7/23/2019 Gynaecology. Part 1 http://slidepdf.com/reader/full/gynaecology-part-1 1/70 Below are the MCQs of FCPS Part1 Gynaecology/Obstetrics Paper July !!"# $uestion no 1#e%ersion of en&ocer%ical epitheliu' in pregnancy is &ue to# a(physiological change b(chronic cer%icitis c(carcino'a in situ &(estrogen sti'ulation e(epi&er'a&i)ation of epitheliu' Pri'ary oocyte surroun&e& by a non cellular layer# a(theca interna b(theca e*terna c(corona ra&iata &(cu'ulus oophurus e()ona pelluci&a $uestion no +# si'ple colu'nar epitheliu' is the lining of# a(epitheliu' lining the &ucts b(cornea c(testis &(uterine tubese( $uestion no ,#,- years la&y has carcino'a cer%i* that has in%ol%e& the cer%i* an& has in%ol%e& the %agina but not its lower thir& an& has not e*ten&e& onto pel%ic walls stage of ca# a(stage 1ab(stage 1bc(stage 11&(stage 111e(stage , $uestion no .#+- years la&y has en&o'etrial ca that has in%ol%e& upto half the ticness of 'yo'etriu' an& o%aries are nor'al stage# a(stage 1a b(stage 1b c(stage 1c &(stage 11 e(stage 111 $uestion no 0#! yrs ol& girl has been rape&she has now watery %aginal &ischargehas painful re& papules n ulcers on %agina an& %ul%a has fe%er an& ten&er inguinal ly'ph no&escausati%e organis'# a(bacteroi&es b(chla'y&ia c(herpes si'ple* &(gonococcus e(tricho'onas %aginalis "# a 'arrie& wo'an has right si&e& tubulo o%arian abscess which was re'o%e& in a surgery ha& an iuc& place& beforecausati%e organis'# a(chla'y&ia
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Below are the MCQs of FCPS Part1 Gynaecology/Obstetrics Paper July !!"#
$uestion no 1#e%ersion of en&ocer%ical epitheliu' in pregnancy is &ue to#a(physiological change
b(chronic cer%icitisc(carcino'a in situ&(estrogen sti'ulatione(epi&er'a&i)ation of epitheliu'
Pri'ary oocyte surroun&e& by a non cellular layer#a(theca internab(theca e*ternac(corona ra&iata&(cu'ulus oophuruse()ona pelluci&a
$uestion no +#si'ple colu'nar epitheliu' is the lining of#a(epitheliu' lining the &uctsb(corneac(testis&(uterine tubese(
$uestion no ,#,- years la&y has carcino'a cer%i* that has in%ol%e& thecer%i* an& has in%ol%e& the %agina but not its lower thir& an& has note*ten&e& onto pel%ic walls stage of ca#a(stage 1ab(stage 1bc(stage 11&(stage 111e(stage ,$uestion no
.#+- years la&y has en&o'etrial ca that has in%ol%e& upto half the ticnessof 'yo'etriu' an& o%aries are nor'al stage#a(stage 1ab(stage 1bc(stage 1c&(stage 11e(stage 111
$uestion no 0#! yrs ol& girl has been rape&she has now watery %aginal&ischargehas painful re& papules n ulcers on %agina an& %ul%a has fe%eran& ten&er inguinal ly'ph no&escausati%e organis'#a(bacteroi&es
following in%estigation is least liely to benefit#a(clotting ti'eb(F9Psc(prothro'bin ti'e&(platelet counte(serial fibrinogen le%els
1"2+! yrs 'ale has &yspnea on lying &owne*a'ination re%eale&#a('ultino&ular goitreb(retrosternal goitrec(colloi& goitre&(col& no&ule
1-#cortisol#a(increases a'ino aci&s n glucose in bloo&b(is a glucocorticoi&c(is foun& in circulation boun& to proteins&('etabolise& in li%ere(for'e& fro' cholesterol
132J;P is &ifferentiate& fro' caroti& pulse#a(&oes not change with ab&o'inal pressureb(&oes not change with posturec(&oes not change with respiration&(pulsation %aries with respiratione(pro'inent outwar& 'o%e'ent
!2a 'ultigra%i&a a&'itte& with labour pains e*a'ination re%eale& os 0 c'&ilate&baby cephalican& hea& at )ero stationthe point of reference is#a(ischial tuberosityb(pubic archc(pubic sy'physis&(ischial spines
e(sacral pro'ontory
12at 5SCS the artery &a'age& in superficial fat in suprapubic incision#a(inferior epigaS<=>C arteryb(superior epigastric arteryc(internal iliac artery
2following is not a tu'or 'arer#a(aci& phosphataseb(beta hCGc(alpha fetoproteins&(C?7e(placental alaline phosphatase
+2$uestion o +#beta hCG#a(it is a polypepti&eb(it has action si'ilar toFS6c(it pre%ents in%olution of corpus luteu'&(e(
,#a&renal 'e&ulla will selecti%ely secrete norepinephrine in thecon&ition#a(e*erciseb(sleepc(col& e*posure&(he'orrhagee(
.#car&iac output is &ecrease& in#a(pregnancyb(stan&ing or sitting fro'
0#car&iac output is &ecrease& in all e*cept#a(sleepb(star%ationc(sitting&(e(
"#epinephrine will selecti%ely onstrict 'usclesin#a(arteriolesb(bronchiolesc(ciliary 'uscle&(pupilse(intestinal walls
