OBS / GYNAE FCPS PART 1 PAPER 1 AND 2 POOL (PAST PAPER COLLECTION WITH KEYS)

GYNAE OBS JUNE 2009
Gyn Obs JUNE 2009.


1-Etiology of cleft palate.

a-anticonvulsant
b-multiple preg
c-multifactorial
d-inc maternal age

2-left cleft palat dt malformation of.,

a-palatine shelves
b-maxillary prominence
c-med nasal prominence
d-lat nasal prominence
e-incisive foramen

3-germ cells derived from.,

a-ectoderm
b-endoderm
c-mesoderm
d-neural crest cell

4-karyotype of turner syndrom,,.......,,,,(smethng like dat exactly nt remembr)
a-45XO

5-which 1 contain granulosa cell,,

a-graffian follicle
b-,,,...,..,

6-in primary infertility,,diagnosis of failure of ovulation by ??

a-wid lower abdominal pain,,..,,
b-rise in basal body temp
c-middle of menstual cycle,,,
d-thick mucosa sec frm cx wch nt show fern pattern....

7-pentamer immunoglobulin is???

a-IgA
B-IgG
c-IgM*
d-IgD
e-IgE

8-Regarding entameba histplytica....

a-it is a nematode
b-it causes liver disease
c-occurs in both trophozoite nd cyst stage
d-it exist normally in intestine
e-..,.,.,.,.,

9-cornybacterium diphtheria..,.,

a-gm -ve bacilli
b-club shaped*
c-,,..,.,.

10-mode of cell injury by clostridium_____.....,,,,,???

a-ATP depletion.
b-.,.,.,.

11-shigella..

endotoxemia
neurotoxin
verotoxin
enterotoxin
exotoxin

12-corneal opacity caused by..

ethambutol
quinine
phenothiazine
chloroquine
.,,.,.,.,..,.....

13-drug inducer by p450 mechanism,..

cimitidine
ketokonazole
phenobarbitone
,.,.....,,,,,,,....
,.,.,.,.,.,.,.,.,.

14-last mediator of endotoxic shock...,..,

IL1
IL6
TNF ALPHA
LIPOPOLYSACHARRIDE

15-yellow fever inf occurs ,.,.,..,.,.,.,

endemic
sporadiac
pandemic
epidemic
.,.,.,.,..,.,.,

16-wall of inguinal canal Not formed by???????

ext oblique apponeurosis
lacunar lig
internal oblique
conjoint tendon
transversalis fascia


17-endocervical polyp in pregnancy,,,
Physiological
.,.,.,.,.,.,.,.,.,…

18-vaccination of mycobacterium T.B based on

Type I hypersensitivity
Type II
Type III
TYPE IV Cell mediated

19-after subdivided no of peoples into gps ,,sampling is taken a/c to age ….wat type of sampling it is
Random sampling (other options nt remember, ,,,stratified etc ,,,,,nt sure)

20-ultrasound..

4-8 weeks transabdominal u/s,, fetal heart sounds can detected
Cresenteric line seen w/h cnfirm pregnancy,,,,(smething like dat )


21-MRI
Frequencies,,,,,,,,,,,,
,nd methaemoglobin.,,,,,,,,,,, (these sort of alien words were written)

22-bone scan ,,,,,,
(name of sme disesases were written)

23-incidence,,,.,
No. of new cases in a population in a time given

24-pie chart

25-wch 1 is absent in muscles

Glucose 6 po4ase
Hexokinase


26-end product of glucose metabolism

Lactic acid
1molecule of pyruvic acid
2 molecule of pyruvic acid

27-hormone ass with glucose ,fats ,and protein storage

Insulin

28-fetal brain development

Growth hormone
Thyroid hormone

29-w/h of the following amino acid should be taken in diet

Alanine
Tyrosine
Glycine’glutamine

30-folllowing phagocytic cell present in circulation?

