mate ~menrmennon Med -BX SeSoossin fF faccockewardmate ff facencotonedtrameaport |nomed eramexpertom 50. 1st posterior intercostal vein drains In —brachiocephalic vein (other options were azygous Superior vena cava ) 51. Machanism of Shiga toxin - mucosal Invasion 52. RMP by ~ Na-k+ ATPase 53. Erytheopoitn ~peritubular capillary bed 54. Erthyropoitein ~ increasead Hemoglobin 55. Pulmonary Hypoxic vasoconstriction — Decreased PaO2 56. Pain in left flank, haematuria,BUN, crtinine normal , Ca 11 and HB 18-- Renal cell sarcinoma 57. Renin Inhibited by ~ angiotensin 58. Angiotensin 2 causes -~ increasead thrist 59. Fatal excitation when given with MAO-- pethidine 60. HCO3- absoprtion -- acts on PCT and CT 61. Difference between PCT and DCT ~ Brush border in PCT 62, Most Hypotonic urine —- OCT 63. Diabetic + smoker + increasead cholesterol + increasead HDL at risk of — 64, 65, 66. atherosclerosis TB not produce exo or endotoxin still can cause disease —~ cell wall composition Brachiocephalic vein ~internal jugular vein + left Subclavian Preload depends upon -- venous retum 67. Muscle of mastication attached at mid of mandible ~- temporalis / masseter / lateral pterygoid > correct answer is masseter 68. Protrution of mandible —ateral pterygoid 69. Acute infection of a baby born to a mother having toxoplasma ~ igM 70. Hb saturation increases in — increasead PaQ2 71. Bulbar Palsy ~ motor neuron disease 72. Baby difficult in abduction since birth due to forceps delivery ~ upper brachial plexus injury 73. Adrenal medulla blood supply — left suprarenal drain into renal vein 74, Long bone feature - bone marrow cavity 75. Atopic Asthma ..... Eosinophils 76. Parasite infection -- Eosinophilic Lymphocytosis 77. Smoker abdominal pain,bloody vomit 3cm lession no mass at gastric antrum -- ulcer 78. Nucleas Ambigous -- 9,10,11 Nerves 79. Upper 113rd of Medulla ~ Nucleus Ambigous 80. Acute pancreatitis ~fat necrosis 81. Brain ischemic — liquefactive necrosis 82. Viral hepatitis scenario -ALT + bilirubi 83. Aspirin has benefical effects due to Cyclo -oxygenase 84, Simple cuboidal epithelium + Lymphooytes -- tubal tonsil / platine tonsil / peyer patches = peyers patches 85. Drug receptor ~protein in nature 86. epithelium malignancy — cytokeratin 87. Half life of drugs depends upon-- Renal clearance / dose / route of absorption = Renal clearance Ofted paren All September Attempt FCPS~1 Papers (Medexam 43 > Stig Mate ~mnnrmnnon Med -BX SeSoossin fF faccoockewardmate ff facencotonedtramtaport |nomed eramexpertom 88. repetited stimulation causing muscle contraction - Tetanic contraction 89, Fusion facia importance - lymphatic drainage / position / innervation / 90. Bone demineralization — PTH 91. Wadling gait -superio gluteal nerve 92. Rigidity and resting tremor lesion in — Subtentia nigra 93, Short stature and webbed neck --Turner syndome 94. Cerebellar lesion characteristic -- dysarthria 95. Person drinks 600ml water how much will be plasma-- 50m! 96. Heart works as a synetium - INTERCALATED DISC 97. Prominent prepotential -- SA node 98. Hypotonic volume in kidnyey ~ Distal tubule 99. Person sweat 2 litter and drink 2 litter ~ increasead ICF voullume 100. Women running on treadmil heart rate doubled Cardiac oycle length ~0.4sec 101. Pancylopenia + fever + lymphadenopathy ~- visceral lishmeniais 102. A patient having echymosis and platelets count Decreased (typical scenario of ) -ITP 103. Student fainted while surgery -- Decreased TPR 104, Relation of common peeoneal nerve with biceps femoris in politeal fossa ~ medial 105. _Xiphiod process -- T9 Vertebral level 106. 2nd Cervical ganglion -- Superior Cervical ganglion 107. CSF circulation -- Foramen to magendi to sub-arachnoid space 108, A female taking only protein but no vegetables and fruits —- Decreased type 3collagen synthe: 109. Doctor was given a chance to have a tour and was also informed About the upcoming discussion of a drug in panel discussion in the hospital for the patient care - Politely refuse 110. Hpertrophic cardiomyopathy — myocytes dissarry 14 Wound tissue margins ahead of margins—Keloids scar 112. Marfan syndrome -- Inherited Fibrilin defect 113, PR- prolongation with drop beat ~mobitz 1st type 114. Leads 2,3 and avF — inferior wall Mi 115. Catagorical data comparison --Chi square test 116. When variable is normal (something like that }-- mean ,mode and median are related or same in distribution curve 117. Most common site of ectopic -uterine tube 118, Fats less absorption/malabsorption -- Decreased factor causing coagulopathy in blood 119, Words with little sense —-wernicke area 120. gnostic for TB -caseous necrosis 121 Heart related rustling sound — Pericarditis 122, Pregnant lady, 20 weeks gestation, hyperthyroidism diagnosed ~ PTU 123. Most important in irreversible injury ~- cell Membrane damage Ofted fae All September Attempt FCPS-1 Papers (Medexam “a 5 Stig Mate ~menrmnnon Med -BX Sesiossin — FEeeowramate Ff cctcoraneatramtport efogenadexamenper.com 124. $1 ~-isovolumetric contraction 125, $2~- isovolumic relaxation 126. Anterior cerebral artery — somesthestic association area 127. Mainly angiotensin causes : Vasoconstriction 128, Individual muscle fiber --Endomysium. 129. _Niss! body -- granular endoplasmic reticulum 130. Regarding sensory receptors -- Repeated stimulation cause increase amplitude In length 134 BCG vaccination produce immunity -- delayed cell mediated immunity 132, Pt having signs of hypoxia at normal breathing Po2=95,pc0240, hco3=18 normal ~- compensated Metabolites Acidosis 133. Pneumatic bones - Face 134. Old man age 60 years testicular swelling + LDH raised -- testicular lymphoma 135. Supraoptic nuclues — ADH 136. Decreased stomach motility - secretin 137. Initial doc in acute left ventricular failure in emergency—IV Furosemide 138, Atopic Asthma ..... Eosinophils 139, Parasite infection — Eosinophilic Lymphocytosis 140. Smoker abdominal pain,bloody vomit 3cm lession no mass at gastric antrum -- uloer 141. Chlamydia causes - lymphogranuloma venerum 142, CSF with plasma difference ~ Decreased Ph 143. Semen contains ~ fructose 144. Tumor marker for primary liver CA - AFP 145. Farmer with OP poisoning — bilateral pin Point pupils 146. Most common bleeding disroder Female carrier patient always male effected - Hemophilia 147. Leaser omentum --- heaptoduodenal , hepatogastric and hepatoesophageal, 148. Max normal systolic pressure ~- 25mmhg 149, Max systolic pressure ~ renal Artery 150. plasma osmolarity— same as 0.9 % saline 151 Epicardium supply — Coronary vessels 152, In essential htn what is increased early : cardiac work 153, Autosomal dominant—FAP 154. In granulogenesis at which stage granules resemble mature myeloid cell type some thing like that options were-- Promyelacyte 155, Toxoplasmosis acute =igM 156. Crosses placenta ~ ig 157. GH increasead by -- Hypoglycemia 158, Person living on high altitude ~ increase Hb 159. Child bleeding from umblicus --Vitamin k offed farm All September Attempt FCPS~1 Papers (Medexam 4 Stig; Mate saemememmnetsen Med-tXpp1 Sesiossin — FEeeowramate Ff cctcoraneatramtport erogenadexamenper.com 160. Right optic tract ~ left homonymous hemianopia 161. CRF, patient will have Hypertrophy of — parathyroid gland 162. Warfarin to be used with caution—cimetidine 163. Successful Resuscitation after treatment of shock -- Increase urine output 164, immediate loss heat by which mechanism -- Cutaneous vasodilation 165. Burn with poor prognostic factor ~ DI 166. Lyme disease caused by -- spirochete 167. Pregnant patient home delivery having Decreased platelets — DIC 168, Co2-Hv curve which effect / law -- Laplace / fick principle 169, A 20 year patient has amenorrhoea for 6 weeks but otherwise normal cause Is Anovulation 170. Pregnant lady not laid in right lateral risk of compress ~ IVC 171. Resistant to hypergraft rejection — liver 172, Mycobacterium has property by which cause pathogensis-- cell wall composition 173. Schizophrenc — chlorpromazine 174. Lungs fighter cells ~ alveolar macrophages 175. ureter and 2 pelvis abnormality in -Ureteric bud 176, Blood stem cells Stimulated by ~ Growth hormone 17. Myelination of brain -- 4th month start 178. Tabes dorsalis ~ atonic bladder 179, HLA B5~Behcets diasease 180. _Left Gastric atery. Branch of -- ceiliac artery 181 Preload — depends on venous return 182, Low MCV = iron 183. Addition