-#spores shoul& be &isinfecte& by#a(&ry heat at 1!!cb(&ry heat at 0!cc(&ryheat at 10!c&(ci&e* solutione('oist heat
3#following is not a &isinfectant#a(&eri%ati%es of salicylic aci&b(alcoholc(soap&(e(
$uestion no +!# that she ha& urinary incontinence&ue to in4ury an&
co''unication in#a(ureter n bla&&erb(ureter n %aginac(bla&&er n cer%i*&(bla&&er n %aginae(bla&&er n uterus
$uestion no +1 erineal bo&y is in4ure&'uscle &a'age& is#a(bulbospongiosis n superficial perineal 'usclesb(superficial n &eep perineal 'usclesc(e*ternal anal sphincter n &eep perineal 'uscles&(ischioca%ernosus n sphincter urethrae
e(sphincter urethrae n &eep perineal 'uscles
+Pu&en&al ner%e#a(for'e& fro' ant pri'ary ra'i of secon& thir& n fourth sacral spinalner%esb(crosses the ischial spine 'e&ial to internal pu&en&al arteryc(enters the pu&en&al canal on the lateral si&e of ischiorectal fossa&(lea%es the pel%is by passing through the upper part of greater sciaticfora'ene(reenters the pel%is through lesser sciatic fora'en
++#following &oes not for' wall of inguinal canal#a(aponeurosis of e*ternal obli$ueb(internal obli$uec(con4oint ten&on&(lacunar liga'ente(fascia trans%ersalis
+,#following &oes not pass through lesser sciatic fora'en#a(inferior gluteal %esselsb(ten&on of obturator internusc(ner%e to obturator internus
no +0#left o%arian artery is a branch of#a(ab&o'inal aortab(left renal arteryc(uterine artery&(left inferior 'esenteric arterye(obturator artery
$uestion no +" Patient ha& laparoto'y for o%arian 'ass 'ass was burrie&in o%arian fossa artery liely to be in4ure& is#a(co''on iliac%esselsb(internal iliac %esselc(e*ternal iliac %essel&(o%arian
arterye(obturator artery
$uestoion no +-#insulin sti'ulates transport of glucose into#a(renal tubular cellsb(neurons of cerebral corte*c(seletal 'uscle&(intestinal cellse(li%er
$uestion no +3#the secretion of following is not increase& in pregnancy#a(cortisolb(growth hor'onec(thyroi& hor'one
&(prolactine(P<6
$uestion no ,!#a patient ha& hypophsecto'y for pituitary tu'or she hasa'enorrhea for - 'onths o%ulation in&uction can be &one in her by#a(clo'iphene citrateb(pulsatile hCGc(hMG&(hMG followe& by pulsatile hCG
$uestion no ,1#following &oes not occur in pregnancy#a(increase in fasting bloo& sugarb(increase in uric aci& le%elc(increase in seru' urea le%el
&(&ecrease in seru' albu'ine(&ecrease in seru' proteinse(&ecrease innitrogen le%els
$uestion no ,#respiratory aci&osis occurs in#a(e'physe'ab(hyper%entilationc(ingestion of e*cess a'ount of so&iu' bicarbonate&(star%atione( %o'iting
$uestion no ,+#CO is transporte& fro' the al%eoli of lungs into bloo& inlungs %ia#a(&iffusionb(acti%e transportc(facilitate& &iffusion
&(secon&ary acti%e transporte(os'osis
$uestion no ,,#O:6b &issociation cur%e &eli%ering O in nor'al li'its willha%e#a(PaO ,!''6g SO 0!@b(PaO 0-''6g SO "-@c(PaO 30''6g SO 3!@&(PaO 1+''6g SO 3-@e(PaO .0''6g SO 33@
$uestion no ,.#b:hCG has alpha n beta unitseach unit hasa'inoaci&s#a(1! alpha 1! betab(1!!alpha n 10! betac(3 alpha n 1.0beta&(e(
$yuestion no ,0#'others 'il &iffers fro' cows 'il in that itcontains#a(calciu'b(lactosec(proteins&(%ita'in 9
$uestion no ," Pel%ic outlet#a(can b increase& in supine positionb(begins at the le%el of ischial spinesc(&i'ensions change by 'o%e'ents of coocy*&(contracture is 'ore co''on than 'i& ca%ity proble'e(
$uestion no ,- Patient has en&ocrine &isor&er has 'etabolic alalosis an&hypoale'iahe has e*cess
$uestion no ,3#hor'one that stores carbohy&rates lipi&s n proteins in cellsis also nown as hor'one of abun&ance#a(growthhor'oneb(cortisolc(thyroi& hor'one&(estrogene(progesterone
$uestion no .!#hyperglyce'ia is cause&by#a(insulinb(glucagonc(estrogen&(progesteronee(gr owth hor'one
$uestion no .1#etoaci&osis is cause& by#a(increase& pro&uction of glucoseb(&ecrease& pro&uction of glucpoosec(&ecrease& utilisation of carbohy&rate in bo&y
&(insulin e*cess
$uestion no .#insulin secretion is stoppe& by#a(glucagonb(&ecrease& le%elsc(so'atostatin&(e(
$uestion no .+#hor'one that stores carbohy&rateslipi&s n proteins in bo&yis#a(growth hor'oneb(thyroi& hor'onec(cortisol&(insuline(P<6
$uestion no .,#- yrol& girl has %aginal blee&ing she is taller than her agean& e*a'ination re%eale& an ab&o'inal 'as arising fro' pel%is she issuffering fro'#a(constitutionalA sy'pto'sb(hypothala'ic tu'orsc(hypothala'ic 'ass
