GENESIS
(Post Graduation Medical orientation Centre)
Exam : Review Exam Anatomy (Abdomen, Thorax, Extremity, Head & Neck,
Histology, Embryology, Neuroanatomy) (Exam Batch January'25)
Course: FCPS Part-1 Discipline: Surgery & Allied
Batch: Online P-1 Surgery Exam Plus Batch-3 Jan'2025
Year: 2025 Session: January'25 P-1 Candidate
(1 of 50 )
Which one of the following arteries is a direct branch of the aorta?
a) Fifth lumbar artery
b) Inferior suprarenal artery
c) Hepatic artery
d) Right deep circumflex iliac artery
e) Lateral sacral artery
(2 of 50 )
Most important support of rectum is-
a) Internal anal sphincter
b) External anal sphincter
c) Perineal body
d) Puborectal sling
e) Fascia of waldeyer
(3 of 50 )
During development of the human embryo the midgut bends around an artery to form the 'midgut loop'. Which of the
following arteries does the midgut bend around?
a) Coeliac trunk
b) Inferior mesenteric
c) Proper hepatic
d)| Splenic
e) Superior mesenteric
(4 of 50 ) A female patient came with urinary incontinence, on examination found bladder neck sublaxation, which structure
support the bladder neck of a female
a) Levator ani muscle
b) Pubocervical ligament
c) Pubourethral ligament
d) Puborectalis muscle
e) Coccygeous muscle
(5 of 50 )
Two teenagers are playing with an air gun when one accidentally shoots his friend in the abdomen. He is brought to the
emergency department. On examination there is a bullet entry point immediately to the right of the rectus sheath at the level
of the 1st lumbar vertebra. Which of the following structures is most likely to be injured by the bullet?
a) Head of pancreas
b) Right ureter
c) Right adrenal gland
d) Fundus of the gallbladder
e) Gastric antrum
(6 of 50 )
Which segment of liver is supplied by both hepatic arteries.
a) Segment I
b) Segment II
c) Segment IV A
d) Segment V
e) Segment III
(7 of 50 )
A 20 year old man undergoes an open appendicectomy performed via a lanz incision. This surgeon places the incision on a
level of the anterior superior iliac spine in an attempt to improve cosmesis. During the procedure the appendix is found to be
retrocaecal and the incision is extended laterally. Which of the following nerves is at greatest risk of injury?
a) Genitofemoral
b) Ilioinguinal
c) Obturator
d) Lateral femoral cutaneous
e) Femoral
(8 of 50 )
A 24 year old man falls and lands astride a manhole cover. He suffers from a injury to the anterior bulbar urethra. Where will
the extravasated urine tend to collect?
a) Lesser pelvis
b) Connective tissue of the scrotum
c) Deep perineal space
d) Ischiorectal fossa
e) Posterior abdominal wall
(9 of 50 )
Which are site for ectopic testis
a) Deep inguinal ring
b) Superficial inguinal ring
c) Mid inguinal pouch canal
d) Perineum
e) Neck of the scrotum
(10 of 50 )
A patient coming with haematemesis having duodenal ulcer. Which of the following artery is the most common cause of
bleeding?
a) Left gastric artery
b) Gastro-duodenal artery
c) Left gastro-epiploic artery
d) Splenic artery
e) Superior pancreatoduodenal artery
(11 of 50 )
The duodenojejunal flexure is held in place by which of the following structures?
a) Greater omentum
b) Ligament of Trietz
c) Hepatoduodenal ligament
d) Lesser omentum
e) Lienorenal ligament
(12 of 50 )
Right ovarian vein drains into which structure-
a) Inferior venacava
b) Azygos vein
c) Right renal vein
d) Right suprarenal vein
e) Internal pudendal vein
(13 of 50 )
A 38 years old woman was seen in the outpatient clinic complaining of a boil located on her labia majora. Lymphatic spread
of the infection would most likely enlarge which nodes?
a) Lumbar
b) Sacral
c) External iliac
d) Superficial inguinal
e) Internal iliac
(14 of 50 )
A 30 years old female presents with acute cholecystitis which nerve root is involved for shoulder tip pain?
a) C1
b) C2
c) C3
d) C4
e) C5
(15 of 50 ) Regulation of bile secretion is controlled by -
a) Sphincter of Oddi
b) Sphincter of Boyden
c) Sphincter of Wirsung
d) Common bile duct
e) Sphincter of Santorini
(16 of 50 )
A 40-year-old man is undergoing a distal pancreatectomy for trauma. Which of following vessels is responsible for arterial
supply to tail of pancreas.