Monocyte
Macrophage
Lymphocyte
Neutrophils
31-morphine can be given in

Biliary cirrhosis
Terminal ill patient of cancer
Acute pancreatitis

32-functional layer of endometrium consists of

Stratum basal
Stratum compactum nd stratum spongiosum
Stratum basal nd compactum

33-maldevelopment of uro-rectal septum ,,

Rectovag fistula
Rectouterine fistula
Imperforate anus
Rectoperineal fistula

34-structure lying b/w labium majus nd minus

Urethral gland
Bulbourethral gland
Minor urethral gland

35-w/c 1 of following muscle not attached to tendon of perineal body

Ischiocavernosus
Ext urethral sphincter
Bulbospongiosus
Transverse perineal muscle

36-lymphoide nodule nt present in

Thymus
Spleen
Lymphnode



37-Notochord forms
Neural tube
Cns

38-epithelium of ovary
Simple cuboidal

39-pivot jt include

Atlanto occipital jt
Atlanto axial jt

40-sacroiliac jt
Fibrous .,.
Synovial.,.,
,,.,.,..,.,.,.,.

41-hamartoma is.,.,.,.,.,.,

42-an organ lined by stratified sq epi with inc cellularity, vascularity, nd elasticity,,tubular
glands in lamina propria
Vagina
Esophagus
Oropharynx
Duodenum

43-post relation of left ureter

Root of mesentry
Iliac vessel

44-outer lat quadrant of mamry gland drain into
Ant gp axillary lymph node

45-xerophthalmia dt
Vit A def

46-anti-oxidant
Vit E

47-w/h st having 3 layers of muscles
Fundus of stomach
Esophagus
48-fat embolism

49-regarding mammary tissues w/h is Not appropriate

Pect major, seratus ant,lie in deep relations
Can mov freely over retromammary space
Peau’d orange caused by lymphatic obstruction.,.,.,.,.,.,.,.,.
Puckering of skin dt subcut ductal infiltration.,.,.,.,.,.,.,.,.



50-lady died dt amniotic fluid embolism

During delivery
During c/s nd post partum
After post partum
During labour,delivery nd postpartum

51-pacinians corpuscles

Tactile touch
Fine touch
Temp
Pain
Vibration(I think it was nt in option nt sure)

52-H+ exchange in proximal tubules with

HCO3 reabsorption
K secretion

53-pat wid severly vomiting came wid breathlessness,,,PH=7.5,,HCO3=INC--------,,,PCO2=55

Metabolic alkalosis
Metabolic acidosis
Compensatory metabolic alkalosis

54-uterovag prolapse w/h lig is injured

Broad lig
Round lig
Transverse cx lig

55-alkaline po4ase rises in
Prostatic ca
BPH
Pancreatic ca

56-in ca mammary gland w/h drug is given in post menopausal lady

Tamoxifen
Clomiphen
.,.,.,.,.,.,.,.,.

57-in left shift O2 hbdissociation curve w/h 1 is increase
Fetal hb

58-in thalassemia there is

Poor hemoglobinization
Dyserythropoiesis
,.,.,.,.,.,.,,.,.,..


59-intravascular haemolysis diagnosed by

Reticulocytosis
Inc in hepatoglobulin binding
Inc TIBC
,.,.,.,.,.,.,.,.,……..

60-lady wid reddish cheeks, ,,arthritis,,,,,
SLE

61-in metaplasia w/h is inappropriate
Irreversible
.,,,,,,,,,,,,,.

62-acute inflammation

Transudate
Exudate
Inc protein content

63-w/h drug causing minimal GI side effects

Paracetamol
Aspirin
Ibuprofen
Ketorolac
Diclofenac

64-in 6 yrs old child meningitis occurs dt w/h organism

H-Infuenza
Ecoli
Niesseria

65-sepsis is diagnosed most appropriately by

Blood culture
Granulocyte <2000--->15000
H.R >100
HR>,.,.,…,

66-w/h is transmitted by mosquito
Yellow fever
..,.,.,.,.,.,.,.,.,

67-virus not associated with ca in human

HSV
HBV
HDV
HPV
Papova virus(papilloma vitus +polyoma virus)


68-w/h is more in human milk as compare to cow’s
Lactulose

69-gonococcus is best easily diagnosed by

Gram staining
Culture
ZN stain

70-w/h is completely covered by pretracheal fascia
Thyroid gland

71-is not an embryonic remanant

Lat umbilical ligament

72-oxytocin nd vasopressin originate frm

Hypothalamus
Neyrohypophysin
Autonomic ganglion

73-sucrose

Is a diasaccride
Metabolized into 2 glucose molecules
Reducing or non reducing (nt remember)

74-w/h of the following dis not ass with carcinoma

Lysosomal storage dis
.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.