&(granulosa cell tu'ore(a&renal glan& tu'or
$uestion no ..#least positi%e titre for wi&al testisa(1#-!b(1#10!c(1#0!&(1#+!e(1#1.0
$uestion no .0#all of the following can b store& at ,ce*cept#a(shigellab(%ibrio cholerac(&(e(
$uestion no ."#%accine is a%ailable for alle*cept#a(?B;b(typhusc(pneu'ococcus&(e(
$uestion no .-Patient has presente& with fe%er n generalise&ly'pha&enopathy bone 'arrow e*a' nor'alweight loss positi%ehe issuffering fro'#a('etastatic carcino'ab(hogins ly'pho'ac(non hoginsly'pho'a&(CM5e(
$uestion no .3 Patien is taing glucocorticoi&s for 1! &aysshe wont sufferfro'#a('oon faceb(hypotensionc(thin sin&(e(
$uestion no 0!#gestational age can best be esti'ate& fro'#a(ab&o'inalcircu'ference at +0 wsb(biparietal &ia at - wsc(crown ru'p length at -ws&(fe'ur length at + wse(
$uestion no 01#turners syn&ro'e'ost &efiniti%e &iagnostic test#a(presenceof barr bo&yb(chro'oso'al analysis
$uestion no 0#1, yrs girl has pri'ary a'enorrheanor'al breast&e%elop'entsecon&ary se*ual characteristics nor'alshort blin& en&ing%aginaslight pubic hairusg re%eale& absent uterusun&erlying cause#a(congenital a&renal hyperplasiab(chro'oso'al &efectc(failure f &e%elop'ent of genital tubercle&(&efect of para'esonephric &uct
$uestion no 0+#the lu'en of uterine ca%ity is obliterate& by fusion of#a(&eci&ua basalis n spongy layer
b(&eci&ua basalis n &eci&ua capsularisc(&eci&ua capsularis n &eci&ua parietalis&(&eci&ua parietalis n &eci&ua basalise(
$uestion no 0,#a wo'an has been e*pose& to ra&iation in young lifenowshe has %isite& a gynaecologist after so'e yearsorgan 'ost liely to baffecte&#a(fallopian tubesb(cer%i*c(o%ary&(en&o'etriu'e(%agina
$uestion no 0.#repeate& bloo& transfusions 7B n =h co'patible( in anin&i%i&ual will lea& to#a(hae'ochro'atosis ofli%erb(hypocalce'iac(hae'oglobinuria&(transfusion reactione(
$uestion no 00# =h inco'patibility occurs in a 'other if she has#a(=hnegati%e fetusb(=h positi%e fetusc(&(e(
$uestion no 0"#the best way to pre%ent =h isoi''unisation in a wo'anwho has gi%en birth to =h positi%e fetus#a(bloo& transfusionb(platelettransfusionc(seru'&(=h i''unoglobulinse(
$uestion no 0-#a person brought in er ha& burnshe was a&'itte& later onhe &e%elope& fe%er an& blee&ing &iathesishe is sufferingfro'#a(9>Cb(hepatorenal failurec(hepatic failure of prothro'binpro&uction&(renal failuree(
$uestion no 03#following is not a cause of 9>C#a(pre ecla'siab(a'nioticflui& e'bolis'c(cer%ical carcino'a&(abruptio placentaee(PP6
$uestion no "!#following is not a cause of 9>C#a(abruptioplacentaeb(burnsc('alignant tu'ors&(e(
$uestion no "1#'ultigra%i&a P3! &eli%ere& a boy in a %illage hours latershe starte& blee&ing profusely ha& oo)ing fro' gu's she was brought tohospital her labs showe& hb 0 <5C 1.!!!/ul platelets +!!!!/ul she issuffering fro'#a(9>Cb(PP6c(clotting &isor&er&(blee&ing &iathesise(><P
$uestion no "#" year ol& fe'ale ha& profuse %aginal blee&ing hrs after&eli%ery her labs showe& hb 0 <5C 1.!!!/ul plt +!!!!/ul peripheral bloo&fil' showe& burr bo&iesshe is suffering fro'#a(9>C
b(PP6c(><P&(%on willebran& &isease
$uestion no "+#%it &irectly influences & reaction#a(con%ersion offibrinogen to fibrinb(prothro'bin to thro'binc(acti%ation of factor"&(for'ation of fibrinogen
$uestion no ",#intrinsic n e*trinsic pathways con%erge upon#a(acti%ation offactor "ab(acti%ation of factor .ac(factor 1a&(prothro'bine(tissue factor
$uestion no ".#bacteria that grow at ,c#a(%ibriocholerab(gonococcusc(shigella&(?colie(sal'onella
$uestion no "0#following is not true about en&ocar&itis#a(bloo& cultures forcausati%e organis's r usually negati%eb(is cause& by streptococcus groupof bacteriac(is 'ore co''on in el&erly group&(%al%ular in%ol%e'ente(
$uestion no ""#cause f subacute bacterialen&ocar&itis#a(62influen)aeb(?colic(streptococcus %iri&ans&(e(
$uestion no "-#interferon#a(bin&s to 987bbin&s to =87c(is a protein&eri%ati%e&(inhibits protein synthesis n their phosphorylation
$uestion no "3#highest energy co'poun&#a(7<Pb(glucosec(he*osephosphate&(starche(glycogen
$uestion no -!#the en& pro&uct of carbohy&rate'etabolis'#a(fructoseb(glucosec(galactose&(starche (pyru%ate
$uestion no -1#5:&opa taen by a patient will &ecrease#a(estrogenb(progesteronec(prolactin&(cortisole(
