MRCOG-1 Past Papers RECALLS

2013

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 MARCH-SEP 2013 (RECALLS)
Note: RECALLS are collected from the students who appeared in previous exams,
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Answers of these questions are not verified (Use RECALL only for the purpose of
Exam pattern/trend understanding)

1- A patient in her first trimester of pregnancy found to have HIV Ab weakly

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positive, the first confirmative was negative while the second was inconclusive.
Your next step would be:

a. [Link] her that she does not have HIV

b. [Link] her she has HIV
c. [Link] confirmative test
d. [Link] her to GUC
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e. [Link] at term

2- A patient pregnant doing her 20-24 weeks screening for diabetes, she is Asian
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with BMI 36, FBS 5. mmol/l, 2 hrs ppr 7.1 mmol/l. How you interpret her OGTT ?

a. Normal
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b. Impaired fasting
c. Impaired glucose tolerance
d. Frank diabetes
e. Gestational diabetes

3- the 2 oncogenes HPV 16 and HPV 18 are responsible for this percentage of
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cervical cancer:

a. 20%
b. 30%
c. 50%
d. 70%
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e. 100%

4- This granulated white blood cell has phagocytic action but constitute only 2-3%
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of total WBC count:

a. Macrophage
b. Lymphocyte
c. Neutrophils
d. Eosinophils
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e. Acidophils

[Link]
5- Immunologic factor involved in the pathophysiology of polycystic ovarian
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syndrome:

a. Complement
b. IL 8
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c. VEGF
d. IL2
e. TNF

6- The diamond shape Forest graph, lateral angles represents:

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a. Probability
b. Coefficient of variation
c. Standard deviation
d. The mean
f. 95% CI
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7- calculate the test sensitivity

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8- calculate likelihood ratio

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9- calculate the absolute risk

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10- This phagocytic antigen presenting cell in the cervix:

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g. Hofbauer
h. T-lymphocyte
i. Plasma cell
j. Kuppfer cell
k. Neutrophil

11- mechanism of action of letrozole is on this enzyme:

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a. Hydroxylase
b. Aromatase
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c.
d.
e.
12-vitamin deficiency associated with megalocytic anemia:
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a. Vitamin A
b. Vitamin C
c. Vitamin E
d. Folic
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[Link]
 e. Vitamin K

13- Vasopressin act on increasing water re-absorption at

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a. Proximal tubule
b. Loop of henle
c. Distal convoluted tubules and collecting duct
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d.
e.
14- this antimetabolite is the pro-drug for 6-mercaptopurine
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a. Cyclophosphamide
b. Methotrexate
c. Cisplatin
d. Azathioprine
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e. Vinblastine

15- commonest type of spread of choriocarcinoma is:

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a. Lymphatic
b. Direct
c. Hematogenic
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d. Transperitoneal
e.

16- a patient with primary infertility, presents with 3 months amenorrhea,

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elevated FSH and prolacten, Bhcg positive

a. Pregnant
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b. PCOS
c.
d.
e.

17- in a pregnant women suspected to have pulmonary embolism:

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a. It is contraindicated to do angiography
b. Diagnosed by venography

[Link]
 c. Diagnosed by ECG
d. Diagnosed by FDP
e. Ventilation scan should be done
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18- best screening method for hemolytic anemia

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a. FDP
b. Serum ferritin
c. Hemoglobin
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d.
e.
19- a patient postoperative serum electrolytes showed normal sodium elevated
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potassium:

a. Addison 1T

b. Conn’s
c.
d.
e.
20- Screening for osteoporosis the following is true:
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a. Normal T-score is -1 _ +1, while Z score compares the patient

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with the bone mass of a person of the same age and sex .
b.
c.
d.
e.

21- Pregnant lady with fever, loin pain, tenderness, GUE +++ pus cell. Your mx.:
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a. Outpatient antibiotic
b. Intravenous fluid
c. Admit for intravenous fluid and iv cephalosporin
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d.
e.

22- right ureter course in the pelvis

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a. Crosses the external iliac artery at the sacroiliac joint

b. Crosses the common iliac artery at sacroiliac joint
c. Crossed by common iliac vessels at sacroiliac joint
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d. Crossed by external iliac vessels at

[Link]
 e.