75-rough endoplasmic reticulum
Protein synthesis

76-fragility of rbcs membrane

Spectrin
77-behavioural sciences .definition

78-verbal communication skill

Speak fluently
Education nd research training
Presentation
Good vocabulary

79-Not a function of beta blockers

-ve ionotropic
-ve chronotropic
.,.,.,.,.,.,,.
.,.,.,.,.,.,.,.,.,.

80- alpha blockers


81-centrally acting HTNsive

Clonidine
Methyldopa
.,.,.,.,.,.,.,.,.,.

82-w/h 1 decrease the muscle length

Golgi tendon organ
Muscle spindle
.,,,,,,,,,,,,,,,,,,,,,,,

83-cerebellar lesion,

Ataxia
Rigidity
Initiate muscle movement

84-pre-motor cortex lie in
Frontal lobe
85-coccygeal part of spinal cord lie at the level of w/h vertebra

C2
L2
S1
S2

86-lie in true pelvis nd crosses frm med to lat side of pelvis

Sup rectal art
Middle rectal art
Inf rect art
Internal iliac

87-inf fascia of urogenital diaghphram also called as

Perineal membrane

88-female pelvis also called as

Android
Anthropoid
Platypelloid
Mesatipellic

89-at crowning w/h muscle is cut during episotomy

Bulbospongiosis


90-lumbar puncture

L2 L3
L3 L4
L4 L5
S1 S2

91-Lactation,,,,,,
Hormones,,,wh stimulate

92-prolactin hormone
Stimulated by,.,.,.,.,.,.

93-pregnancy is diagnosed by
Gonadotrophin hormone

94-urogenital diagphram inserted on

Ishchial tuberosity
Ischial spine
Sub pubic arch
Ischial ramus

95-w/h muscle div submandibular gland into superficial nd deep part

Mylohyoid
Ant belly of diagastric

96-root of left lung
Azygous vein arched at root of left lung.

97-teratogenic

Alcohol
Caffeiene

98-carcinogenic
Methyl alcohol
Benzidine
99-pat with blood gp A should nt given

A+
A_
O
AB

100-. Regarding kidney ,w/h sequence is correct

renal art > arcuate>interlobar>interlobular>glomerular>efferent arteriole
renal>interlobular>interlobar>arcuate>efferent arteriole>glomerular
renal>glomerular>interlobar>interlobular>arcuate>afferent arteriole
renal>arcuate>interlobular>glomerular>interlobar>afferent arteriole


101-in muscle ca+2 release frm

sarcoplasmic reticulum
T-tubule
Sarcomere

102-sarcomere
b/w 2 z line

103-parasympathetic nerves r
3, 7, 9, 10

104-w/c is present in de cavity of cavernous sinus

Abducent nerv
Trochlear
Occulomotor

105-in haemophilia

PT INC
APTT INC
Inc bleeding time

106-gestational age estimated frm.,.,.,.,.

Abd circumference.,,.
Biparital diameter.,.,.,. wks
Crown rump length ,,, 8 weeks.

107-norepi + serotonin degraded by
MAO

108-at last trimester w/c uterus is sensitive to w/c hormone
Oxytocin

109-to prevent heat loss
Shivering
Vasoconstriction

110-inc K
Aldosterone sec


Gyn Obs June 25,2008

1..half life of dopamine is 5 min , how much time will it take to reach the steady state concentration.
a….16 sec
b….8 sec
c….10 sec

2..wt is the circulation time b/w brachial n cerebral circulation.
a….15 sec
b….30 sec
c….60 sec

3..wt is the most potent stimuli for aldosterone release.
a….ACTH
b….Renin

4..which statement regarding adrenals is wrong.
a….size at birth is equal to adult size

5..actions of glucagons are all except

6..actions of growth hormone r all except

7..which of the following are features of type 2 hypersensitivity reaction
a….IgG
b….Ig M
c….T cells
d….B cells

8..wt is the requirement for complete sterilization
a….heating at 151 degree C for …. Min

9..energy liberated on complete metabolism of protein is
a….4.1 k cal
b….5.3 k cal
c….9.1 k cal

10..energy liberated on fat metabolism is
a….9.1 kcal

11..thyroid isthmus is at level of
a….2nd 3rd tracheal ring
b….3rd 4th tracheal ring
c….5th 6th tracheal ring