$uestion no -#isonia)i&#a(cant b a&'inistere& with rifa'picinb(iscontrain&icate& in nephropathyc(pyri&o*ine is use& prophylactically topre%ent its neuroto*ic effects&(e(
$uestion no -+#hepatitis b following is not true#a(has an incubation perio&less than that of hep ab(cause& by se*ual contactc(cause& by 987 %irus&(e(
$uestion no -.#actino'yces &oes not cause &isease in#a(boneb(lungc(brain
$uestion no -0#&isse'inate& cocci&io&o'yces following is nottrue#a(infection will not pro%i&e life ti'e i''unityb(c(&(e(
$uestion no -"#'i&&le age& 'an crossing the roa& stu'ble& n hit by a carhe fell &own ha& in4ury to nec of fibula of his left leg was taen to hospe*a'ination re%eale& that he is unable to &orsifle* an& e%ert his left footthe in4ury is to#a(co''on peronel ner%eb(tibialis postc(superficial peroneal ner%e
&(&eep peroneal ner%ee(
$uestion no --#?CF#a(pro%i&es nutrients to cellsb(pro%i&es glucose tocellsc(bathes the cells&(taes away electrolytese(taes away wastes
$uestion no -3#sper'atogenesis is sti'ulate&by#a(FS6b(testosteronec(56&(FS6 n testosteronee(
$uestion no 3! atient brought in shoc in er successful flui& replace'entwill b in&icate& by#a(&ecrease in tachcar&iab(increase in bpc(increase inurine output&(e(
$uestion no 31#car&oiac cycle#a(0!@ of %entricular filling occurs in&iastoleb(en& &iastolic left %entricular %ol is 1!! 'lc(e4ection fraction is".@&(the notch of & pulse is &ue to atrial systolee(
$uestion no 3#a 'an has a pulse rate of "/'in i'pulse originates in#a(7;no&eb(S7 no&ec(left bun&le branch&(purin4e fibrese(
$uestion no 3+#'uscles r &eri%e& fro'#a('eso&er'b(ecto&er'c(en&o&er'
$uestion no 3,#in our country & cause of cell inu4uryis#a(alcoholb(hypo*iac(ische'ia&(ionising ra&iatione('alnutrition
$uestion no 3.#in our country cause of fatty li%eris#a(alcoholis'b(a'oebiasisc(&ue to hep b n c&(increase intae offats&ecrease& protein utilisation
$uestion no 3"#in & fe'ale & nec of urinary bla&&er is locate& #a(in front ofrectu'b(below & urogenital &iaphra'c(in & urogenital &iaphra'&(abo%e &urogenital &iaphra'e(behin& sy'phsis pubis
$uestion no 3-#the highest content of triglyceri&es is in#a(chylo'icronre'nantsb(695c(595&(>95e(;595
$uestion no 33#following is not aphospholipi&#a(cephalinb(lysolecithinc(lecithin&(plas'inogene(sphingolipi&
$uestion no 1!!#a hu'an being can sur%i%ewithout#a(calciu'b(proteinsc(carbohy&rates&(lipi&s e(
$uestion no 1!1 Patient has pyuria but has negati%e urine culture fororganis's this happens in all con&itions e*cept#a(acute post streptococcal glo'erulonephritisb(polycystic i&neysc(urine store& at roo' te'p for long&(alaline urinee(%esical calculus
$uestion no 1!#broa& liga'ent a &ouble layere& fol& of peritoneu' o%aryis attache& to it by#
a('esoo%ariu'b(suspensory liga'ent of o%aryc(roun& liga'ent of o%ary&(car&inal liga'ent
Below are the MCQs of FCPS Part1 Gynaecology/Obstetrics Paper October!!"#
12Dhich of the following &oes not for' the wall of perineu'
27 pt presente& with pain on &efecation after se%ere constipation2pain inconstipation occurs &ue to E72autono'ic ner%esB2>nternal pu&en&al arteyC2pu&en&al ner%e
+25y'ph &rainage of perianal sin is fro' one of the following
72internal iliac no&es
B2e*ternal iliac no&esC2lateral group of hori)ontal superficail no&es92'e&ial group of hori)ontal superficail no&es?2%ertical group of no&es
,25esser o'entu'72connects with &eu&enu'B2for's falcifor' liga'entC2relate& to left a&renal glan&92relate& to left i&ney?2relate& to rt i&ney
.27 young girl of . yrs went with her husban& on honey 'oon after one
'onth of 'arriage2she su&&enly e*periance& se%ere spas'otic pain in herrt iliac fossa2n presente& in e'ergency in state of shoc2'ost probable&iagnosis is722acute appen&icitisB2renal colicC2intestinal obstruction92ectopic Pregnancy?2acute cholecystitis
02which of the following structure is not palpable through %agina72cer%i*B2rectu'
"2<he peritoneu' co%ers the anterior ab&o'inal wall which is continouswith the perineu'2it has fascia which has superior n inferior layers2theinferior fascial layer also calle& as72colles fasciaB2scarpe fasciaC2perineal 'e'brane922222fascia?222222fascia
-2>f a nown hypertensi%e pt too so'e &iuretic n &ie& in 0 hours2wat is thecause72acute renal failureB2chronic renal failureC2&iuretic use92hypophosphate'ia?2hypoale'ia E