23- patient with right iliac fossa pain and tenderness, has history of chlamydial
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infection that was treated, ultrasound reports a tubular echogenic mass superior
to rt ovary, both ovaries look normal. Your diagnosis:

a. Corneal ectopic pregnancy

b. Hydrosalpinx
c. Ovarian cyst
d. Mucinous appendix(mucocele)
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e.

24- which of the following gives a correct idea about incomplete miscarriage?
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a. Open os1T

b.
c.
d.
e.

25- patient with 3 missed periods, presents with abdominal pain, Bhcg 1500 iu,
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ultrasound anexal mass of 2.5 cm. your mx?

a. Urgent laparoscopy
b. Laparotomy
c. Admit, repeat hcg in 48 hrs (I believe this is normal early
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pregnancy with luteal cyst)

d. Admit with close observation
e.

26- Hip joint is an example of :

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a. Synovial joint
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b. Cartilaginous joint
c.
d.
e.

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27- this structure enters inguinal canal and is identified easily at laparoscopy :
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a. Inferior epigastric artery

b. Superior epigastric artery
c. Round ligament
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d.
e.

28- a bicornuate uterus originates from:

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a. Failure of fusion of paramesonephric duct

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b.
c.
d.
e.

29- in a 25 years old lady with 4 previous miscarriages , the most useful
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investigation would be:

a. Mother karyotype
b. Father karyotype
c. Conceptus cytogenetic study
d. Thrombophilia screen (as 15%-25% would have APLS 5% would have
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antithrombinIII factor V def.)

e. Hysterosalpingography
f.

30- Bifurcation of aorta at this level:

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a. Uppermost edge of iliac crest

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b. Anterior superior iliac spine

c. Anterior inferior iliac spine
d. Sciatic notch
e. Ischial spine

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31- Perinatal mortality is defined as :
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a. Stillbirth and death in first 24 hours

b. Stillbirth and death in first 7 days
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c. Death in first month

d.
e.

32- a pregnant women in first trimester has nausea and vomiting with 4+ ketone
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in urine, the correct management:

a. Glucose water
b. Ringer lactate and antiemetic as inpatient (as u cant replace
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with glucose until correcting thiamine def. as it worsens it)

c.
d.
e.

33- CTG finding of pt. in labor with 6 cm dilatation: no acceleration, no

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deceleration, 20 beat variability, variable deceleration. If the scalp blood ph 7.25,

next step:

a. Repeat blood sampling now

b. Repeat blood sampling in 30 minutes
c. Do emergency cesarean
d. Do not repeat sampling unless CTG deteriorates ( this is
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suspicious CTG)
e.

34 – a patient with severe wound infection of cesarean section is best managed:

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a. Outpatient antibiotics
b. Urgent wound debridement
c. Admit and cover iv antibiotics (although debridement would be
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temptive but this is the right thing to do first I believe)

d.
e.

35- wound infection caused by this microorganism shows sulfur granules under
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microscopy:

[Link]
 a. Clostridia welchi
b. Pseudomonas
c. Streptococcus
d. Actinomycosis israelii
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e. Staphylococcus

36- failure risk of vasectomy:

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a. 0.5/1000
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b. 1/1000
c. 0.5/100
d. 1/100
e. 10/100

37- B HCG in pregnancy would peak at :

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a. 1-6 weeks
b. 8-12 weeks
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c. 12-20 weeks
d. 20-28 weeks
e. 28-36 weeks

38- consists the lateral wall of ischiorectal fossa:

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a. Levator ani muscle

b. Obturator fascia
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c. Internal oblique muscle

d.
e.

39- muscles of the pelvic diaphragm

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a. Levator ani and coccygeus

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b. Levator ani and puborectalis

c.
d.
e.

[Link]
40- nerve supply to posterior 2/3 of labia majora
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a. perineal nerve ([Link] pudendal)

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b. perineal n of S4
c. pudendal
d.
e.

41- blood supply to rectus abdominis muscle below umbilicus

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a. Superior epigastric
b. Inferior epigastric
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c.
d.
e.

42- this structure is attached to anterior superior iliac spine

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a. Inguinal ligament
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b.
c.
d.
e.

43- Intramuscular adrenaline dose for anaphylaxis :

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a. 1:1000 (im dose)

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b. 1:10000 (iv dose)

c.
d.
e.
44- recommended method for delivery of placenta
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a. Controlled cord traction

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b.
c.
d.
e.