12..blood supply of spinal cord is
a….vertebral arteries
b….spinal arteries
c….internal juglar arteries

13 end arteries are present in
a….spleen
b….brain
c….lymph node

14..derivative of endoderm is
a….mesentry

15..laryngeotracheal bud appears during
a….4th week
b…5th week
c….7th week

16..muscle cut on episiotomy is
a….superficial transverse perineal + bulbospongiosus

17..patient feels pain on defecation nerve involved is
a….pudendal nerve
b….inferior rectal nerve

18..almost 10 to 15 questions on NSAIDs and prostaglandins

19..one of the following regarding levator ani is true

20..epthelial lining of ureter is

21..muscular layer of ureter in lower third is

23..derivatives of pharyngeal arches (2 to 3 questions)

24..wt makes right border of heart
a….rt atrium
b….rt ventricle
c….rt atrium + rt ventricle

25..chemoatractant for neutrophil is,

26..factors affected by vitamin K deficiency



27..lymphatic drainage of cervix is
a….int n ext iliac nodes
b….int iliac nodes
c….ext iliac nodes

28..point of meeting of intrinsic n extrinsic pathway

29..oxyhemoglobin dissociation curve (2 questions)

30..simple sqamous epithelium is present in all except

31..protein content of CSF is

32..which has highest protein content
a….plasma
b….lymph
c….CSF

33..autosomal dominant n recessive disorders (2 questions like name was give n was asked wt is wt)

34..origin of ext oblique muscle is from….

35..boundaries of inguinal triangle, the site for direct inguinal hernia, are…

36..structure palpable through lateral vaginal wall is

37..cortisol causes decrease in
a….platelets
b….RBCs
c….lymphocytes
d….neutrophils

38 difference b/w benign n malignant tumors is( 2 almost similar questions)
a….invasion
b….metastasis
c….capsule



OBST&GYNEA FCPS-1(OCT 23 07) Q & A’s-

1.Which of the following does not form the wall of perineum

A.coccyx
B.pubic symphsis
C.ishcial tuberosity
D.sacrotuberous ligament
E.sacrospinous ligament

2.A pt presented with pain on defecation after severe constipation.pain in constipation occurs due to ?
A.autonomic nerves
B.Internal pudendal artey
C.pudendal nerve
D.perineal nerve
E.inguinal nerve

3.Lymph drainage of perianal skin is from one of the following

A.internal iliac nodes
B.external iliac nodes
C.lateral group of horizontal superficail nodes
D.medial group of horizontal superficail nodes
E.vertical group of nodes

4.Lesser omentum
A.connects with deudenum
B.forms falciform ligament
C.related to left adrenal gland
D.related to left kidney
E.related to rt kidney

5.A young girl of 25 yrs went with her husband on honey moon after one month of marriage.she suddenly experianced severe spasmotic pain in her rt iliac fossa.n presented in emergency in state of shock.most probable diagnosis is
A..acute appendicitis
B.renal colic
C.intestinal obstruction
D.ectopic Pregnancy
E.acute cholecystitis

6.which of the following structure is not palpable through vagina
A.cervix
B.rectum
C.ureteric stone
D.retrouterine pouch
E.vesicouterine pouch

7.The peritoneum covers the anterior abdominal wall which is continous with the perineum.it has fascia which has superior n inferior layers.the inferior fascial layer also called as
A.colle's fascia
B.scarpe fascia
C.perineal membrane
D.....fascia
E......fascia

8.If a known hypertensive pt took some diuretic n died in 6 hours.wat is the cause
A.acute renal failure
B.chronic renal failure
C.diuretic use
D.hypophosphatemia
E.hypokalemia ?

9.Which of the following is not a feature of shock
A.decrease cardiac output
B.muslce weakness
C.increased urine output
D.tachycardia
E.restlessness

10.supply of sphincter urethra comes from
A.ilioinguinal nerver
B.pelvis splanchnic nerves
C.sacral splanchnic nerves
D.autonomic nerves
E.Pudendal nerves

11.Rt ovarian vein drains the following

A.inferior vena cava
B.superior mesenteric
C.inferior mesenteric
D.rt renal vein
E.left renal vein

12.What is most appropiate about uterine tube

A.moves laterally to open medialy in the ovaries
B.present at the base of broad ligament
C.is 6cm long in adults
D.has an abd ostiium which is 0.5mm when dilated
E.extend above the fundus of uterus

13.Genital tubercle in females give rise to

A.labia majora
B.labia minora
C.clitoris
D.vestibular glands
E.bulbourethral glands

14.urachal cyst is the remnant of

A.allantois
B.mekel's diverticulum
C.........
D.....
E.........