72'o%es laterally to open 'e&ialy in the o%ariesB2present at the base of broa& liga'entC2is 0c' long in a&ults92has an ab& ostiiu' which is !2.'' when &ilate&?2e*ten& abo%e the fun&us of uterus
72ecto&er' of n& brachial pouchB2en&o&er' of n& brachial pouchC2ecto&er' of +r& brachial pouch92en&o&er' of +r& brachial pouch?2'eso&er' of +r& brachial pouch
1027 pt presente& with an opening in the ant wall of sternocle&o'astoi&'uscle with pussy &ischarge co'ing out of it2this proble' occure& &ue toabnor'ality in one of the following
72 absence of pleuro:pericar&ial 'e'braneB2 absence of septu' trans%ersu'C2 absence of pleuro:peritoneal 'e'brane92 absence of central ten&on?2 absence of archE
1-2?rythropoises occurs in 'i&&le tri'ester 'ainly fro'
72li%erB2i&neyC2spleen92bone 'arrow?2both li%er n i&ney132Superior parathyroi& glan& &e%elops fro'
72anti SS antibo&iesB2anti 9S antibo&iesC2=792anticentro'ere antibo&ies?2anti'itochon&rial antibo&ies
+02Most &angerous Si&e effect of estrogen therapy is
72 suppression of lactationB2 hirsutis'C2thro'bophlebitis92osteoporosis?2222222222
+"2>f a pt is on long ter' corticosteroi& therapy2she wil 'ost probably ha%increase& ris of
72repeate& infections
B2&ecrease woun& healingC2osteoperosis n fractures9222222222?2222
+-2Platelets r store& at roo' te'prature because
72to opti'ise its functionEB2to 'aintain its nu'berC2to a%oi& allergic reaction92 to increase nu'ber?22222
+32Dhich is 'ost i'p in&icator of 'uscle protein loss
72ureaB2a''oniaC2none of abo%e92uric aci&?2 E
,!2wat is true about 987
729ouble stran&e& in which two stran&s are antiparallel to each otherB2 a single turn of 987 is n'
C2Can e*ist as heli* in single stran&e& for' as well as in 9ouble stran&e&for'92?2,127 nor'al looing Girl ca'e to you with pri'ary a'enorrheaone*a'ination she was ha%ing short blin& %agina wi& nor'al %ul%a scantypubic n a*illary hairsnor'al breastsabsent uterusher aryotype isE
72'=87 has a co&onB2'=87 has antico&onC2r=87 is 'ost abun&ant n in%ol%e as riboso'es on en&oplas'ic reticulu'92t=87 is largest?2t=87 in%ol%e in protein synthesis
0.2&eficiency of <67>M>8?B1(causes all e*cept
72car&iac ano'aliesB2'uscle wastingC2&efects in alcohlics92subacute &egenaration of spinal cor&?2cns abnor'alities in alcoholics
0027>9S is associate& with all of the following e*cept
"2>f a pt has presente& with the wart on lateral wall of introitus2the 'ostprobable &aignosis will be72fibroepithelial lesion
B2s$ua'ous cell C7 of sinC2polyp92s$ua'ous C7 of %agina?26P;
"+2Pt presente& on 1-th &ay of 'enstrual cycle her nor'al cycle is such &atshe o%ulates on &ay 1,2 Dhich phase will she be inE72follicularB2o%ulatoryC2pre 'estural92proliferati%e?2secretoryE
",2Optic groo%e appears on left si&e of forebrain on &ay721B2C2+92,?2.
".2Ger'en 'easles causes which abnor'ality2 Dhat is the 'ostappropriate answer72congenital cataractB2congenital &eafnessECcar&iac ano'aliesE
92li'b &efor'aties?22222222
"027 newborn with anterior ab& wall swelling an& u'bilical cor& attache& toit2wat is the con&ition calle&72o'phaloceleB2gastroschiaosisC2u'blical hernia92o'entocele?2intestinal 'alfor'ation
""2P< has e*ophthal'os n his <+ n <, are increase&2wat is the option fortreat'ent of e*ophthal'os
72&rugs blocing the action of <,EB2&irect suppresion of <,C2hypophysecto'y92a&'inistration of testosterone?2partial parathyroi&ecto'y
"-2<reat'ent of &iabetes in pregnant la&y is72sulphonyl ureaB2insulin
"32Statistical a%erage applicable to the 'easure'ent of a population is72'eanE
B2'o&eC2'e&ian&2stan&ar& &e%iatione2central
-!2<wo groups one with C69 an& associate& ris factors is co'pare& toanother group with C69 but no associate& ris factors2 Dhat type of stu&yis itE72 case controlB2 cohortC2 prospecti%e92 retrospecti%e?2 ran&o'
-12O*ytocin is gi%en to a pt in labour2it has effect on#72 o*ytocin receptors on cer%i*B2o*ytocin receptor on 'yo'etriu' an& en&o'etriu'C2&ec prostaglan&in recp on cer%i*92&ec prostaglan&in recp on 'yo'etriun
3!27 pt with cer%ical ly'pha&enopathy2 he has granulo'a onhistopathology2wat is the &iagnostic fin&ing in this case for <2B727FBB2caseous necrosisC2'ontou* test92*:ray
?2222222
3127 . yrs ol& 'ultiparaous presente& with lower ab& pain2on histology itshowe& soli& n cystic areas inter'i*e& but on laproscopy it was se'i soli&with brown centre2wat is the 'ost probable &aignosis72&er'oi& cystB2en&o'etrial cystC2o%arian C792eno&'etrial C7?2terato'a