[Link]
45- down syndrome finding on screening
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a. Elevated HCG / elevated inhibin /decreased unconjugated

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estriol E3 /decreases AFP

b.
c.
d.
e.

46- this step occurring in the mitochondria releasing ATP:

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a. Kreps cycle
b. Glycolysis
c. Oxidative phosphorylation
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d.
e.

47- major phospholipid constituting amniotic fluid

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a. DHPalmitate
b.
c.
d.
e.

48- Amphipathic criteria of a drug to cross placenta:

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a. Water soluble
b. Increased ionization
c. Lipid soluble
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d.

49- multiparous women with descent of uterus(prolapsed) may had injury to:
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a. Cardinal/uterosacral ligaments
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b. Round ligs.
c.
d.
e.

[Link]
50-a phase of the cell cycle where DNA replication occurs:
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a. S phase
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b. G1
c. G2
d. M phase
e.

51- Alkylating agents like vincristine act against

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a. Cell membrane
b. Mitochondria
c. DNA
d. Tubules
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52- a patient who is BRCA 1 positive has the following risk

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a. 30% breast ca 10% ovarian

b. 70% breast ca 30% ovarian
c. 80% breast ca
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d. 90% breast ca 60%ovarian
e.

53- DMPA is associated loss of bone mass in first 6 months of:

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a. 1%
b. 5% 1T

c. 10%
d. 20%
e. 50%

54- most important anion in urine

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a. Albumin
b. Phosphate
c. Chloride
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d. Bicarbonate
e.

55- active form of vitamin D:

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a. 1,25 cholcalciferol
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b. Calcitriol
c. 1-cholcaciferol
d.
e.

[Link]
56- main action of glucagon in hypoglycemia
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a. Glycogenolysis
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b. Gluconeogenesis
c.
d.
e.

57- the renal tubules develop from

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a. Pronephros
b. Metanephros
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c. PMD
d. Mesonephros

58- The sperm at fertilization penetrates the:

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a. Tunica albugina
b. Corona radiate
c. Zona pellucida
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d.
e.

59- Women aborting after corpus luteum removal is due to loss this hormone:
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a. HCG
b. Estrogen
c. Progesterone
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d.
e.

60- Treatment for MRSA

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a. Vancomycin
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b.
c.
d.
e.

61. Cyrokine involved in ovarian hyperstimulation syndrome ?

a. VEGF
b. IL2

c. tnf ,

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62. Patient came with rt illiac fossa pain , left adenexal mass , b hcg 850 ?
What ll b next step

A) Admit and repeat usg in next 24 hrs

B) Admit and repeat b hcg in next 24. Hrs
C) Admit and do urgent laparotomy
D) Call her next time in opd
(Answer) = Admit and repeat beta hCG after 48 hrs

63. What about HIV pt with screening weakly positive

HIV Ag/Abx ratio =1.5

1 confirmatiry test = negative
2 cimfirmatiry test specimen not adequate

What will be your next step ?

A. Counsell her that she may have admit her to GUM for further tests
B. Ask abt risk factors
C. Te her she has no disease

(Answer) = A

64. Patient post date admitted for induction of labour with PG, ARM + oxytocin
Oxytocin given for 6 hrs
Then she developed hyponatraemia what is cause??

(Answer) =Excessive iv fluid

65. There was a question about endometrial biopsy and sth about the look of the
endometrium and its stroma being very less or none at all..
options were:

A. luteal
B follicular
C. atrophic
D .Secretory

(Answer) = C

66. What abt AMH ?

A) Its androgenic
B) Produce from granulosa cells during reproductive period

[Link]
 C) Apoptosis of Target tissue
(Answer) = A

67. Hystosalpingography

A) it can be done within the first 10 days of proliferative phase

B) It can exclude endometriosis
C) It can’t detect uterine abnormalities
(Answer) = A

68. Perinatal mortality rate ???formula?

(Answer)= still birth +death 1 week postnatal

69. Sacro iliac joint is

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A) synovial
B) Primary Cartiigenous
C) Secondry Cartiligenous

(Answer) = A
70. BRCA 1 positive
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Risk