of 1 carbon fragments — biotin 184. —_-Peliagra -- Niacin 185. Anterior to Thoracic Trachea -- thoracic aorta 186. Pancytopenia + fever + Decreased platelets — visceral lishmeniais 187, Rectum identify by -- complete muscle coat 188. Sulphur containing amino acids - cysteine 189. Facial lesion should be excised -- Actinic keratosis 190, Serotonin precursor — tryptophan 191. Primary active transport — carrier proteins 192, Most vulnerable to A fibrillation —At the end of cardiac action potential 193, IBS ~ psychosomatic disturbance NOTE offed farm All September Attempt FCPS~1 Papers (Medexam 46 ) Stig; Mate saeenememeapet sen Med-EX‘Beat SSeSoossin fF faccbockewardmate ff faceusotanedtrameaport |elomederamexpert om All The papers That have been collected ahave been discussed on our telegram group but still this isa real crude form of papers that needs to be rechecked and modified (though have been checked once) and a few unanswered questions ‘We are making different posts on our facebook group FCPS-1 Help https://web.facebook.com/groups/FCPSIHELP/ zowomm FOPS~1 HELP v Joined Bd oo V@@ * vou and 19,070 others are members you can search for paper by writing its date and name as exactly mentioned in contents and reach that post Go through that post for already discussed questions if any and then post under the post of that paper if ithas NOT been discussed DON’T forget to write the page number and point number that you are discussing so it is easier for people to search through and comment You can also discuss by mentioning page number and point number on our telegram group hhups://t.me/fepsistudymateMedexam DOWNLOAD TELEGRAM APP , CREATE UR ACCOUNT AND THEN JOIN BY CLICKING THIS LINK YOU MAY HAVE TO USE VPN IF IT IS NOT WORKING ONLY FOR THE FIRST TIME IT’S A WHATSAPP LIKE APPLICATION Offed fae All September Attempt FCPS~1 Papers (Medexam 47 ; wonamedoxamexpertcom Med-tXsps SeSoossin fF faccoackewardmate ff facsocokonectrameaport atoconecacaipertte ie Seas CURC U rt aMule) e https://t.me/fcps1studymateMedexam Share link Join our 3-Month course for February attempt by contacting Medexam expert’s contact number 03005519111 or 03020700016 Or by reaching out to studymate-Dr Ahmad Hassan Via whatsapp 03080491304 To Order Call Zubair Book Depot Lahore 0300-4632223 tempt FCPS~1 Papers (Medexam 48 } Sa Mate wu rnedoramoxper.com Med- Xe SSeSoossin fF faccooskewardmate ff faccasotanedtramtapert |eomederamexpert om For Comprehen: Pees ester oftred parm All september Attempt FCPS-1 Papers (edexam 49 r) Stig; Mate waeeetmermneree Med-tXpp ‘SeSoossin Ff faccoockewardmate ff faccusotonedtramtaport |eomederamexpertom Coming Soon #i! in Bookstores near you -y_Attemnt InshaAllah ) Coy Suigy Med: FCPS MATE Gynaecology & Obstetrics eee) 5- Medicine and Allied 1 October Night Shift Medicine 1* October Night Shift Esophageal opening = T10 Phrenic nerve root value = C345, Necrosis in kidney = coagulative Necrosis in Heart = coagulative Motor aphasia = Broca’s area Negative ionotropic effect = Acetylcholine Hearing more clearly in noise = Otosclerosis Plasma protein binding = acidic binds albumin Conductive system of heart = subendocardium 10. Halo around organism = Cryptococcus neoformans 11. Renin secreted from = JG cells effet ire all september Axempt FCPS-1 Papers edexan CONDTRONS 50 > Stig; Mate ~menrmennon Med -BX SeSoossin Ff faccockewardmate ff faceocokonectramtaport [noted eramexpert om 12. Cholangiocarcinoma = Clonorchis senesis 13. Bradykinin = Kallikrein 14. Cochlear cell have AP = potassium into cell 16. Inflammatory mediator = Histamine 16. Black colour urine scenario = falciparum 17. Heparin is secreted from = Mast cell 18. Neural crest cells form = endocardial cushions: 19, Hematemesis = Left gastric vein 20. Shortest half life benzodiazepine = Midazolam 24. Cimetidine = Decreases warfarin metabolism in liver 22. Anterior surface of stemocleidomastoid = External jugular vein 23. UTI scenario = E.Coli 24, Psychiatric patient information = Confidentiality 25. Cardiac palient,edema = increased hydrostatic pressure 26. Hemoglobin binds = Haptoglobin Cryptorchidism = Neoplasm 27. Oxidases present in = peroxisomes 28. During Ovulation GnRH is released = Prolactin 29, Pericyte present in = Blood vessels 30, Metastasis due to = Loss of E Cadherin 31, Mandibular bridge is = Angle of mandible 32, 33, 34 35, 36. 37. 38. 39, 40. 4 Protein = Riboflavin Neural tube defect = Raised AFP Grading of tumor = differentiation of cell GFR Plasma flow is measured by = PAH Iron deficiency anemia scenario = Serum ferritin Propanolol acis on = Beta 1 . Raw egg = Tapeworm |. Barret esophagus ..... adenocarcinoma . Murmur in rheumatic fever = pansystolic murmur LP site = Above L4 42. Treatment of rheumatic fever = Penicillin + Gentamycin 43. Pellagra due to — Niacin deficiency 44, Mesothelioma is due to = Asbestosis 45, Tumer Syndrome = XO 46. After injury.first thing = Vessel constriction (vasoconstriction) 47. Webbed Neck Scenario = Turner syndrome 48. Regarding cartilage = appositional and interstitial growth (wrong option was Every cartilage is covered by perichondrium) 49. Ectopic pregnancy = Transvaginal ultrasound 50. Posterior dislocation of elbow = Ulnar collateral 51. Aplastic anemia = Bone marrow biopsy 52. True Hermaphrodite = XY 53. Smoking + Hydrocarbon exposure = Bladder carcinoma 54. Uterine artery crosses = ureter 55, AntidsDNA + = Lupus nephritis 56. Psuedomembranous colitis = Clostridium difficile ofted parm All September Attempt FCPS-1 Papers (Medexam 51 > Selig; Mate ~menrmnnon Mead -BX SeSoossin Ff faccbockewaramate ff facencokonectramtaport [noted eramexpertom 57. Tongue ulcer 3 months ... x ray bilateral hilar lymphadenopathy , caseous necrosis = istoplasmosis 58. A palient is on warfarin. PT measures... 2, 59. Kartegner syndrome = Dyenin arm 60. Renin release = Sympathetic 61. RBC cytoskeletal protein = Spectrin 62. Cervical carcinoma = (Cheapest or cost effictive diagonisis)= pap smear 63, Hyperthyroidism in pregnancy = Methimazole (PTU was not in options) 64. Ultraviolet radiation = Cataract 68. Diabetic patient dyspepsia = Prokinetics 66. Temporal-parietal sensation = auriculotemporal 67. Sperm penetrate = Corona radiate,zona pellucida and egg 68. Complement activated = IgG 69, Mother milk has = IgA 70. A patient with HTN and died. Autopsy = heart weight was raised. What was the cause of increased heart weight. Hypertrophy 74. Scenario of a stroke patient with irregular breathing = Cheyne stoke breathing 72, Micro-organism resistant to antibiotics and disinfect = Psudeomonas aeruginosa 73, Pain radiation due to appendicitis = Umbilicus 74, Large cell = megakaryocyte 75. Renal agenesis = captopril 76. Anomic phase = Dominant broca 77. A patient had arrhythmia and P wave was absent. Which phas3 of cardiac cycle will be absent = atrial systole 78. Saw tooth wave = Atrial flutter 79. Left renal vein = Anterior to aorta 80. Vasoconstriction = ADH 81. Mobitz type 1 Scenario (Increase pr interval with drop beat) 82, Paramesonephric duct = Uterus and fallopian tube 83. Meningitis scenario = TB (dec glucose and protien viral mn normal rehta h.. lymphocytes 88%) 84, Renal transplant then angular cheilosis = Candida 85, 86, 87. 88. 89 90, 10 Treatment of tapeworm = albendazole . Treatment of Subarachnoid hemorrhage = Nimodipine tonic utrus = Give ergometrine Cimetidine = increases warfarin toxicity Acetylcholine — Negative ionotropic effect Rito Leff shift of curve = Carbonmonoxide poisoning 91. Diffusing capacity of pulmonary membrane is decreased in = Fibrosis 92. Muscle that flexes hip = Psoas muscle 93. TCA effects = 3-4 weeks 94, Fat in adult = 15% 95. Facial palsy along with cerebellar symptoms... Answer was cerebellopontine angle lesion 96. Cellular vault = apoptosis 97. Patient leg after injury = use atrophy 98. 8 Year old girl with breast development and pubic hair = Congenital adrenal hyperplasia 99. Scenario of exhaustion (99C cold calmy skin- this showed sweating is present actually 50 stroke cant be correct, unconscoious) ofted parm All September Attempt FCPS-1 Papers (Medexam 82 Stig; Mate sasinetemenpet ser Med-tXsp Srsiossin — FEceownumate Ff fcctootaneatramtrport erogenadexamenper.com 100. Most potent for gastric secretion = Protein 101. Case of acute rejection... Not hyperacute rejection... And they asked what will be the worst prognostic sign... Answer was lymphocytic infiltration. 