327 pt presente& with pri'ary a'ennorhea2well &e%elope& secon&aryse*ual charactersticspresent breast but absent uterus2the organ not foun&
is &ue to abnor'al &e%elop'ent of 72'esonephric &uctB2para'esonephric &uctC2genital tubercle9222222222
3+27 wo'an presente& with %ul%ar itching n pinish purulent &ischarge2watis the cause72tricho'anas %aginilis
72>nfecti%ityB2reco%eryC2Chronicity92 7cute phase?2Measure of se%erity/fatality of the &isease
3.2Most co''on organis' in%ol%e in post operati%e ab&o'inal gynaecological infection is72? coliB2bacteroi&esC2chla'y&ia92tricho'onas?2go'orrhea
3027 pt presente& with lower ab& pain n purulent white &ischrge2o'laproscopy fallopian tubes were stice& together n rupture& &uringoperation2wat is the con&ition in%ol%e&72acute salpingitisB2chronic salpingitisC2pyosalpin*92hy&rosalpin*
3"2Pt has a history of infection , wees bac2now he &e%elope& sa'e painagain2wat type of cell will present at this ti'e of &isease72neutophils
B2eosinophilsC2ly'phocytes92basophils?2'ast cells
3-2Dhat is the &rug of choice for 9;< in ist tri'ester of pregnancy72aspirinB2heparinC2warfarin92in&o'ethacin?2'efana'ic aci&
1!!29eficiency of ;it K will effect all of the following e*cept
11!2>f carbohy&rate is separate& fro' proteins wat will be the fate72aggregation n precipitationB2eli'inate fron i&neyEC2increase uptae int 'uscle
11125yso)o'e contains
72glucoseB2CaC28a92 hy&rolases?2alaline phosphate
112Dhich of the following &oes not ha%e sulpha group72cysteineB2cyste&ineC2ho'ocystine92'ethionine?2threonine
11+2Dhat is not true about le%ator anni 'uscle72supplie& by 51 n 5B2puborectalis for's part of it
11,2Dhat is not true about ureter72enter the pel%is infront of co''on iliac arteryB2enter the bla&&er on superio lateral surface of trigoneC2not ha% sphincteric %al%e at opening into bla&&er92can be palpate& at pel%ic bri'?2EE11.2 MCQ on Significance72
1102 >f a test is able to both &iagnose an& eli'inate &isease& an& non:&isease& wht is it calle&E72SpecificB27ccurateC2Sensiti%e9
11"2 Fro' a population two groups are selecte& on age basis an& thensubgroups are assigne& ran&o'ly for the stu&y2wht type of sa'pling is itE72Multistage sa'plingB2Stratifie& sa'plingC2=an&o' stratifie& sa'pling
12 Following is 7utoso'al 9o'inant 9isor&era( Phenyletonuriab( 6ere&itary Spherocytosisc( 6e'ophilia 7&( Cystic Fibrosa
1+2 Source of ?strogen Progesterone in last tri'ester isa( Chorionic ;illusb( Placenta
c( O%ery&( 7&enohypophysise( Corpus 5euteu'
1,2 7bout K : =egulation following is correcta( K is 3-@ in the cellsb( nor'ally co'pletely reabsorbe& in 9istal tubulec( increase water affects K:balanceE&( &ecrease in 92K27
1.2On e*a'ination of a fe'alea pla$ue lie lesion seen on Postero:superior aspect of ;aginait is
+2 7 Pt2 ca'e in OP9 Dith enlarge& 7nt27*illary ly'ph no&es an&&iagonose& a case of CaBreast which region is 'ost liely in%ol%e&Ea( Lpper Outer Qua&rant
b( 5ower >nner Qua&rant
,2 More or less sa'e $uestion as +2 reapeate& again
.2 7 pt ca'e to you with pri'ary a'enorrhoeawebbe&necshort stature&iagnose& as <urner syn&ro'e wht is her aryotypeEa( ,.HOb( ,0HIc( ,"HHI
02 7 nor'al looing Girl ca'e to you with pri'ary a'enorrheaone*a'ination she was ha%ing short blin& %agina wi& nor'al %ul%a scantypubic n a*illary hairsnor'albreastsabsentuterusher aryotype isE
a( ,0HIb( ,"HIc( ,"HHI
"2 Dht is the best way to &etect e*act gestational age of fetusEa( C=5 at - w2b( Fe'ur length at -th w2c( Biparietal &ia'eter at 1-th w2&( 7b&o'inal circu'ference at22222
-2Sper's life span in fe'ale genital tract is Ea( , to ,- hrs
b( , to " hrs
32 Sper'atogenesis is controlle& byEa( <estosteroneb( FS6 <estosteronec( 56&( ?strogen
1!2 7l'ost sa'e as abo%e
112 >n &rug receptor relations which one is incorrectEa( Bra&ycar&ia ::: Propranololb( Miosis ::: Pilocarpine
12 Dhich one of the' &o not pass through 5esser Sciatic Fora'enEa(<en&on of obturatorinternus2b(Pu&en&al 8er%ec(>nternalPu&en&al ;essels&(sup2 inf2 gluteal %essels
1+2 >n a 'otorbie acci&ent nec of fibula fracture& an& lea& to a loss of&orsifle*ion n e%ersion of footwhich ner%e is liely to b &a'age&Ea(Co''on Peronealb(9eepperonealc(SuperficialPeroneal