A)- 50% breast cancer , 30% ovarian cancer

B)- 75 % breast +30% Ovarian
C)- 30 % breast + 10 % ovarian
??????other options
(Answer) = 75% Breast, 30% Ovarian
71. There was a question on urine output...
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A).0.25ml/kg/hr
B).0.5 mi/kg/hr
C).1ml/kg/hr
D).2ml/kg/hr
E).5ml/kg/hr
(Answer) = E
72. which vitamin would u give an alcoholic pregnant woman at ?32 wks with
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obstetric cholestasis
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A
B1
K
E
(Answer) = Vitamin K

[Link]
73. Unwanted effect of pregnancy not related to physiological changes :
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Backache
Dysuria
Constipation
Tiredness
(Answer) = Dysuria
74. Pregnant lady with:
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i) severe itching
ii) LFT normal
ii) Serum bile acids elevated
iii) Serum bilirubin normal2T

Whats te diagnosis?
A)- obstetric cholestasis
B)- pruritic urticarial plaques and papules of pregnancy
C)- normal
D)- ?
(Answer) = A
75. Sign of incomplete miscarriage :
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A)Os open
B)Os close
(Answer) = A
76. Hypoechoic area in uterus , bilateral adenxa clear , what was that
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Endometrioma
Hydrosalpinx
Luteal cyst

(Answer) = Hydrosalpinx
77. Under develop mandible, which structure will be damaged
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A)Facial artery
B)Facial nerve
C)Trigeminal Nerve

(Answer) = Fascial Nerve

78. Varicella zoster anyone remember it

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IgG positive
Ig Mnegative
Interpretation?

(Answer) = Immune status

79. Rectus muscle supplied by which nerve below umblicus

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[Link]
 A)Inferior epigastric
B)Inguinal Nerve
(Answer) = Inferior epigastric
80. Pregnant 24 wks with vulval soreness
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+ve candida
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+ ve B streptococci 2T

What u will do ???

A) give fluconazole..
B)Fluconazole and Penicillin V
C)Don’t give anything and tell her that she will get antibiotic at the time of
delivery
D)Fluconazole and Amoxicillin

(Answer) = C
81. Duplication of DNA occurs at which phase?
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A)G2,
B) G1
C), S phase
(Answer) = C

82. Warfarin
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A)Nasal hypoplasia
B)Agensis of corpus callosum
(Answer) = A

83. Post delivery patient with DM, bronchial asthma dehydrated, apyrexia,
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vomiting
Rbs 4.5 mmol
Na 122 mmol/lit
Cause? 2T

A)- Addison
B)- diabetic ketoacidosis
(Answer) = A

84. For i.m inj adrenaline diluted in

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A)1in 10,
B)1 in 100,
c) 1000,10 000
d)1 in 1000
(Answer) = D
85. A pregnant woman plans to go to Middle East. What vaccination can’t be given
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to her?
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A)Tetanus
B).Diphtheria

[Link]
 C)BCG
D)Hepatitis A
E)Hepatitis B
(Answer) = C
86. First heart beat seen on usg :
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A)Day 20,
B)Day 22,
C)Day 28
E)Day,32
(Answer) = B

87. Nerve supplying posterior 2/3 rd of vagina

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A. Perineal nerve of S4
B. Posterior cut br of femoral nerve
C. Pudendal n

88. Letrzol inhibits which encyme?

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A. 21 hydroxylase
B. Aromatase inhibitor

89. Rate of bone loss /year if you give young women GnRH
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(Not remember complete Q)

A. Increases by 5%
B. Increases by 10%
C. decreases by 5%
D. decreases by 10 %
E. no change

90. Pt with history of pulmonary embolism , which is C/I

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POPs
oCPs
Levonorgestrel

91. mercaptopurine is a metabolite of

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1- azathioprine
2-cyclophosphamide
3-doxorubicine
4-vincristine
(Answer) = 1
92. The thick white vaginal discharge
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1- candida
2- trichomonas
3- bacteroids

[Link]
93. Screening test for hemolytic anemia ?
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HB, serum iron , ferritin

94. Which cytokine ll inhibit hpv replication

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Interferons
Lyzozyme

95. Which process uses energy for myometrial contractionfrim electron transport
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chain 2T

Oxidative phosphorylation
Krebs cycle

96. Most common microorganism that cause UtI

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In post operative patient with catheter 2T

a) pseudomonas
b) E. coli
c) proteus
(Answer) = Pseudomonas
97. CRL= 10mm
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7wk,8wk , 10wk, 12wk