102 Insulin deficiency = Ketone bodies 103. hyperkelmia renal compensation... acidosis 104. Forcefully expired , Alr that is left = residual volume 108. Major blood vessels are present in = Subarachnoid 106. 2° cervical vertebra = Odontoid process 107. Digitalis toxicity in use of hydrochlorothiazide 108. ‘Suprarenal gland = greater splanchnic nerve 109. Cardiomyopathy = Myocyte disarray 110, Worst prognosis graft vs host disease = thrombosis 111. Aortic dissection in a patient with scenario of marfan syndrome. Cause = Medial necrosis 112, ‘Osmosis ~ Numbers of particles 113. Psuedostratified columnar epithelium = trachea 114. __Baroreceptors = suddenly decrease arterial pressure 115. Stony dull = Pleural effusion 116. Decrease arterial pressure = Decreased venous compliance 117. _ Increased GH = NREM>Exercise>Sleep>REM > there the best option was exercise 118. Axillary nerve supplies = Deltoid 119. rl bleeding there was tender knee joint swelling bleeding hx typical haemophila case. ctor 8 assay 120. Scenario of IDA 121. Test exclude non infected completely = Senstivity 122, RTA patient = Fat embolism 123, Pregnancy = Increased red cell mass 124. Decrease triglycerides = Gemfibrozil 125. Scenario of rickets = Vitamin D Deficiency 126. _Hypersenstivity reaction = Epinephrine 127. Premalignant = Paget's disease 128. Facial palsy and tremors = cerebellopontine angle 129. Antiemetic that is given before surgery = Ondansetron 130. Nucleus tractus solitaries = 2™ order neuron 131. __ Hashimoto thyroiditis = antithyroglobulin antibodies: 132. __Asthma patient having respiratory rate 30/ min and is dyspneic what will be the finding? A) Decrease pacO2 B) Decrease airway resistance C)Increased Compliance (Correct) 133. Phrenic nerve lesion at origin = Ipsilateral paralysis of diaphragm 134, Fibrocartilage = intervertebral disc 135. Sternocleidomastoid muscle = Accessory nerve 136. Esophageal hiatus = T 10 offed fae All September Attempt FCPS-1 Papers (Medexam 33 Stiid; Mate setemennet sen Med-tXpp: SeSoossin Ff faccoockewardmate ff facencotanectramtaport |elomed eramexpert om 137. 138. 139. 140. Frequency of vibration carried by = dorsal column Cause of global blindness = chlamydia Paroxysmal hypertension = pheochromocytoma What do you give in DM associated gastroparesis = Prokinetic (Metoclopermaide) 144 142. 143. 144, 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. 161 162. 163. 164. 165. 166. 167. 168. 169. 170. 171 172. 173. anti h antibody is present on blood group - oh Marathon = Increased glucagon , decreased insulin Cola Coloured Urine = malaria 10th week 10 hb and 32 week 8 HB .. physiological change.. Postganglionic sympathetic = drenergic with few exceptions Shock after injury = hypovolemic ‘Scenario of teratoma Autoimmune most common findings = Joints Amoeba = PAS positive Light accommodation = pretectal nucleus Reticular formation = Dermis CSF absorption = arachnoid vil $2 = Increased frequency Sceanrio of midbrain alysis is monitored by creatinine Innervation of Face = 5,7,9,10 Melanoma association = Xeroderma pigmentosum Patient on Oxygen = Spontaneous pneumothorax Conjugating enzyme of bilirubin = Glucuronosyl transferase Right homonymous hemianopia = Left Optic tract lesion Bitemporal Hemianopia = Opti chiasma 26C room profuse sweating with tachy cardia and hypertension = Exercise IV drug abuser = Infective endocarditis Ten minutes after transplant. rejection = Antibody mediated 6 Month post transplant = Acute cellular rejection Droplet infection = 1-3 feet CRF patient = give S/C erythropoietin Macrophage vascular growth factor = PDGF Neural crest cell derivative = Endocardial cushions Femoral Pulse = Midinguinal point Atypical lymphocytosis = Infectious mononucleosis, Starvation = Increased ketone formation A married patient in the ward diagnosed as HIV and request you to to not tell this news to his wife. What will the doctor about confidentiality ethics, A)treat his disease B) give contraception C) tell his wife D) respect his decision E)inform the police F) persuade him to tell his wife. If not then tell his wife (correct) offed farm All September Attempt FCPS-1 Papers (Medexam 54 ) Stig; Mate menetnemenpetsen Med-EX‘Sea ‘Seoossion ‘Secboatawardmate FRecbonktuMedtxomexoer, Inomed-examexpert.com 174, Corneal Reflex = Craial nerves 2,3 175. Bronchus aspiration = alveoli collapse 176. __Baroreceptors are most sensitive to = rapidly decreasing BP 177. Female Patient had some psychiatric ilness, taking meds was recovering, her aunt got curious about her illness and called the doctor to inquire about her psychiatric illness, doctor denied to tell. He maintain which aspect (something) of medical ethics CONFIDENTIALITY 178, Ejection fraction increase = EDV decrease 179. Girl with very low BP = give epinephrine NOTE: All The papers That have been collected ahave been discussed on our telegram group but stil this is a real crude form of papers that needs to be rechecked and modified (though have been checked once) and a few unanswered questions ‘We are making different posts on our facebook group FCPS-1 Help https://web.facebook.com/groups/FCPS1HELP; zomcmn. FCPS-1 HELP v Joined Bad vow N@@ * You and 19,070 others are members you can search for paper by writing its date and name as exactly mentioned in contents and reach that post Go through that post for already discussed questions if any and then post under the post of that paper if it has NOT been discussed DON'T forget to write the page number and point number that you are discussing so it is easier for people to search through and comment You can also discuss by mentioning page number and point number on our telegram group ofted paren All September Attempt FCPS-1 Papers (Medexam 55 Be yM late wwwmedexamexpertcom Med Xe Sesiossin — FEEoowramate ff cctcoraneatramtport rrogenad-examenper.com ineepsi//tame/fepsistudymateMedexam DOWNLOAD TELEGRAM APP , CREATE UR ACCOUNT AND THEN JOIN BY CLICKING THIS LINK YOU MAY HAVE TO USE VPN IF IT IS NOT WORKING ONLY FOR THE FIRST TIME IT’S A WHATSAPP LIKE APPLICATION FCPS-1|MedExam|StudyMate PAE Rey e https://t.me/fcps 1studymateMedexam Share link Join our 3-Month course for February attempt by contacting Medexam expert's contact number 03005519111 or 03020700016 Or by reaching out to studymate-Dr Ahmad Hassan Via whatsapp 03080491304 Offnd fen AlSatani ba A iaapORCEE ST Pare Wintsean 56 > Sti Mate cemetmemenetze Med-tXpps Srssossin — FEcbotownamate Ff cctootaseatramtort rfogenadexamenper.com To Order Call Zubair Book Depot Lahore 0300-4632223 fed firm All September Attempt FCPS-1 Papers (Medexam s7 D Sa iMate vu rnedoramoxDercom Med- Xe SSeScossin fF faccoockewardmate ff faceusotonedtramtaport [nomex eramexpert om offre pam All september Attempt FCPS-1 Papers (edexam 58 > fate renredinemnersre Med-tXpp Q iosson FES ovnimate FL ctomamectiomemar — LZ) itotmoceramenpert om Med-EXé4 Stig Mate SIGN UP NOW! e Join Our Online Courses Offend fem AN Seneca napa 7 aparece 59 ) Sti Mate remo Med-tXsp SeSoossin fF faccoockewardmate ff faceusotonedtrameaport |eomed eramexpertom Coming Soon #i! in Bookstores near you -y Attempt Inshadllah ) Med-DXe FCPS MAT Gynaecology & Obstetrics eee) 6-Surgery and Allied 1" October Morning Shift Surgery 1* October Morning Shift POREN ZOePN Ca of glans and corpora spread to via lymphatics. (options: Deep inguinal-correct , internal iliac, internal & external iliac) Down syndrome trisomy (21) Myxoma most common site (LA) Analgesic effect of tca requires ( 3-4 weeks-correct, 1 month, 5-6days) Lymphatic drainge of glans penis — Deep inguinal LN Familial history of medullary carcinoma with hypertension. Cause of hypertension will be (pheochromocytoma) SLE most likely affects organ ( Liver, lung, bone, joint-correct, eye) Anterior tibial artery end in foot as (lateral plantar. deep planar, dorsalis pedis-correct) Atropine blocks which effect -Miosis, 60 year old man with multiple cervical nodes. Non-tender firm. On biopsy lymphocytes seen — Hodgkin lymphoma ‘A boy suffering from s. Phumonae menengitis. On gram staining of csf what will you find (gram positive diplococi lancet shaped - correct , grampositive coci cluster, gram positive rod, gram positive diplococi fed ire all september Axempt FCPS-1 Papers edexan 60 > Stig Mate ~menrmnnon Med -BXn [SeSeossin fF faccbockewardmate ff faccasotanectrameaport |elomed eramexpertom 12. A child given 500mg of acitaminophen. Which of the following mechanism is involved in elimination of this drug.