1,2 Dht is 'ost liely to b true about pu&en&al ner%eEa( ?nter the ischiorectal fossa thru its lateral wallb( 5ea%e the pel%is thru upper part of greater schiatic notchc( =e enter the pel%is thru lesser schiatic notch
1.2 >f perineal bo&y is cut which 'uscle liely to b &a'age&Ea( Bulbospongiosus superficial <rans%erse Periealb( 9eep Superficial <rans%erse Perineal
102Lreter is foun& at #a( the bifurcation of co''on iliac arteryb( pel%ic bri'
1"2 >f o%aries are re'o%e& fr' o%arian fossa wht is 'ost liely to b&a'age&Ea( >nternal iliacb( uterine arteryc(O%arian artery&( ?*ternal iliac artery
1-2 <o reach the uterus uterine artery crosses the#a(Lreterb(Fallopian <ubec(5iga'ent of o%ary
132 >f Ca2Cer%i* 'etastasi)e to 5abia 'a4ora which one of these is 'ostliely responsible for sprea&Ea( =oun& lig2 Of uterusb( pubocer%ical liga'entc( pectineal liga'ent
!(which structure &o not participate in for'ing the walls of inguinal canalEa( <rans%ersalis fasciab( >nternal Obli$uec( ?*ternal Obli$ue&( Con4oint ten&one( 5acunar liga'ent
1( >f after 1 hr of ceaserian section pt start b blee&ing internally which oneis 'ost liely &a'age&Ea( Lterine arteryb( >nternal iliac a2c( O%arian artery&( uterine %ein
( >f on lying &own pt beca'e &yspnoecwht is the causeE
+( >f ptha% persistent pyuria all can be the cause e*cept#a( polycystic i&ney &iseaseb( long stan&ing alaline urine at roo' te'peraturec( Post Streptoccocus glo'erulonephritis
++( wht is the least positi%e %alue for wi&al to &iagnose typhoi&Ea( 1#-!b( 1#1!c(1#+0!
+,( <wo &ays before o%ulation 56 surge rises toa( 1 to . fol&b( , to 0 fol&c( 0 to 1! fol&
+.( %illous surroun&e& by cyto n syncitiotrophoblast is#a( Pri'ary %illousb( secon&ary %illous
c( tertiary %illous
+0(Following is not a pro%en cause of hirsuitis'Ea( 7n&rogenb( PCOsc( ste%enle%enthalsun&ro'e&(
+"( CO is transporte& fr' bloo& to al%eoli by #a( Facilitate& &iffusionb( 7cti%e transportc( 9iffusion
+-( 7cti%e transport &iffersfr' Passi%e &ue to#a( &epen& on os'osisb( re$uire carriers but no energyc( re$uires energy but no carriers&( re$uire energy by phosphate anhy&ri&e bon&
.( >f =h :%e 'other &eli%er an O %efetuswht is the best way to protectsubse$uent pregnanciesEa( >''unoglobulin
.+( wht is the lan&'ar for biscop scoring#
a( >shial Spineb( >shial <uberosity
.,( >n a wo'en of craniopharyngio'awht is the best opetion to in&uceo%ulationEa( Clo'iphen citrateb( Menopausal Gona&otropins
..( >f you gi%e 5 9opa to the pt of Parinsonis' which hor'one will&ecreaseEa( Prolactinb( FS656c( <estosterone
.0( Dhich hor'one con%ert to its acti%e for' at target tissue with the helpof . re&uctaseEa( <estosteroneb( ?strogen
."( Pt ca'e to you with eosinopeniapolycythe'ialy'phocytopenia an&raise& 7C<6 le%elwht is 'ost lielyEa( Cushing &iseaseb( Cushing Syn&ro'ec( 7&&isons &isease
.-(Dht change will not seen in a wo'en ha%ing inc2cortsiol le%elEa( 6ypotensionb( Moon facec( Buffalo <orso&( <hin sine( 6irsuitis'
.3( Main support of uterus is#a( Car&inal liga'ent
0!( =ational for storage of platelet at roo' te'p2 is #a( Opti'i)e the platelet functionb( platelet nu'ber &o not &ec2
01( Do'en brought to you in ?= in shoc who ha& a 1! pint transfusion 1!yrs bac &ue to PP6 is 'ost liely ha%ing#a( Sheehan syn&ro'e
0+( >f after 1. &ays of c:section &ue to Obstructe& 5abour pt2 &e%elope&Lrinary incontinencewht is the 'ost liely causeEa( ;esico%aginal Fistulab( ;esicouterine Fistula
0,( Dhich one is the supporting liga'ent of uterus tht is palpable on Per:rectal e*a'inationEa( Lterosacral liga'ent
-,( Dhich co'ponent is low in Cows 'il as co'pare& to 'others 'ilEa( 5actose
b( Fatc( Calciu'&( Protein
-.( ?*cess of 7l&osterone will cause#a( 6ypoale'iab( 6yperale'ia
-0( Dhich 'etho& is 'ost useful in i&entifying chro'oso'al abnor'alitiesEa( Karyotypingb( L/Sc( Bar bo&ies
-"( 9>C is relate& to all ?HC?P<#a( Cancerb( 7'niotic flui& e'bolis'c( Sepsis&( =POCse( answer
--( >n C:section insicion is gi%en in subcutaneous fat suprapubically willliely to &a'ageEa( Superior 'esenteric arteryb( 9eep Circu'fle* iliac arteryc( Superior epigastric artery
1.(which 'etho& is 'ost helpful in i&entifying chro'oso'al abnor'alitiesEa(aryotypingb(us
etc
10(a nor'allooing fe'ale ca' , pri'ary a'enorrhea on e*a'ination shewas ha%ing short blin& %agina wi& nor'al %ul%a n scanty hairherwt n ht forage were nor'al bt absence of uterusshe was othrwise a nor'allooinggirl aryotype was *ya(,0*yb(,0**etc