15.Thymus develops from

A.ectoderm of 2nd brachial pouch
B.endoderm of 2nd brachial pouch
C.ectoderm of 3rd brachial pouch
D.endoderm of 3rd brachial pouch
E.mesoderm of 3rd brachial pouch

16.A pt presented with an opening in the ant wall of sternocledomastoid muscle with pussy discharge coming out of it.this problem occured due to abnormality in one of the following

A.1st pharyngeal cleft
B.2nd pharyngeal cleft
C.1st pharyngeal pouch
D.2nd pharyngeal pouch
E.3rd pharyngeal cleft

17.Diaphragmatic hernia occurs due to

A. absence of pleuro-pericardial membrane
B. absence of septum transversum
C. absence of pleuro-peritoneal membrane
D. absence of central tendon
E. absence of arch?

18.Erythropoises occurs in middle trimester mainly from

A.liver
B.kidney
C.spleen
D.bone marrow
E.both liver n kidney
19.Superior parathyroid gland develops from

A.1st brachial arch
B.2nd brachial arch
C.3rd brachial pouch
D.4th brachial pouch
E.3rd brachial cleft

20.In cervical carcinoma,wat is the lymph drainage

A.internal iliac
B.external iliac
C.both internal n external iliac
D.superficial inguinal
E.deep inguinal

21.RT coronary artery

A.arises from anterior aortic sinus
B.enters the rt heart border after passing through sulcus on posterir surface
C. supplies both ventricles
D. supplies S.A node
E. supplies left atrium

22.Fat deposition n ductal development of breast is the function of which hormone

A.estrogen
B.progesterone
C.prolactin
D.oxytocin
E.hcG

23.Inhibition of ovulation is the function of which hormone

A.progesterone
B .prolactin
C.dopamine
D.estrogen
E.GnRH

24.Thirst is least stimulated by

A.decrease blood volume
B.angiotension 2
C.salt depletion
D.decrease plasma volume
E.blood pressure

25.Most imp hormone involve in gluconeogenesis is

A.growth hormone
B.insulin
C.thyroxine
D.cortisol
E. Glycogen

26.A pt presented with rt iliac fossa pain. he is diagnosed to have acute appendicitis on flexing his rt thigh inward n medially he cries with pain.wat is the type of appendicitis he has

A.paracolic
B.retrocolic
C.pelvic
D.paracecal
E.subcecal

27.which of the following structure has both intra n extra pelvic extension

A.broad ligament
B.ovarian ligament
C.transverse cervical ligament
D.round ligament of ovary
E.round ligament of uterus

28.Stab wound above the piriformis muscle will damage which structure

A.superior gluteal nerves?
B.inferior gluteal nerves
C.sciatic nerve
D.tendon of obturator internus
E.inguinal nerves

29.Nerve supply of rectum

A.hypogastric plexus
B.greater splanchnic nerves
C.pelvis splanchnic nerves
D.short spanchnic nerves
E. inferior mesenteric plexus
30.One slide of a specimen shows stratified squamous epithelium with vascular smooth muscle and elastic fibres most probably the specimen is

A.cervix
B.uterine tube
C.vagina
D.uterus
E.anus

31.Apoptosis is inhibited by

A.capsases activation
B. Bcl-2 inhibition
C. Activation of P-53
D. apoptosis related protein ??
E…


32.Most potent chemotactic factor is

A.C3a
B.C5a ?
C.IL-1
D.viruses
E.arachdonic acid metabolites

33.what is the most appropiate answer

A.C3a is opsonin
B.C5a is potent anaphylactic
C.C5a is a potent chemotactic agent
D.C3b n C5a are anaphylactant
E.......