a) Splenic artery
b) Pancreaticoduodenal artery
c) Gastric artery
d) Hepatic artery
e) Superior mesenteric artery
(17 of 50 )
Ischiorectal fossa acts as a cushion of anal canal. The anterior wall of ischiorectal fossa is formed by –
a) Anal Fascia
b) Perineal membrane
c) Pelvic diaphragm
d) Colle’s fascia
e) Gluteus maximus
(18 of 50 )
Directly open into right atrium
a) Great cardiac vein
b) Middle cardiac vein
c) Small cardiac vein
d) Posterior vein of left ventricle
e) Anterior cardiac vein
(19 of 50 )
Which of the following nerve commonly get injured during axillary dissection along with radical mastectomy?
a) Axillary nerve
b) Intercostobrachialnerve
c) Upper subscapular nerve
d) Lower subscapular nerve
e) Thoracodorsal nerve
(20 of 50 )
A radiologist examines posterior–anterior chest radiographs of a 27-year-old victim of a car accident. Which of the
following structures forms the right border of the cardiovascular silhouette?
a) Arch of the aorta
b) Pulmonary trunk
c) SVC
d) Ascending aorta
e) Left ventricle
(21 of 50 )
Which segments of lung is most common site for tuberculosis?
a) Apical segment of right upper lobe
b) Apical segment of right lower lobe
c) Anterior segment of right upper lobe
d) Posterior segment of right upper lobe
e) Apical segment left lower lobe
(22 of 50 )
Coronary artery bypass grafting surgery is done to re-establish blood supply distal to obstruction. which of the following
coronary artery is mostly occluded?
a) Anterior interventricular branch of left coronary artery (LAD)
b) Left coronary artery
c) Circumflex branch of left coronary artery
d) Diagonal branches of anterior interventricular artery
e) Left marginal branch of the circumflex artery
(23 of 50 )
Cardiac dominance of heart is determined by contribution of posterior interventricular artery in cardiac blood supply. In
majority population, posterior interventricular artery arises from:
a) Left coronary artery
b) Right coronary artery
c) Left anterior descending artery
d) Ascending aorta
e) Diagonal artery
(24 of 50 )
Heart develops from common heart tube. Which of the following part is developed other than heart tube?
a) Right atrium- anterior rough part
b) Left atrium- posterior smooth part
c) Left ventricle- inflowing part
d) Right ventricle-outflowing part
e) Right ventricle- moderator band
(25 of 50 )
A patient have tumor confined to posterior mediastinum. This could compress which of following structure?
a) Trachea
b) Descending aorta
c) Arch of aorta
d) Arch of azygos vein
e) Phrenic nerve
(26 of 50 ) While performing oesophagectomy through a right thoracotomy the surgeon suddenly noticed a gush of blood.
After controlling the haemorrhage he realised that there was tear in a large venous structure located in the posterior
mediastinum that empties into the superior vena cave. Which of the following venous structures was most likely to be
injured?
a) Cephalic vein
b) Basilic vein
c) Brachiocephalic vein
d) Azygos vein
e) External jugular vein
(27 of 50 )
Which nerve is most commonly involved in the supracondylar fracture of the humerus?
a) Axillary nerve
b) Radial nerve
c) Median nerve
d) Musculoskeletal nerve
e) Ulnar nerve
(28 of 50 )
A 30-year-old male come to emergency department with history of stab injury in buttock. He can’t stand up from sitting
position after injury. What is the root value of injured nerve in these patients?
a) L4, L5
b) L4, L5 S1
c) L3, L4, L5
d) L5 S1, S2
e) S1, S2
(29 of 50 )
Which type of synovial joint is present in elbow joint?
a) Ellipsoid
b) Hinge
c) Ball and socket
d) Plane
e) Bicondylar
(30 of 50 ) A 2-year-boy presents with midfacial and mandibular hypoplasia, cleft palate, deformed external ear, and defect
in hearing. Which of the following embryonic structures is most likely developed abnormally-
a) First pharyngeal arch
b) Second pharyngeal arch
c) Third pharyngeal arch
d) Fourth pharyngeal arch
e) Sixth pharyngeal arch
(31 of 50 )
A 58-year-old woman comes to the hospital and complains of progressive loss of voice, numbness, loss of taste on the back
part of her tongue, and difficulty in shrugging her shoulders. Her MRI scan reveals a dural meningioma that compresses the
nerves leaving the skull. These nerves leave the skull through which of the following openings?
a) Foramen spinosum
b) Foramen rotundum
c) Internal auditory meatus
d) Jugular foramen
e) Foramen lacerum
(32 of 50 ) A 25 years old male presented to OPD with the complaints of sweating over the right side of face during eating.