- glucuronidation (basically it is metabolized in the liver) 13, Most common side effect of hyperlypidemic drugs: (Hypotension, git disturbance-correct) 14. Most prominent feature of right ventricle: Pulmonary trunk organ (this was in the options there that suits best)- I don’t know what were the options but if moderator band was in the options that would have been the best answer here, 15, Fraction of plasma from which a substance is removed and is excretes in urine: (filtration fraction, renal plasma flow,Renal clearance ~ correct) 16. Which of following mechanism is involved in increase reabsorption of sodium and water - aldosterone 17. GFR normal value (120mi/min-correct, 180mi/min) 18. Statistical data t test used for (comparing two groups-correct, calculatoon of confidence limit) 19. . Calculate alveolar ventilation Tidal volume 350, dead space 100, RR 18. (4.5L) 20. T configuration of haemoglobin has less affinity for (oxygen-correct, CO2) 21... Which of the following is major opsonin (C3b) 22, Which of the follwing use c.amp mechanism. In cell membrane . ( enzymes. recptors- correct) 23. A man returned recently from Thailand. He is now suffering from high grade fever, orthostatic hypotension, backaches. (malaria-correct, gonorhea, syphilis) 24, Parasympathetic stimulation causes( relaxation of intestinal sphinchters) 25. Anterior inter osseous nerve is branch of which nerve (Median) 26. . A person had rta and injury involving fracture of left 10 rib which organ will be damaged( spleen-correct, base of lung, pancreas) 27. Permanent cell which regenrate. ( Mycardial cells) 28. Anterior relation of hilum of rt. Kidney (2nd part of duodenum) 29. In an injured kidney after seepage of blood from pemephric fat blood accumulates in geroat's fascia which is intact, blood will further go to ( down in pelvis, to opposite kidney-correct, lateral of deep fasia of abdomen) 30. Aponeurosis of internal oblique forms (posterior wall, roof, floor, conjoint tendon-correct, internal spermatic fascia) 31. Celiac plexus relation ( anterior to aorta-correct, anterior to ive , crus of diaphram) 32. In cross section of abdomen at t12 you will see organ behind stomach which is not seen at t11. (Spleen, aorta, gall baldder pancreas) -pancreas 33. Lung compliance increased in ( old age-correct, bronchial obstruction) 34. For activation of trypsinogen proteolytoc activity following is required ( enterokinase- correct, low ph) 35. Most potent factor for erythropoiten release ( hypoxia) 36. Diet deficient in cereal. Vitamin required in carbohydrate metabolism( riboflavin-correct, pantothenic acid, pyridoxine) 37. 10 intercostal nerve enters the rectus sheath at level of ( xiphood, umbilicus-correct) 38. In histo of spinal cord gray matter cells are seen having long brached cytoplasmic porcesses, these cells also have foot processes ( Protoplasmic astrocytes-correct, fibrous astrocytes) 39. Defeciency of which causes nerve demylenation( thiamine) 40. Anterior Relation of internal juglar vein as it comes out of juglar foramen. ( Internal ae) Muscle for depression of jaw (opening of mouth) = Lateral pterygoid ft fae All September Attempt FCPS~1 Papers (Medexam 61 > Stig Mate ~menrmennon Med -BX SeSoossin fF faccbckewardmate ff facensotonectrameaport |elomed eramexpertom “42. Muscle attach to neck of mandible and arlicular cartilage = Lateral pterygoid 43. A man is having hematuria and flank pain. His urine bun and creatinine is normal. Hb 18, serum calcuim 11 ( adenoma, renal cell carcinoma-correct) 44, CML translocation (9:22) 45, ESOPHAGUS epithelium most likely( entire squamous-correct, lower 1/3 columnor) 46. vagus nerve is cut but it gets stimulated this will cause (death, apnea-correct, inspiration) 47. Type 1 diabetic git is suffering morning glycemia regimen best suited will be ( regular plus intermediate 2 times) 48. Pt Had a bullet injury in axilla, Pt was initially resucitated in e.r now pt is suffering in ability to flex index finger and sensation lost on lateral palmar surface. Nerve damaged ( median) 49. Most prominent feature of parotid gland ( onlu serois acini-correct, mixed acini, duct ‘open oposite lower molar tooth) 50. . Postion of radial artery pulsation between tendons (extensor carpi radialis longs and brevis) 51. . Marker of muscle injury (myoglobin-correct, Ck MM) 52. Lung is involved in activation of (angiotension 1-correct, angiotensin 2) 53. CA - head of pancreas will compress. (CBD) 54. Lymph drainge of It. Half of breast (pectoral) 58. Diffusion of gases in alveoli is directly proportional (.amount of surfactant, thickness. of membrane, surface area of alveolar epithelium-correct) 56, Histology show a tubular structure with absorptive/protective epithelium with lymphoid tissue in mucosa and submucosa( appendix-correct, caecum) 57. An 11 month baby is having 60% of ideal wt. Baby is small, listless, doesnot responds to vocal. He is having a contusion on It thigh (marasmus, physixal abuse-correct) 58. Moderate exercise increase ( stroke volume) 59. . Ovary lymph drainage( para-aortic) 60. Thiazide diuretics common side effect ( Hypokalemia hyperglycemia was not given) — Thrombocytopenia 61. Which layer of tissue is present between adjasant muscle fibres( epimysium, ‘endomysium-correct) 62. Thyroid gland moves with swallowing it is due to its covering as ( pretrachail fasia) 63. Bilateral vagal compression causes (death) 64. Disease caused by mosquito ( african sleeping sickness, yellow fever-correct, leishmania) 65, Layers separating maternal blood from fetal blood from villous core (syncitium,cytotrphopblast,endothelium, syncitium,cytotrphopblast,connective tissue endothelium) 66. A woman had pain after taking fatty meal organ involved ( gall bladder-correct, lung, liver, pancreas) 67. Heart rate is doubled what will be the duration of cardic cycle 1.6, 0.4-correct, 0.8) 68. Spore forming bacteria ( clostridia) 69. Before defecation and filimg of bladder. Afferents from them are transfered to brain via (lateral spinothalamic, dorsal column medial.leminicus Anterior spinothalamic -correct) 70. Major blood veseels in brain are present in ( with pia, below pia, epidural, subdural, subarachnoid-correct) Offrd paren All September Attempt FCPS-1 Papers (Medexam 62 > Stig Mate ~menrmennon Med -BX SeSoossin fF faccbockewardmate ff facensokanectrameaport |eomed eramexpertom 71. A baby is dehydrated. How will you asses hydration level in it (bregma-correct, pteriom, lambda, nasion) 72. Location of ascending reticular formation( floor of cerebral acequduct) 73. After lumbar puncture person developed headache cause( strech of dura and tenorium cerebelli-correct, tentorium cerebelli) 74, Proteolytic activity of trypsin is due to (tryptopham, tyrosine,. Terminal caboxyl aminoacid-correct) 75. . Most important factor in renal blood flow (constriction of afferent arterioles) 76. Which of following is used as skin antiseptic and surgical scrub (CCL4, SILVERNITRATE, chlorhexidine-correct, ethanol) 77. Reflex due to visual stimulation caused by ( s. Olivary nucies, inf . Olovary nuclea, red nucles, superior collioulus-correct, inferior colloculus) 78. .A'50 year old man is having headache now having bluring of vision. Biopsy of temproal artery will show ( Giant cell-correct, takayasu, polyarteritis) 79. A tumor which is caused by viral onogenic mutation ( adult t cell leukemia) 80. Person is having factor 8 deficiency. Which if the following can be given ( cryoprecipitate) 81. scenario was given hb 16 wbe within normal range platelts 650°10"9. On smear immature megakarycytes seen. Cause of this disease (t 9:21, 19:22, t6:11, inverison 16 , inversion 11) 82. A woman is having history of 5 months wt loss, tachycardia, palpitations. Her HR is 120, B.p150/90. What will be the cause of this. ( Hyperthyroidism) 83, . PTU blocks function of thyroid by blocking oxidation of ( iodide-correct, DIT, tyrosine, thyroxine) 84. A woman is having fever and diarrhea. On D/R of stools worms are seen. Which of follwimg cells will be in excess ( eosinophils-correct, basophils, monocytes) 85. Which will be finding in thalasemia trait.