1"(9>C is relate& all of the following e*ceptEa(a'niotic flui& e'bolis'b(cancer
c(gra':%e sepsis&(retaine& &ea& fetuse(etcanswer(
1-(a wo'en brought hospital after ha%ing &ifficult &eli%ery at ho'e wi&blee&ing &iathesiswat is the causea(&icetcetc
13(which of the following is leat liely b effecte& by actino'ycosisa(bone
b(brainc(oral ca%ity
13(which is not the 'anifestation of chil& born wi& to*oplas'a infectionEa(pneu'oniab(cataractc('ental retar&ationetc
!(a wo'an ha%ing 'orning stiffness of han& n pericar&ial effusion whichlab fin&ing wou& help in &*Ea(anti nuclear 987b(strptolysin
+(anticoagulant are contrain&icate& in ptwi&Ea(thro'bocytopeniaetcetc
++(apt showing eosiniphilialy'phoctytopenia polycythe'ia his bloo& le%elsshow increase 7C<6 le%el which of following is the causeEa(cushing syn&ro'eb(su&hing &iseasec(a&&isons &iseaseetc
+,(ca breast will effect which of the breast $ua&rant 'ostlyEa(upper n outerb('e&ialc(inner n 'e&ialetc
+.(a wo'en ha%ing ca breast which group pflyp'h no&es is effecte&Ea(anteriora*illayetc
+0(a 'other brought her &aughter wi& %aginal blee&ing she is - yrs ol&taller , her age wi& well &e%elop breast n o&r wise nor'al which cou& b thecauseEa(constitutionalb(hypothala'icetc
+"(a 'an wi& full burns in icu &e%elop blee&ing &iathesis which cou& b thecauseEa(&icb(infectionetc
+-(a wo'en brought ?= unconciouswi& history of postpartu'he'orrhage 1! yrs bac which of the following is &*Ea(sheehan syn&ro'eb(lowbpetc
+3( Main functions of e*tracellular flui& isE
a(transport electrolytesb(re'o%al of waste 'aterialetc
+22which has highest protein contenta2plas'ab2ly'phc2CSF
++22autoso'al &o'inant n recessi%e &isor&ers $uestions lie na'e wasgi%e n was ase& wt is wt(
+,22origin of e*t obli$ue 'uscle is fro'2
+.22boun&aries of inguinal triangle the site for &irect inguinal hernia are
+022structure palpable through lateral %aginal wall is
+"22cortisol causes &ecrease ina2plateletsb2=BCs
c2ly'phocytes&2neutrophils
+- &ifference b/w benign n 'alignant tu'orsis al'ost si'ilar $uestions(a2in%asionb2'etastasisc2capsule
12Dhat is 'ost lateral in cerebral he'isphere #>nsulaPars triangularis RPars intere'e&ia
7'yg&ala
2Below the u'blicus anterior ab&o'en is for'e& by#?*ternal intercostal an& part of >nternal obli$ueR>nternal intercostals an& part of trans%erse ab&o'inisuscle?*ternal intercostals an& trans%erse ab&o'inis 'uscle>nternal intercostals an& trans%erse ab&o'inis 'uscle
+2Pre cancerous in ai&s#C'%?b%R6s%6p%
,2>n li%er of a patient un&er the 'icroscope a lesion was seen with centralcheesy appearance surroun&e& by large cells with ly'phocytes an&fibroblast what type of necrosis is presentCoagulati%eR5i$uefati%eFattytuberculous
,"25y'ph &rainage of lateral /+ of tongue occurs throughSup &eep cer%ical no&es>nferior &eep cer%ical no&esSub'an&ibular no&esSub'ental no&es
,-2Boil on the tip of the tongue will &rain into following ly'ph no&esSub'entalsub'an&ibularSub'entaln& sub'an&ibular
,32Posterior triangle in the nec has follwingboun&ries7nt ant bor&er of SCM post o'ohyoi&Post ant bor&er of SCM an& ant &iagastric7nt post bor&er of SCM an& post ant bor&er of trape)ius
.!25eft recurrent laryngeal ner%e hasShorter route than right recurrent laryngeal ner%eBranch of %agus ner%e
Supplies all the 'uscles of soft palateSupplies all the 'uscles of laryn*
.12=ight hepatic artery is branch of 6epatic arterygastro&uo&enal arteryCeoliac arterySplenic artery
.2Subcapsularis sinus is present inSpleen
5y'ph no&esPayers patchesPalatine tonsils
.+27fterilleal resection absorption of which of the following co'ponents&oes not tae placeChylo'icronsBile<glyceric aci&;it &;it c
0-2Constricting afferent &ucts in i&ney re&ucesGfr=pf Creatinine clearanceGlucose claerance
0327 boy is 'alnutrione& an& has e&e'a &ue to protien loss hisPlas'a colloi& pressure is &ecrease&>ncrease hy&rostatic pressureBloce& ly'phatics
"!2Cholestatic cholangitis is cause& byColonercisselecans&iphyllobothru'latu'Schistoso'a?nta'eoba
"127fterappen&icecto'y what 'ay be &a'age&>nguinal liga'ent
Superior epigastric artery>llhypogastric ner%eSper'atic cor&
"2<he 'c burney point in&icates the presence of tip of appen&i*2Followingis true about appen&i*7ppen&i* ha inco'plete 'uscular coat7ppen&i* not attache& to 'esentrySupplie& by ceoliac artery