34.Low serum complement seen in which condition

A.SLE
B.ankylosing spondiolitis
C.rheumatid arthritis
D.multiple sclerosis
E.dermatomiositis

35.Pt presented with photosensitivity,rash n joint pain.which is the daignostic in this case

A.anti SS antibodies
B.anti DS antibodies
C.RA
D.anticentromere antibodies
E.antimitochondrial antibodies

36.Most dangerous Side effect of estrogen therapy is

A. suppression of lactation
B. hirsutism
C.thrombophlebitis
D.osteoporosis
E..........

37.If a pt is on long term corticosteroid therapy.she wil most probably hav increased risk of

A.repeated infections
B.decrease wound healing
C.osteoperosis n fractures
D.........
E....

38.Platelets r stored at room temprature because

A.to optimise its function?
B.to maintain its number
C.to avoid allergic reaction
D. to increase number
E.....

39.Which is most imp indicator of muscle protein loss

A.urea
B.ammonia
C.none of above
D.uric acid
E. ?

40.wat is true about DNA

A.Double stranded in which two strands are antiparallel to each other
B. a single turn of DNA is 2nm
C.Can exist as helix in single stranded form as well as in Double stranded form
D.
E.
41.A normal looking Girl came to you with primary amenorrhea,on examination she was having short blind vagina wid normal vulva, scanty pubic n axillary hairs,normal breasts,absent uterus,her karyotype is?

A.46XY
B.47XY
C.47XXY
D.45XO

45.A pt came to you with primary amenorrhoea,webbed neck,short stature diagnosed as Turner syndrome, wht is her karyotype?

A.45XO
B.46XY
C.47XXY
D.46XX
E.......

46.Hydrolysis of DNA gives

A.proline
B.ribose
C.phosphoric acid?
D...
E...

47.Which of the following has highest cholesterol content

A. Chylomicron remnants
B. LDL
C. VLDL
D. HDL
E. IDL

48.Which hormone convert to its active form at target tissue with the help of 5 a reductase?

A. Testosterone
B.Estrogen
C.dihydoepiandosterone
D.Progesterone
E...

49.Which drug do not cause gynaecomasia?

A.Digoxin
B.Griseofulvin
C.Cimetidine
D.Androgen
E.spironolactone

50.Which is the best option in identification of Turner's syndrome

A.ultrasound
B.barr bodies
C.karyotyping
D.Ct scan
E...

51.Pyruvic acid is used as intermedite in which step of cell metabolism

A.carbohydrate to acetyl co A
B.glucose to acetyl co A
C.acetic acid to acetyl co A
D.......
E..

52.Epinephrine,norepinephrine n dopamine are derivatives of which aminoacid

A.alanine
B.arginine
C.proline
D.tyrosine
E.phenylalanine

53.End product of purine metabolism is

A.urea and water
B.uric acid
C.glucose
D.water and ammonia
E.ammonia

54.Erythropoitin is secreted from

A.liver cell
B.peritubular interstitium of kidney
C.macula densa of kidney
D...
E...

55.ESR is decreased with

A.temprature
B.albumin is decreased
C.globulin is decreased
D.decreased blood volume
E.decreased plasma volume

56.RBC's are

A.biconvex
B.nonfragile
C.have nucleus
D.largest of all cells
E.have glycolytic enzyme activity
57.Tamoxifen has effect on which system

A.CVS
B.CNS
C.breast
D.liver
E.kidney

58.Which of the following drug is most notorious for causing renal toxicity

A.cisplatin
B.cyclophosphamide
C.vincristine
D.blephamide
E.....

59.Commonest Cause of PDA

A.drugs
B.toxin
C.permaturity
D.congenital abnormality
E..infection

60.Most common Cause of metaplasia is

A.ultrasonography
B.chronic irritation
C.infections
D.radiations
E...

61.Wat is the differentiating point of hyperplasia fron hypertrophy

A.increase in size of cell
B.increase in size n no of cell
C.is reversible
D.is premalignant ?
E.involve viscera only

62.Dysplasia is seen mainly seen in

A.bone marrow
B.cartilage
C.epithelia
D.fibrous tissue
E.deep tissue

63.Wat is the differentiating feature of hyperplasia from benign tumor

A.increase in no of cell
B.are the same as parental cell
C.cytplasm n nucleus ratio is derranged
D....
E...