( Raised hbA2-correct, slightly raised hf) 86. Full length of colon resected outcome ( sever fluid and electrolyte disturbance-correct, mainitrtion, death) 87. IGE receptors are present on ( basophil-correct, monocytes) 88. A girl from ajk developed psychitric ines after she was injured in earthquake. One of her distant uncle also died. She is suffering from (developmental crisis, situational crisis- correct, social crisis, economic crisis) 89. For bone modeling required (osteoblast + osteoclast- correct , osteocyte, osteoblast) 90. Staging ( extent of spread) 91. Grading for ( differentiation) 92. Myositis ossificans scenario options-{ metaplasia) 93. Scenario of CA esophagus carcinogenic ( spicy foods, nitrosamines, hydorcarbons) 94. Old age changes in mandible - obtuse angle 95. Autoradiography uses ( radiolabelled antibodies, radio isotopes-correct) 96. Scenario of chills falls from bicycle unable to pass urine injury to (urethera) 97. Most radiosenstive tumor ( lymph node) 98. Renal cell carcinoma causes paraneoplastic syndrome ( polycythemia-correct, hyperthyroidism) 99. A boy is busy in a ventilated room at 25°c. Sweating profusely and hyperventilating, B.p 150/90, heart rate 120. Most likely cause (exercise) 100. Bullet injury to neck pt. is now suffering from respiratory distress muscle paralysed ( Diaphram) 23. Offrd paren All September Attempt FCPS-1 Papers (Medexam 63 ) Stig Mate ~menrmnnon Med -BX Sesoossin — FEcotowumate Ff fcctootaneatramtort erogenadexamenper.com 101 A boy is unable to abduct his arm at shoulder, loss of elbow flexion and supination. Hx of forcep delivery. ( Upper brachial plexus C5,C6,C7) 102. Supply of superior 1/3 of esophagus (inferior thyroid) 103, Person is having lower motor neuron lesion of left leg, drooping of eyelid, deviation of angle of mouth. Injury will be ( forebrain-correct,, mid brain, basilar pons) 104 History of ischemic stroke after which gif is unable to drink food and throws out water. Decreae in thirst in this patient will be due to decrease in ( plasma osmolality- correct, angiotension, vasopressin, increase in ecf volume) 105. istory of smokeless tobacco addiction on histolgy of tongue lesion show ‘submucosal fibrosis( anaplasia, dysplasia, metaplasia, premalignant-correct ) 106. A person was severely injured in arta. Pt was put on broadspectrum antibiotics, tpn. After 1 week he developed buises, and petiche . Cause(vitamin k defeciency) 107. ‘A boy suffering from s. Pnumonae menengitis. On gram staining of csf what will you find. ( gram positive diplococi lancet shaped - correct , grampositive coci cluster, gram positive rod, gram positive diplococi 108. Donovan bodies present in (syphilis, chlamydia, gonorrhea, granuloma inguinale- correct) 109. Fenestration in choriocapillaires more in which region ( equatirial, orra serrate- correct, submacular area) 110. Metablic function of thyroid in physiologic concentration is ( protein synthesis) 14 Most important function of cortisol ( gluconeogenesis) 112, ‘A woman is having ovarian carcinoma. Tumor gene involved with this carcinoma is also involved in another carcinoma. ( Breast) 113. Anew born is having reccurent infections. Defeciency of which immnoglobulin (IgG) (had this been a child over 6 months of age , the answer would have been IgA) 114, Maximum systolic pressure in (arch of aorta, renal artery-correct, left ventricle) 115. girl had sore throat fever. Cervical lymphadenopathy —Poor recall ~ Some say answer was infectious mononucleosis 116. Pt. Is shock which of the following mechanism is involved in increasing gfr and urine output — DCT 17, Function of juxtraglomerular nephrons — countercurrent 118, Mode is most repeated value 119, (comparing means of two groups would have been a better option if present) 120. _Cresents in glomeruli are formed by proliferation of ( endothelilal and mesenglal cell-correct , parital epithelil cells) 124 ‘A woman is having a painless lump in her breast. Mastectomy was done. On histo and ovoid 3°3.5 cm mass is seen which is having fibrous cells eroding fatty stroma of breast, The mass is enclosed by a capsule. This change is (Desmoplasia, metaplasia- correct, anaplasia, dysplasia) 122. ‘A6 year old girl ( confirmed girl was written) is having petichie and brusies. In Past history there qas excessive loss of blood during circumeision requiring blood transfusion, Test for conform diagnosis of this will be (PT, APTT, Factor 7 assay, factor 8 assay-correct) 123. Aboy is having bruises and echymosis . What will be the first test you perform ( BT, platelet count-correct , leucocyte count, bone marrow) 124. A person is having drooping of eyelid. In past history he is having anterior medistinal mass. What will you find in immunhisto (anti actyl choline receptor antibodies) offrd fae All September Attempt FCPS-1 Papers (Medexam 6 Stig; Mate Seetnemenpet ser Med-tXsps [SeSoossin fF faccockewardmate ff faceocokanedtrameaport [noted eramexpertom 125, What will be beneficial in doctor for understanding patients problems ( active listening) 126. Apersonis suffering from a disease from 3 month. In lesion of disease there are epithelial cell. (M. Leprae) 127. Injury of arm. Which of following is involved in activation of both coagulation and in system (hageman factor-correct .itis also called as factor XII, plasmin,) 128. Which of following is involved in platelet aggregation: (Thromboxane A2-correct, prostacyclin) 129. Blood supply of head of femur. ( Retinacular ) 130, Blood supply of femoral head in a child will be ( branches of medial and lateral circumflex femoral) 134 A person in RTA had hyperextension of neck. He is likely to have which injury (LMN of lower limb, UMN of Lower limb, LMN of upper limb-correct, loss of temprature in Lower leg, loss of pain in lower leg) 132, Excessive eversion will lead to injury of ( Deltoid ligament-correct, tibofibutar, talocalcaneal) 133. Whcih of following is a tumor supressor gene. P53 134. Pherenic nerve has most contribution from which cerveal spinal nerve ( C4- correct, C5, C3) 135. Oesophageal opening in diaphram other structure passing through it ( azygous, hemizygus, thoracie duct, rt. Vagus-correct) 136, Rocky moutain fever caused by (ricketsia ricketssae-correct, other species given) 137. Monocytes feature ( cannot cross capillaries, in some chronic diseases can transform into epithelial cells) 138, Dec in lymph flow ( hemorrahage) 139, Bactericidal agents O2-, H202 are produced in neutrophils in (lysosomes- correct, peroxisome, mitochondria) 140. Apersonis presented in OPD with history of headache on 1st day of working of ‘every week. He Is working in nitroglycerine pharma factory from 5 years . Causes is. Allergy, tchyphylexis, idosyncracy, desensitization-correct 141. Muscle of ant triangle of neck having ansa cervicalis nerve supply Geiohyoid (correct) Stylohyoid Digestric Mylohyoid 142.Female with difficult labor in village died suddenly Ofted fae All September Attempt FCPS~1 Papers (Medexam Stiid; Mate {ecboorttwardmats wrsumedexamexpertcom Feeoscctiamtort 65 Med-tXsps erociiecacinaperecae ‘Amniotic fluid ambolism 143.Upper part of iliac crest at level of L3 (correct) Ls LS L2 144, Lateral fornix of vagina related to Ureter Uterine artery Broad ligament (both ureter and uterine artery , prefer ureter) 145 Supply of apex of heart Marginal - correct Poster descending Circumflex 146.Humerus related nerves Radial ulner axillary -correct Different nerves in other options 147 Basilar artery Runs over ant surface of pons Other options dnt remember offed th All September Attempt FCPS-1 Papers (Medexam 66 Stiid; Mate warwumedexamexpert.comn Med-tXpp Sessossin — FEeEeowramate Ff fccecarameatramtport rtogenadexamenper.com :148.Foot drop by Common peroneal -correct Ant tibial sural 149.Bitemopral hemianopic plus proctinemia, cause is Pituitary 150.Pregnant lady @ hb 9 cause Plasma volume expension 151 Scerio of typhoid fever, diagnostic test Widal Other options were those i never heard of 152.Pt e bil plural effusion plus edema upto thigh, no other finding given, cause? Congestive cardiac failure-correct Hypoalbuminemia 153. Example of cardiogenic shock MI 184.Bicuspid aortic valve is associated with Coarctation of aorta NOTE: fed firm all september Axempt FCPS-1 Papers edexan 67 ) Stig; Mate Sceememereanetsen Med-EX‘Sea Srssossin — FEetownamate ff fcctoarameatramtport etogenadexamenper.com All