98. What structure can be easily identified at laprotomy passing through deep
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inguinal ring... 2T

(Answer) = Round ligament

99. Level of bifurcation of aorta....??
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Highest point on iliac crest

100. Endometrial biopsy shows decreased stroma no mitotic activity and small
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glands 2T

1- proliferative
2-secretory
3-atrophic
4-luteal
5-follicular

101. Treatment in vaginal discahrge wirh MRSA + culture ,

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(Answer) = iv vancomycin

102. There was a CTG question....base line HR 155, variability 5?, no acc or
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decel??Type of CTG 2T

(Answer) = Suspicious

[Link]
103. Cystic fibrosis detection ?
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A)PCR
B)FISH

104. Patient with fever on 2nd post operative day with increased pulmonary
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vascular markings and pleural effusions....[Link]....?? 2T

(Answer) = Pumonary edema

105. Hpv 16 and 18 responsible for ___ % of infections

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1- 10%
2-40%
3-70%
4-100%

106. Soft haemorrhag ovarian tumour with call exner bodies

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1- granulesa cell tumour

2- mucinus tumour
3- fibroma
(Answer) = 1

107. Mechanism of contraception in medroxy progesterone I'm

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1- affect sperm and ova

2- thick cervical mucus

108. Type 2 sbmucus fibroid

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1- pedunclated fibroid in uterine cavity

2- 50% in uterine cavity
Other options

(Answer) = More than 20% in uterine cavity

109.
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What is the cell that it is 2-5% Of leukocytes??
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macrophages
Basophils
Nk cells
Neytrophil

(Answer)= Eosinophils
110. Pregnant women
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FBs 4.1
2T

PP 7.4 2T

(Answer)= Normal
Fasting(5.1 to 6.9 mmol/L), 2 hour PP(8.5 to 11.0 mmol/L) latest WHO guideline from
UpToDate

[Link]
111. Acute hemolytic reaction in blood tans caused by :
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ABO incomp
Non-ABO anti-rbcs

112. Consent :
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You should inform pt known risks

Person how give consent must be over 18
Consent form is not valid if is not signed

113. Which APCs are present in cervix

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B lymphocytes
Plasma cells
Mast cells
Langerhans Cells
(Answer)= Langerhans Cells

114. What does amphipathic mean

2T 2T

115. Hormone helpful in sodium absorption

2T 2T

(Answer)= Aldosterone
116. Vitamin needed for megaoblastic anaemia
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(Answer)= Folic acid

117. Vitamin converting ferric to ferrous to aid Iron absorption
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(Answer)= Vit.C
118. Coprus luteum withdrawn at weeks pregnancy results in [Link]
2T

hormone deficiency responsible? Hcg , Progesterone 2T

(Answer)= Progesterone
119. Maximum hCG at which age of gestation?
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A)18-20 weeks
B)10-12 weeks
(Answer)= B
120. Androgen structure
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C18
C19
C21
(Answer)= C19
121. Uterus didephus results from failure of fusion of which structure?
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A) Mesonephric duct
B) Paramesonephric duct

(Answer)= B

[Link]
122. 2T lymphatc drainage q of cervix and vagina in the table.?

123. Narrowest portion of fallopian tube

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Isthmus

124. Chest x ray findings of a tuberculosis patient showing nodules

2T

which of the following cells is responsible? 2T

A) lymphocytes
B) plasma cells
C) macrophages
D)Fibroblast
E)-?

125. Insulin gets active by removal of which peptide.

2T 2T

A)C peptide
B) peptie
(Answer)= peptide

126. Hemolytic disease of new born d/t

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mother+ father-
mother + baby +

127. Lat wall of ischiorectal fossa?

2T 2T

A)Levator ani
B)Obturator

128. UTI in 25 weeks of [Link] sensitive to

2T

Nitrofurantoin,Cephalosporin etc 2T

(Answer)= Cephalosporins

129. Calculate Sensitivity?

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(Answer)= 75%
130. Pretem labour incidence 5% test done +ve likehood 14 and -ve likehood -2
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percentage of -ve women to have pretem labour....