64.What is the most true among following

A.mRNA has a codon
B.mRNA has anticodon
C.rRNA is most abundant n involve as ribosomes on endoplasmic reticulum
D.tRNA is largest
E.tRNA involve in protein synthesis

65.deficiency of THAIMINE(B1)causes all except

A.cardiac anomalies
B.muscle wasting
C.defects in alcohlics
D.subacute degenaration of spinal cord
E.cns abnormalities in alcoholics

66.AIDS is associated with all of the following except

A.kaposi sarcoma
B.lymphoid tumors
C.primary tumor of brain
D.STD
E.leukemia

67.VITAMIN involve in collagen synthesis is

A.ascorbic acid
B.biotin
C.thiamine
D.pyridoxine
E.niacin

68.Neural tube defects occur due to deficiency of

A.iron
B.folic acid
C......

69.Iron is stored in the form of

A.ferritin
B.transferrin
C.apoferritin

70.CO2 is tranported in lungs through
A.simple diffusion
B.fasilitated diffusion
C.active transport
D.carriar proteins
E.channels

71.HSV is associated with
A.CA cervix
B.CA vulva
C.vaginal wart
D.vulval papules?

72.If a pt has presented with the wart on lateral wall of introitus.the most probable daignosis will be
A.fibroepithelial lesion
B.squamous cell CA of skin
C.polyp
D.squamous CA of vagina
E.HPV

73.Pt presented on 18th day of menstrual cycle her normal cycle is such dat she ovulates on day 14. Which phase will she be in?
A.follicular
B.ovulatory
C.pre mestural
D.proliferative
E.secretory?

74.Optic groove appears on left side of forebrain on day
A.12
B.22
C.32
D.42
E.52

75.Germen measles causes which abnormality. What is the most appropriate answer
A.congenital cataract
B.congenital deafness?
C,cardiac anomalies?
D.limb deformaties
E........

76.A newborn with anterior abd wall swelling and umbilical cord attached to it.wat is the condition called
A.omphalocele
B.gastroschiaosis
C.umblical hernia
D.omentocele
E.intestinal malformation

77.PT has exophthalmos n his T3 n T4 are increased.wat is the option for treatment of exophthalmos
A.drugs blocking the action of T4?
B.direct suppresion of T4
C.hypophysectomy
D.administration of testosterone
E.partial parathyroidectomy

78.Treatment of diabetes in pregnant lady is
A.sulphonyl urea
B.insulin
C.biguanides
D.suphonylurea n biguanides
E...

79.Statistical average applicable to the measurement of a population is
A.mean?
B.mode
C.median
d.standard deviation
e.central

80.Two groups one with CHD and associated risk factors is compared to another group with CHD but no associated risk factors. What type of study is it?
A. case control
B. cohort
C. prospective
D. retrospective
E. random

81.Oxytocin is given to a pt in labour.it has effect on:
A. oxytocin receptors on cervix
B.oxytocin receptor on myometrium and endometrium
C.dec prostaglandin recp on cervix
D.dec prostaglandin recp on myometriun


82.Beta lactum acts through
A.cell membrane
B.cell wall
C.DNA
D.30S
E.50S

83.side effect of streptomycin
A.impairment of hearing
B.
C.
D.
E.

84.Which of the following is opportunistic organism
A.E coli?
B.salmonella
C.shigella
D.klebsella
E.chlostridium

85.Psudomembranous colitis is caused by
A.Cl.difficile
B.Cl.tetani
C.CL perfiranges
D.Cl.botulinum
E..

86.About aspargillosis which is not correct
A.is caused by fungal
B.usually seen in preexisting lung diseases?
C.is caused by long term antibiotic use.
D...
E........

87.Most common cause of puerperal sepsis is
A.bacteriodes
B,E coli
C.trichomonas
D.chalymadia
E.gonorrhea

88.Another question associted with aspargilosis

89.Inutero infection is not caused by
A.syphlis
B.mumps
C.cytomegalovirus
D.HIV
E.rhinovirus

90.A pt with cervical lymphadenopathy. he has granuloma on histopathology.wat is the diagnostic finding in this case for T.B
A.AFB
B.caseous necrosis
C.montoux test
D.x-ray
E.......