The papers That have been collected ahave been discussed on our telegram group but still this isa real crude form of papers that needs to be rechecked and modified (though have been checked once) and a few unanswered questions ‘We are making different posts on our facebook group FCPS-1 Help https://web.facebook.com/groups/FCPSIHELP/ worm FOPS~1 HELP v Joined Bodo N@@ * vou and 19,070 others are members ‘you can search for paper by writing its date and name as exactly mentioned in contents and reach that post Go through that post for already discussed questions if any and then post under the post of that paper if ithas NOT been discussed DON'T forget to write the page number and point number that you are discussing so it is easier for people to search through and comment You can also discuss by mentioning page number and point number on our telegram group hhuips://t.me/fepsistudymateMedexam DOWNLOAD TELEGRAM APP, CREATE UR ACCOUNT AND THEN JOIN BY CLICKING THIS LINK YOU MAY HAVE TO USE VPN IF IT IS NOT WORKING ONLY FOR THE FIRST TIME IT’S A WHATSAPP LIKE APPLICATION fed arm All September Attempt FCPS-1 Papers (Medexam 68 ; wonaimedoxamexpertcom Med-tXsps SeSoossin fF faccoackewardmate ff facsocokonectrameaport atoconecacaipertte ie Seas CURC U rt aMule) e https://t.me/fcps1studymateMedexam Share link Join our 3-Month course for February attempt by contacting Medexam expert's contact number 03005519111 or 03020700016 Or by reaching out to studymate-Dr Ahmad Hassan Via whatsapp 03080491304 To Order Call Zubair Book Depot Lahore 0300-4632223 tempt FCPS~1 Papers (Medexam 69 } Sa Mate wnurnedoramoxpercom Med- Xe SSeSoossin fF faccooskewardmate ff faccasotanedtramtapert |eomederamexpert om For Comprehen: Pees ester oftred parm All september Attempt FCPS-1 Papers (edexam 70 > fate renedinmmnersnn Med-tXpp Q iosson FES ovnimate FL ctomamectiomemar — LZ) itotmoceramenpert om Med-EXé4 Stig Mate SIGN UP NOW! e Join Our Online Courses Offend fem AN Seneca napa 7 aparece nm r) Stig; Mate aera Med-tXpps SeSoossin fF faccoockewardmate ff faceusotonedtrameaport |nomederamexpertom Coming Soon #i! in Bookstores near you -y Attempt InshaAllah ) Coy Suigy Med: FCPS MATE Gynaecology & Obstetrics eee) 7- Surgery and Allied 1°" OCTOBER AFTERNOON SHIFT Surgery and allied Afternoon ist october Multiple head bone with nasal fracture malignancy caused by?? EBV Total gastrectomy - b12 EBV - burkitt lymphoma? Lipid contain- carbon, Phrenocolic ligament attaching diaphragm and splenic flexure — spleen Transversalis*iliaca’ femoral sheath Lt level - SMA origin from aorta Long scenario, old male weight loss, patches on lung, hemoptysis, epitheloid cells next step AFB, 9. Breast, fat necrosis, mec" trauma 10. Pectoral nodes — upper outer 11. Lumph in hand after radical mastectomy” lymphatic obstruction effet ire all september Axempt FCPS-1 Papers edexan ENOTES 72 r) Stig; Mate senetnemepetser Med-EX‘Sen Srsiossin — FEeoowramate Ff fcctooraneatramtort erogenad-examenper.com 12. Main stimuli for aldosterone? Inc k Inc renin? 13. potent analgesic weak anesthetic... NO Medazolam Halothane 14. CPN injury © loss of eversion of foot 15. radioactive iodied study wala...cold nodule 16. Slippage of tubal ligature - uterine arte 17. Negative free water clearance ') SIADH 18. Diapedesis " neutrophil migration 19. Erosive, upward lesion on endoscopy Of stomach | ulcer 20. Leser trochanter of = Psoas major muscle. 21. Muscle that unlocks knee joint 22. Thumb dermatome “1 C8 23. Mesonephric duct derivative Ureter?? 24. Superficial inguinal ring — ilioinguinal 25. Ac| injury, dislocation ANTERIOR 26. Radiation caususe cns tumor mengingioma 27. Klinfoltir.. gynecomastia 28. 2nd heart sound = Closer of aortic and pulmonary valve? cause of bleeding 29, Adenohypophysis derived from a. Outpocketing oc stomodium B) rathke poch of diencephalon 30. glucose fully absorb at ....pet 31. Reversible inj, most prominent sign (cellular swelling 32. Vit D resistant rickets Malabsorption syndrom 33. Epicarium = Visceral layer of serous pericardium 34. Antitumor principal cell.. Activated macrophage... Cd4+helper... Cd8+cytotoxic 35. Acute pancreatitis fluid! lesser sac 36. Tachycardia will effects = slow ventricular filling phase 37. Complete vent depolarization ST 38. Quite respiration () 5% 39, Which nerve comes out of foramen magnum- spinal part of accessory 40. Patient is passing dilute urine (asthenuria) there is tubuloglomerular concentrating problem,what other factor you will see in this condi A. Fixed specific gravity of urine B. Low urinary sodium C. Increase plasma osmolality 41. Axoneme of cilia | 20 microtubules 42, Posterior most opening in laphragm ~ eorte thoracic duct, azygous vein 13. Regarding cartilage: et tpn All September Attempt FCPS~1 Papers (Medexam 3 Stig; mate Scenetemepetsen Med-tXpps SeSoossin fF faccooskewardmate ff faccosotonedtrameaport |nlomederamespertom Every cartilage is covered by perichondrium Appositional growth 44. Epicardium — visceral layer of serous pericardium 45. BCG ‘Delayed T cell response 46. Patient with bilaterla drooping of eyelids ,diplolia , difficulty chewing which diagnosis— MG 47. Which diuretic also cause vasodilation — furosemide 48. Most potent stimulus for aldosterone Raised sodium Raised potassium correct Crh ete 49. 59 year old male smoker diabetic with 30mins chest pain What will u do next: stress test 50. Transmural infarct patient died at 9th day going bathroom due to which complication Cardiac tamponade (correct) Ventricular perfiration 51. Oth day post Chest pain was asked (Ml) i think that was VF 52. Minor calyx recieve rine from? Papilla Major calyx 53. A patient of DKA , moat active buffer system was asked : HCO3 54, Most common tumor of brain consist of which cells Neurons Glial cells Ete 55. AV node lies in Right atirum Left ventricle Interventricular septum correct 56. Which drug irreversibly inhibits platelets—aspirin 57. Autoradiography something Radioisotope labeled antibody Injecting Radioisotope ofed farm All September Attempt FCPS~1 Papers (Medexam 4 > Stig; mate Seetnemenpet ser Med-EX‘Sen SeSoossin fF faccockewardmate ff faceocotanectiameaport |eomed eramexpertom Flourscent dye 58. Painless Arm sweeling = lymphatic obstruction 59. Release of erythropoietin. . What was the answer? Proximal tubule 60. Depence against tumur = Nk cells 61. Testosterone func ithickening of laryngeal cartilage 62. Pin worn = ingestion of eggs 63. Hiv patient 1% hypochlorite correct 5% hypochlorite Formaldehyde 64, Referral system 1 connection b/w 2 higher facilities 65, Popliteus unlocking knee joint 66. C6 thumb sensation 67. Csf value = sp gravity 1.005 -1.009 68. Vitamin D resistant rickets caused by - Fanconi syndrome 69. More in tears than in serum Na kK ‘Amino acids 70. ascitus in case of decompensated liver disease, Dec albumin? 71. Trauma to pterion- middle meningeal artery 72. Positive predictive value?? True positive in positive patients 73. Female Colicky pain after surgery due to ligation of?? Ureter 74, Tinea soleum and 72? Praziquantel 75. Generalized edema and massive ascites on a patient with liver failure, Cause? Inc hydrostatic pressure Dec plasma colloid oncotic pressure correct 76. Renal Plasma flow = PAH 77. Child with jaundice and high color urine 78. = Albumin with ALT? 79. Hemophilia pt. What will you give? Fp Cryoprecipitate 80. Frothy stool multiple times in a day with malaise ‘A. Stool complete report correct B. Stool culture and sensitivity 81. Antioxident = vit E 82, PT done in Ofted farm All September Attempt FCPS-1 Papers (Medexam 5 Stig; Mate senetnemepetser Med-tXpps Srsiossin — FEeoowramate Ff fcctooraneatramtort |eomed eramexpertom Hemophilia WF 83. CT scan of L1 level... A. Superior mesenteric artery B. Right acrenal gland C. Splenic Vein and body of Pancreas 84, Anterior cerebral artery supplies primary motor cortex 85. Bladder 1.5mm lesion on cystoscopy, basement membrane intact 86. Aspiration lying supine Ans right upper posterior segment 87. Basophilia in pancreatitis is due to Ribosome 88. Poor prognostic factor of sepsis "1 DIC 89. Atypical pneumonia picture = Mycoplasma 90. Temp is raised up to 37. Co2 tension correct Citrate toxicity MPotassium 91. Big heart -HOCM 1B1 92. Gummatous necrosis syphilis 93. MCC of pulmonary embolism? Thromboembolism Fat embolism Air embolism 94, Bee sting | IgE 95. Posterior 1/3 of IV septum” RCA 96. Right border of heart | Rt atrium 97. Throid enlarged and moves due to “1 pretrachial fascia 98. Most water loss from skin, during exercise | by sweating 99. Submandibular surgery 100, = Marginal mandibular branch of facial nerve 101. __BP increase and HR decrease RAISED ICP ? 