2T

131. Null hypothesis is accepted if

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A) equivalent to P value
B) If P=>0.05

[Link]
132. Structure attached to Anterior superior iliac spine
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(Answer)= Inuinal igament

133. In cytogenetics the commonly used is (SBA)
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1-G-banding
2-M-banding
(Answer)= G-banding
134. Role of Glucocorticoids
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(Answer)= Gluconeogenesis
135. Female with irregular cycle 3mnth developed amenorrhea hormone
2T

Profile as fallow progestone15mlunit prolactin 1200m unt tsh I don't know

value but in normal range hcg [Link] value diagnosis
ahyperprolactinemia 2T

B pregnancy
C hypothyroidism
136. Irregular bleeding , which treatment you ll not give
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Tranxemic acid
NSAIDs
Norethisterone at 21 to 28 day................Ans
Norethisterone at 1 to 21 day

137. pt developed genital prolapse after delivery of sizable baby.. the affected
2T

ligament?
138. what is a histogram ?you should know the definition
2T

139. closure of ductus arteriosus following lung inflation shortly after birth is
2T

mediated by which vasoactive substance ? SBA 2T

bradykinin
prostacyclin
substance P
vasopressin
VEGF
(Answer)= Bradykinin
140. Down Syndrome quadruplet test
2T 2T

141. Pt post op brady caria machanishm of atropin receptor?

2T 2T

(Answer)= acteyl cholin

142. Complete mole karyotying
2T

A)46 chromosome with maternal sex chromosomes 2T

143. Kidney develops from

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A) Mesonephros
B) Metanephros

[Link]
 (Answer)= A
144. What value is represented by diamond shape graph
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(Answer)= 95% Confidence interval

145. Androgen produed by which cels
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(Answer)= Theca cells

146. Female with recurrent 4th trimester miscarriges,what test sould be done
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(Answer)= Thrombophilia screen

147. Vasectomy failure rate

2T 2T

(Answer)= 1:200

148. CTG of patient shows fetal hypoxia,PH=[Link] intervention

2T

A)Cesarean section
2T

B)FBS in 30 min
C)Don’t repeat FBS unless CTG deteriorates

(Answer)= C
149. Both father and mother are homozygous for sickle cell .Effect on children?
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A)S trait
B)Sickle cell disease
(Answer)= B

150. Free T3 in non pregnant woman

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(Answer)= 1%
151. Pethidine overdose what to monitor
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(Answer)= Respiratory rate

152. Polactin inhibitor dopamine agonist
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A)Quetiapine
B) Quinagolide
C)Quinergoline

(Answer)= B
153. Muscles of pelvic diaphragm
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(Answer)= Levator ani and Cocygeus

154. pt 10 year iucd c/o vaginal discharg which orginasim is respaseble for
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infection bactiral vaginitis

2T

[Link]
 A) Actinomyces Israli

155. pt pregnant 36?? c/o watery coming clear pt not in labor what is first action
2T

on examination ? What shouldn’t be done 2T

A)/ fetal heart sound

B) p/v examination
(Answer)= B
156. Which structure is attached to anterior superior Iliac spine
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A)Inguinal nerve
B)Pubococygeus
C)Inguinal ligament
(Answer)= C
157. Main suorting ligament of the Uterus
2T 2T

A)Cardinal ligament
B)Perineal Body
C)Broad ligament

TRUE/FALSE (MCQs)
1. G potein coupled receptors
2T

2T

A)Prostaglandin

Ans
A) T
2. Which of the following are true regarding the inferior vena cava
2T

A)Drains Right Renal vein

B)Drains Left Ovarian vein
C)starts at the level of L5
D)lies behind the right external iliac artery
E)pierces the diaphragm in the central tendon

3. Levator ani is attached to

2T 2T

A) Cervix
B) Ischial spine
c) Sarum
D) Symphysis Pubis

4. Regarding Pelvis
2T 2T

A) In female pelvis diameter of acetabulum is greater than the distane between

acetabular rim and sypmhysis pubis

[Link]
 B) Male sacral plane is more curved

5. Liver is more radiosensitive than intestines

2T 2T

6. Urodnamic study
2T 2T

Residual volume etc

7. B lymphocytes functions
2T 2T

1- antigen presenting to t lymphocytes

2-specific antibody mediated action
3-secrete interferons?

8. Which of the following are germ cell tumours?

2T 2T

1-dysgerminoma
2-cholangiocarcinoma
3-teratoma..