He has history of surgery 6 months back. Attending physician diagnosed as a case of Frey’s syndrome. Surgery of which
organ is associated with such type of complication?
a) Parotid gland
b) Thyroid gland
c) Lacrimal gland
d) Sublingual gland
e) Submandibular gland
(33 of 50 ) A 64 years old man has a suspected lymphoma and lymph node biopsy from the posterolateral aspect of the right
neck is planned. Which of the nerves listed is greater risk?
a) Long thoracic
b) Accessory
c) External laryngeal
d) Facial
e) Vagus
(34 of 50 ) The common carotid artery usually bifurcates into the external and internal carotids at which one of the following
levels?
a) C2
b) C4
c) C6
d) C7
e) C8
(35 of 50 ) The palatoglossus and levator veil palatini muscles are both innervated by:
a) Mandibular nerve
b) Cranial nerve X
c) Cranial nerve XII
d) Cranial nerve IX
e) Cranial nerve XI
(36 of 50 )
A 39-year-old woman presents to your clinic with complaints of headache and dizziness. She has an infection of a cranial
dural sinus. The sinus that lies in the margin of the tentorium cerebelli and runs from the posterior end of the cavernous
sinus to the transverse sinus is infected. Which of the following sinuses is affected by inflammation?
a) Straight sinus
b) Inferior sagittal sinus
c) Sphenoparietal sinus
d) Superior petrosal sinus
e) Cavernous sinus
(37 of 50 ) Injury to which of the following nerves will paralyse the lateral rectus muscle of the eyeball?
a) Oculomotor
b) Trigeminal
c) Abducent
d) Trochlear
e) Optic
(38 of 50 ) Following which one is passing through the center of the cavernous sinus?
a) Oculomotor nerve
b) Ophthalmic division of trigeminal nerve
c) Trochlear nerve
d) Abducent nerve
e) Vagus nerve
(39 of 50 ) The ophthalmic artery emerges through which of the following foramina to reach the eye?
a) Optic canal
b) Foramen spinosum
c) Superior orbital fissure
d) Foramen rotundum
e) Inferior orbital fissure
(40 of 50 ) Transverse section at level of superior colliculus not found
a) Red nucleus
b) III cranial nerve
c) All four lemniscus
d) Reticular formation
e) Tegmental decussation
(41 of 50 ) Hypothalamic nuclei which regulate circadian rhythms-
a) Supraoptic nuclusi
b) Paraventricular nucleus
c) Lateral hypothalamic nucleus
d) Suprachiasmatic nucleus
e) Medial hypothelamic nucleus
(42 of 50 ) The posterior communicating artery of the cerebral arterial circle (of Willis) directly connects the posterior
cerebral artery to the:
a) Anterior communicating artery
b) Ophthalmic artery
c) Internal carotid artery
d) Anterior cerebral artery
e) Vertebral artery
(43 of 50 ) Lower lip is develop from which prominence
a) Medial nasal
b) Lateral nasal
c) Mandibular
d) Frontonasal
e) Maxillary
(44 of 50 ) The glossopharyngeal nerve is derivatives of the which pharyngeal arch
a) 1st
b) 2nd
c) 3rd
d) 4th
e) 6th
(45 of 50 ) Appendix of testis is developed from
a) Mesonephric duct
b) Paramesonephric duct
c) Pronephric duct
d) Mesonephron
e) Metanephron
(46 of 50 ) Philtrum of upper lip is developed from the which prominence
a) Frontonasal
b) Maxillary
c) Medial nasal
d) Lateral nasal
e) Mandibular
(47 of 50 ) Auditory tube is develop from which pharyngeal pouch
a) 1st
b) 2nd
c) 3rd
d) 4th
e) 5th
(48 of 50 ) Hassall’s corpuscles present in -
a) Lymph node
b) Spleen
c) Thymus
d) Palatine tonsil
e) Thyroid gland
(49 of 50 ) Mode of secretion of sebaceous gland
a) Apocrine
b) Holocrine
c) Merocrine
d) Exocrine
e) All of the above
(50 of 50 ) True end artery -
a) Splenic artery
b) Artery dorsalis pedis
c) Central artery of retina
d) Dorsal artery of penis
e) Artery to adrenal gland