102, Medial wall of ischiorectal fossa’ levator ani 103. Child can't close lips - orbicularis oris, 104. Tuer syndrome 45X0 105. Pain fibers non myelinated? C fibers 106, ‘Stab wound tha aur winging of scapula tha Long thoracic ? oftrd farm All September Attempt FCPS~1 Papers (Medexam ca in situ 76 ) Stig; Mate Scenetemepetsen Med-EX‘Sent Srssossin — FEcbeownamate Ff fctcorameatramtrprt etogenadexamenper.com 107. Which one is passing through deep inguinal ring>> Genital branch of genitofemoral nerve 108. Superficial inguinal ring is traversed by 1 ilioinguinal nerve 109, Not found in Pancrease ~ D cells? 110. Anterior pituitry | Istomodeum 114 HCC = alcohol 112, Hydrocephalus ~ stenosis of aqueduct 113. Extrembryonic coelom hypoblast 114. Tin food = botulinum 115, One was big scenario of heart viT-B1 116. _ TPR association with? Vasomotor tone 117. Hepatospleenomegaly cell morphology altered confirmation by?? HB electrophoresis? 118, Child Wala scenario: ALL 119. _Bitemporal hemianopsia? Optic tract Optic radiation Optic chiasma: 120. CNS tumor due to radiotoxicity : meningioma 124 Cause of primary cns tumor??glial cells 122. Intrinsic pathway activation? Factor 12 123, metabolic activity of neuron? a)depends on area of neuron b)cyanide blocks the metabolism and thus disrupts the pocesses of action potential and RMP. o)provides energy to Na-K pump 124. Clear cells on histology © renal cell ca 125. Meckel diverticulum is a part of? HHeum ofed farm All September Attempt FCPS~1 Papers (Medexam 7 ) sweedeamenpetce Med-EXSen SEescossion ff fcoogwandmate ff nockmedtrameapert etocniehaciinparecie NOTE: All The papers That have been collected ahave been discussed on our telegram group but still this is a real crude form of papers that needs to be rechecked and modified (though have been checked once) and a few unanswered questions We are making different posts on our facebook group FCPS-1 Help https://web.facebook.com/groups/FCPS1HELP/ ~ FCPS-1 HELP v Joined BSD oo aa” You and 19,070 others are members you can search for paper by writing its date and name as exactly mentioned in contents and reach that post Go through that post for already discussed questions i if it has NOT been discussed ny and then post under the post of that paper DON’T forget to write the page number and point number that you are discussing so it is easier for people to search through and comment You can also discuss by mentioning page number and point number on our telegram group hhetps://t.me/fepsistudymateMedexam DOWNLOAD TELEGRAM APP , CREATE UR ACCOUNT AND THEN JOIN BY CLICKING THIS LINK YOU MAY HAVE TO USE VPN IF IT IS NOT WORKING ONLY FOR THE FIRST TIME IT’S A WHATSAPP LIKE APPLICATION Offed pare All September Attempt FCPS~1 Papers (Medexam 78 ; wonamedoxamoxpertcom Med-tXsps SeSoossin fF faccoackewardmate ff facsocokonectrameaport atoconecacaipertte ie Seas CURC U rt aMule) e https://t.me/fcps1studymateMedexam Share link Join our 3-Month course for February attempt by contacting Medexam expert’s contact number 03005519111 or 03020700016 Or by reaching out to studymate-Dr Ahmad Hassan Via whatsapp 03080491304 To Order Call Zubair Book Depot Lahore 0300-4632223 tempt FCPS~1 Papers (Medexam 79 } Sa Mate weurnedoramoxpercom Med- Xe SSeSoossin fF faccooskewardmate ff faccasotanedtramtapert |eomederamexpert om For Comprehen: Pees ester oftred parm All september Attempt FCPS-1 Papers (edexam 80 r) Stig; Mate waeeetmermneree Med-tXp1 SeSoossin Ff faccoockewardmate ff faccusotonedtrameaport |eomed eramexpertom Coming Soon #i! in Bookstores near you -y_Attemnt InshaAllah ) Coy Sua Mea FCPS MATE Gynaecology & Obstetrics eee 8-Diagnostic radiology 29" September Morning, Shift Radiology 29" September , 2020 — Morning Shift 1. Irreversible sign of cardiac Cell injury > Contraction bands in cytoplasm (Other options hydropic change ,clumping of nuclear chromatin,cell swelling) 7 months old pregnant lady, what is the source of estrogen and progesterone. ovaries or placenta > Placenta ‘Scenario with short dislocation of lens and aortic dissection > Marfan syndrome Short stature of a lady , karyotype was asked > 45XO (this was a scenario of turner syndrome) Which structure divides the posterior triangle of neck > Omohyoid muscle (Inferior belly to be precise) 6. Ovarian artery is a branch of > Abdominal Aorta (The ovarian artery is @ direct branch of the abdominal aorta. The ovarian artery supplies oxygenated blood to the ovary, fallopian tube, and uterus) 7. Which structure lies anterior to the pancreas > SMA (remember CBD is posterior to pancreas) offed fae Maier Reni Paar Danan x 2 ae 81 ) Be ma ie cenetaromaperccon Med-EXen SeSoossin fF faccbockewaramate ff facensotanectramtaport |nomed eramexpertom 8. Virus causes cell damage by which mechanism > Alteration in Protein Synthesis > Alteration in protooncogene (If the stem was like that virus causes cancer BY , the answer would be oncogene) 9. After gastrectomy which anemia ? Pemicious anemia (Here follow this , Partial gastrectomy = IDA , Total gastrectomy = Pernicious anemia, Early days in Gastrectomy = IDA , After 6 months of gastrectomy = Pemicious, Only gastrectomy mentioned in stem = IDA + Microcytic + Pernicious > Pernicious) 10. Injury to neck of femur which artery will be damaged -> Retinacular artery>Medial CXeLateral CX 11. A drug having half life 10min when will it achieve steady state > 40-50minutes (whatever is in the option since 4-5 half lives are required to reach the steady state) 12. Site of fertilization is > Ampula of Fallopian tube 13. Soldier coming from siachin having breathlessness and cyanosis cause is >Secondary polyeythemia 14. Muscle attaching medial border of scapula to back is > Serratus anterior (Remember it as serratus anterior paralysis due to long thoracic injury causes winging of scapula) (some say that the question was like that medial border of scapula attached to back , the answer remains same) 15. A girl with primary amenorrhea. On examination breasts not developed and uterus absent on US . Karyotype was asked > 46XY 16. Absent ankle reflex > S1 17. Sympathetic adrenergic? > Vasoconstriction 18. Vessel of the base of bladder lie in which ligament > A. Puboprastatic , B. Ventrolateral ,C. Dorsolateral ,D. Inguinal , E. Suprapubic > Dorsolateral 19. Patient with Alcoholic hepatitis with mallory bodies. Interwoven structure > Beta ‘Amyloid (Other option was Alpha synuciein) 20. Radial artery pass b/w which muscles /Radial pulse is between > Brachioradialis and Flexor carpi radialis 21. Sarcomere is between > 2 Z-Lines 22. Side effect of Protamine = Hypotension 23, Direct inguinal Hernia lies = Medial to inferior epigastric vessels 24, Pelvic mass removed from lateral side > nerve damaged is = Obturator 25. Medial of inguinal triangle is = Adductor Longus 26. Hypertrophic cardiomypathy scenario > Decrease dialstolic filing (correct answer) , Other options were Increase diastole filing Normal filing, Increase systole filing, Increase diastole filing 27. Lady accidently cut radial artery which mechanisms detect pressure > A-Beta 28. Barr Bodies diagnostic for > Klinfiter’s syndrome (if asked absent or scant barr body the answer would have been turner) 29. During game boy injured which area of eyeball that now there is vertical diplopia and ‘enophthalmos? > Roof of Orbit 30. Anterior to IVC > Right testicular vein (other options were Rt Renal vein , Left renal vein,Rt renal artery,Left renal artery) 31. Nerve arising from petrous part of Temporal Bone > Facial and Vestibulocochlear > Facial >Vestibulocochlear (If in the options apex is mentioned then it is 5" and 6” cranial nerve) 32. Gangrene due to SMA which colon SPARED (notice that involved isn't asked) Descending Colon offed farm All September Attempt FCPS-1 Papers (Medexam 82 > Stiid; Mate Scememmemepetsen Med-EX‘Sen SeSoossin Ff faccoockewardmate ff faccocotanectiameaport |nomed eramexpert om 33. Big scenario patient with diplopia and face weakness and it continues for months and there are antibodies against acetylcholine