9. Which of the following tumours is hormone dependant

2T 2T

1-adenocarcinoma breast
2-adenocarcinoma cervix?
3-prostate cancer
4-osteogenic sarcoma?

10. streptococci may cause

2T 2T

1-toxic shock syndrome

2-acne vulgaris
3-arthralgia

11. FISH detect :

2T 2T

- klienfelter
- reciprocal translocation
- cystic fe

12. Correct pair

2T 2T

labetolol...........Beta adrenergic antagonist (T)

13. Regarding Fetal Haemogobin

2T 2T

A)Fetal oxy diss curve lies to the left of mother

14. In the fetus (t/f)

2T 2T

1-Hbf is resistant to denaturation by alkali

2-fetal Hb dissociation curve lies to the right to that of the mother
3-maternofetal gradient of pco2 helps oxygen passage from mother to fetus
4-haemopoiesis occurs in the yolk sac in the 1st 4 weeks

15. Ureter cross EIA infront sacro iliac joint

2T 2T

Ans..........F( it is common iliac)

16. Clomiphene:
2T 2T

1-anti-androgen
2- inhibits action of estrogen on hypothalamus

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 3-causes visual disturbances

17. Mitochondrial DNA

2T 2T

A)is intranucear
B)Resonsible for oxidative phosphorylation
C)is for cystic fibrosis
D)is in pairs
(Answer)= FTFT

18. Umblical Cord

2T 2T

A)Is 50cm in length

B)Has 2 veins one artery
C)Has a layer of amnion
D)Contains midgut during intrauterine life

19. the following drugs inhibit the action of oral contraceptive pills:(t/f) 1-
2T

tetracycline 2-phenobarbitone 3-cascara 4-digitalis 5-

20. Which of the following antibiotics can be given orally t/f

2T 2T

A)- tetracycline
B)- chloramphenicol
C)-streptomycin
D)-Gentamycin
(Answer)= TTFF
21. Ultrasound
2T 2T

A)Frequency is about 120 MHz

B)Greater the frequency greater is the resolution

22. Regarding Pumonary Embolism which one is correct

2T

2T

A)It can be diagnosed on Xray angiogram

B)V/Q scan shouldn’t be done in Pregnancy
C)ECG is reliable for diagnosis
D)Can be diagnosed by filling defect in water/air interface?
(Answer)= TFTT
23. smooth muscle
2T

A. contains myosin and actin

B. can be up to 20mm
C. only stimulated my calcium

24. keton bodies

2T 2T

a) a fuel to the heart

[Link]
 b) used by the brain??

25. insulin(t/f)
2T 2T

1-mainly metabolized by kidny

2-increases with arginine

26. B lymphocytes (t/f)

2T

1-produce TNF
2-produce complement
3-produce antibodies
4-contribute to delayed hyper sensitivity syndrome
5-produce igE

27. Ketone bodies

2T 2T

a) a fuel to the heart

b) used by the brain??

28. The following are synthethised by liver: (t/f)

2T

2T

A) glucagon
B) vit.A
C) cholesterol
D) immunoglobulins
E) prothrombin
Ans
FFTFT
29. Tue or false q... Fibroids are
2T

2T

1- leiomyxoma on histology
2- can be associated with polycythemia
3- can cause endometrial hyperplasia

30. salmonella typhi...

2T 2T

.. inhibited by gastric acid

.. affects humans only
..not denatured by refridgeration

31. Preimplantation screening?? Is done in?

2T

32. Drugs that inhibit detrusor muscle

2T 2T

Propantheline
Atropine
Cabarchol
Distigmine

33. Which of the following is normal in pregnancy true or false q

2T 2T

A) urine protein secretion of 150 mg/24hr

B)[Link] of more than 10000 in urine
C)Iron of more than 20-40 mg in urine

34. Greater omentum t/f

2T 2T

A)Has gastroepiploic vessels

[Link]
 B)forms part of posterior surface of lesser sac
C)Attached to lesser curvature of stomach

35. Estrogen
2T 2T

A)Helps in alveolar development

B)Causes milk producing effect

36. Decidual cells secrete

2T 2T

A) hcg
B)prostaglandin
C) hpl
D)progesterone

37. The effect of radiation on the tumors

2T 2T

A)-more with hypoxia.

B)-more in the liver tissue than intestinal
C)-more in differentiated than in undiff
D)-with low temperature

[Link]