receptors = Myasthenia Gravis 34, Patient has test came positive for Infection mononucleosis which oragan will be suspectile to injury = Spleen (Other options were Liver, Kidney) ~ remember in Infectious mononucleosis all the contact sports are avoided to avoid splenic injury due to trauma 35. Kidney changes in hypovolemic shock > Acute tubular necrosis (ATN) 36. Patient with massive spleen palpale below 10th ICS > Myelofibrosis (Since In this diseases there is MASSIVE splenomegaly , other option was thallasemia but in that there is Moderate splenomegaly) 37. Type 3 Hypersenstivity = SLE 38. Stab injury 6 costal cartilage right to xiphisternum > Right Atrium (if the stem was like stab injury before xiphisternum , which vessel effected > IVC) 39, Esophagus enlarge which structure compress > Left Atrium 40, Thete was a scenario on retrosteral goiter 41. Wadding gait nerve damage > Superior Gluteal nerve 42. Apex of heart is supplied by > LAD 43. Hypercalcemia and renal failure -> Sarcoidosis, 44, Collagen type in healthy skin > type 1 and 3 both 45, Clark nucleus level = T1-L2 46. Lateral side of foot , nerve root = S1 47. Breast upper outer quadrant lymph drainage accompany which vessel = Anterior axillary 48. Phrenic nerve , nerve root = C3. 49, Femoral and obturator nerve roots = L2-3-4 50. Renal Pyramid is supplied by which artery > Interlobar 51. Supply of renal capsule = Interlobar arteries 52. Vertebrae: C1/2 . Atlanto-axial joint 53. Last portion of cbd imbeded in pancreas 54. scenario Regarding breast lymphatics ant axillary lymph nodes 55, Breast > 15-20 lactiferous ducts 56. Supine position aspirate content goes > sup bronchopulmnry segment of right lower lobe 57. Aids patient what will be early change in peripheral blood smear > T-CELL 58. Wegner granulomatosis scenario 59, Folic acid deficiency anemia scenario 60. Portal vein to liver run in which ligament? > hepatoduodenal 61. Pheochromocytoma senario=VMA 62, Shoulder joint dislocation ligament injury? > SUBCAPSULAR 63. incisional hernia scenario which structure comes first=Fascia transversalis 64. Neurovascular bundle = lower border of rib. 65. Direct branch of subclavian artery taking part n shoulder joint anastomosis = Suprascapular 66. Nerve damage al floor of pelvis ? Obturator (if asked lateral wall choose pudendal) 67. Pleurocentesis > 9" IC space lower border mid axillary line 68. Superficial inguinal lymph nodes=vagina BELOW hymen 69, Prostate = vertebral venous plexus 70. LATERAL side of foot = sural nerve 71 Duel Nerve supply = Adducir Magnus (Obtxstor end sciatic) 2, Sudden lumber pain diagnostic approach > USH KUB and Xray KUB offed pam All September Attempt FCPS~1 Papers (Medexam 83 } Bi ama tics ascenetaromnpercco Med-EXen Sessossin — FEeotowramate ff fcctcorameatramtport efogenadexamenper.com 73. Categorical data=chi sq test 74, Mean media mode same in normal distribution curve 75. Person at room temp heat lost will be through > Radiation > conduction to air > conduction to objects 76. Newly wed lady having pain in RIF spasmodic pain with fever and raised wbc which structure affected (LMP was 2 weeks according to some candidates) > appendicitis, 77.50 years old lady having low hb and hypochromic anemia IDA 78. Growth hormone needs which hormone for its function = Insulin like growth factor Synthesized by liver 79. Most common cause of Male infertility > Cryptorchidism (according to people this is the correct answer , no one knows the options but here are facts — Unexplained 34% \Varicocele 17%,,Hypogonadism 10%,UTI 9% ,Undescended testis 8%,Sexual factors £6%,Immune system factors 5% Systemic disease 3%,Other causes 8%) 80. Amyloid in biopsy of LN? Which tumor marker ??scenario was metastatic cervical lymph node enlargement, dysphagia, diarrhea etc?options were calcitonin,CEA,AFP > Calcitonin 81. Pectoralis Major Flap Blood supply is > Thoracoacromial 82. Laryngotracheal groove develop in which week? > 4" Week (They develop at the 4th week of gestation. The laryngotracheal groove is the primordial of the lower respiratory organs and develops caudal to the 4th pharyngeal pouches) 83, Platelets formation = Fibrinogen and Thromboxane A2 84, Facial Muscle Nerve supply = Facial Nerve and mandibular Nerve (Both were in the same option too) 85, Ligamentum arteriosum is associated with which nerve = Left recurrent laryngeal nerve (left recurrent laryngeal nerve) 86. Treatment of cystic ance in pregnant female that lead to fetal abnormalities > Vitamin A (it is teratogenic and leads to congenital abnormalities) 87. Acidic duodenum causes = decreased Gastric Emplying 88. Pregnant woman came to emergency and died with in 6 hours = Amniotic fluid embolism 89, Patient in emergency, high grade fever, unconscious condition = Septic Shock 90. Diabetic ketoacidosis = Increased anion gap metabolic acidosis 91. Patient with normal adh and glucose level.but with 5 lit urine. Urine specific gravity low. > Nephrogenic diabetes insipidus (since adh is available but not acting well) 92. Patient has 5 liter urine output which investigation? > Water deprivation test 93. Causative organism of pneumonia in alcoholic patients = Klebsiella 94. Metabolic acidosis = Decreased HCO3- 95, Accident, neck injury , death. Which fragment of bone crush spinal cord = Axis ( Odontoid process is fractured that is a part of axis) 96. Inferior dislocation of humerus = Deltoid 97. Patter of infective endocarditis = damage valve - thrombus - bacteriemia- perforation. 98. Root value of femoral and obturator nerve = L2-4 99, Patient having right sided weakness and loss of vibration sense and tongue deviated to left lesion was > Medial Medullary syndrome (3.6.12 mnemonic) 100. Pregnant lady scenario, left lateral position, due to IVC compression 101. Vesicle below clavicle and above sternum = C3-4 102, ceift lip and palate = Medial nasal and maxillary 103, Foramen rotundum > maxillary nerve. offrd farm All September Attempt FCPS~1 Papers (Medexam 84 Stig; Mate eer Med-EXer Sesiossin — FEE owamate Ff fctooraneatramtrport efogenadexamenper.com 104, inferior alveolar nerve damage during left cheek accident where injury? > Lower Jaw fracture 105, Feco-oral route = Hepatitis A 106, Artery Damaged at pelvic brim = Ovarian 107. coracoacromial ans of one question. 108, Vitamin A deficiency?? = abnormal epithelial growth 109. _Diaphraghmatic pleural supplied by phrenic nerve 110. Manubrio-sternal joint = secondary cartilaginous 111. Insoluble storage iron = hemosiderin. 112, In primary dehydration = ECF becomes hypertonic. 113, Anterior to pancreas = lesser sac 114 Sequence of structures in upper eyelid = Skin + fattorbicularis occulitorbital septum+muller muscle +conjuctiva 115, Girl with amenhorrhea, webbed neck = Tumer 45XO. 116, Maximum cross sectional area of capillaries 117. Construction factory worker = silicosis 118. _Notching of ribs = postductal coarctation of aorta 119. Supply of anterior 2/3" of tongue = chorda tympani 120. Hypernatremia causes muscle weakness/cell shrinkage > Cell shrinkage 121. _Erythropiosis during intrauterine life lower end of femur 122, Posterior arcuate fibre form? = Posterior spinocerebellar tract 123, Ligamenum teres is = Remnant of left umbilical vein 124. Drug excretion and metabolism is effected on = poor liver function 125. __ After surgery patient develope swelling incisional hernia confirmed.--> Fascia transversalis 126, Between meals = glycogenolysis, 127. Intahepatic protein anabolism and extrahepatic catabolism = cortisol 128. 10 year old boy developed shortness of breathing on exertion? = TOF 129. __ New Born baby was alright for 6 hours after that she developed blue discolration of lips and hands. Dx? = Transposition of great vessels 130, One senario of pulmonary tuberculosis. 131 TRALI with in 24hrs 132. Conduction aphasia.aretry involved = Mca superior branch,Mca inferior branch, Ant choroidal Angular branch is the best option (MCA inferior branch here) 133. Cn 4 palsy..what is effected..> Nystagmus of abducting eye NOTE: All The papers That have been collected ahave been discussed on our telegram group but stil this is a real crude form of papers that needs to be rechecked and modified (though have been checked once} and a few unanswered questions cfed arm all septaberAxempt FCPS-1 Papers edexamn

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