91.A 25 yrs old multiparaous presented with lower abd pain.on histology it showed solid n cystic areas intermixed but on laproscopy it was semi solid with brown centre.wat is the most probable daignosis
A.dermoid cyst
B.endometrial cyst
C.ovarian CA
D.enodmetrial CA
E.teratoma

92.A pt presented with primary amennorhea.well developed secondary sexual characterstics,present breast but absent uterus.the organ not found is due to abnormal development of
A.mesonephric duct
B.paramesonephric duct
C.genital tubercle
D.........

93.A woman presented with vulvar itching n pinkish purulent discharge.wat is the cause
A.trichomanas vaginilis
B.chlamydia
C.gonorhea
D.lactobacillis
E....

94.presense of delta antigen shows( HDV)
A.Infectivity
B.recovery
C.Chronicity
D. Acute phase
E.Measure of severity/fatality of the disease

95.Most common organism involve in post operative abdominal & gynaecological infection is
A.E coli
B.bacteroides
C.chlamydia
D.trichomonas
E.gomorrhea

96.A pt presented with lower abd pain n purulent white dischrge.om laproscopy fallopian tubes were sticked together n ruptured during operation.wat is the condition involved
A.acute salpingitis
B.chronic salpingitis
C.pyosalpinx
D.hydrosalpinx

97.Pt has a history of infection 4 weeks back.now he developed same pain again.wat type of cell will present at this time of disease
A.neutophils
B.eosinophils
C.lymphocytes
D.basophils
E.mast cells

98.What is the drug of choice for DVT in ist trimester of pregnancy
A.aspirin
B.heparin
C.warfarin
D.indomethacin
E.mefanamic acid

100.Deficiency of Vit K will effect all of the following except
A.factor 7
B.factor 5
C.factor 9
D.fibrinogen
E.prothrombin

101.At which step intrinsic n extrinsic pathways converge
A.activater 10
B.activated 11
C.activated 12
D.prothrombin
E.activeted 9

102.Type 2 hypersensitivity reaction includes
A.erythroblastis fetalis
all other options were wrong

103.Transfusion reaction will not occur in a pt if we transfuse the
A.group A with O
B.group A with AB
C.group AB with A
D.group B with O
E.group O with B

104.Which of the following does not cross placenta easily
A.glucose
B.amino acid
C.Ig G
D.Ig M
E.CO2

105.Which drug is used in the treatment of hirsutism
A.antiandrogens
B.estrogen
C.testosterone
D.cryptoterone acetate
E.diacrone

106.Most common organism involved in infection caused by IUCD
A.actinomycosis
B.E coli
C.bacteroide
D.gonorrhea
E.trichomonas

107.ECF differ from ICF in
A.high conc. of Na n Ca
B.high K low Na
C.low Na n Ca high K
D. high conc. Of K & Ca with low Na
E.Volume …

108.diffrence of smooth n skeletal muscle
A.Ca-Calmodulin complex is present in smooth muscles

109.In partial mole,karyotype is
A.46XX
B.45XO
C.47XX
D.47XY
E.69XXY

110.If carbohydrate is separated from proteins wat will be the fate
A.aggregation n precipitation
B.eliminate fron kidney?
C.increase uptake int muscle

111.Lysozome contains
A.glucose
B.Ca
C.Na
D. hydrolases
E.alkaline phosphate

112.Which of the following does not have sulpha group
A.cysteine
B.cystedine
C.homocystine
D.methionine
E.threonine

113.What is not true about levator anni muscle
A.supplied by L1 n L2
B.puborectalis forms part of it

114.What is not true about ureter
A.enter the pelvis infront of common iliac artery
B.enter the bladder on superio lateral surface of trigone
C.not hav sphincteric valve at opening into bladder
D.can be palpated at pelvic brim
E.??
115. MCQ on Significance
A.

116. If a test is able to both diagnose and eliminate diseased and non-diseased wht is it called?
A.Specific
B.Accurate
C.Sensitive
D…

117. From a population two groups are selected on age basis and then subgroups are assigned randomly for the study.wht type of sampling is it?
A.Multistage sampling
B.Stratified sampling
C.Random stratified sampling
D.simple random sampling

118. Metabolic Alkalosis is caused by
a) Chronic Hypoventilation
b) Pancreatic Fistula
c) hyperglycemia
d) ATN

119.Q on Metabolic acidosis

120.Q on compensated respiratory alkalosis

121. For Rh blood transfusion to the anemic baby
A.crossmatch blood to babys plasma
B.Crossmatch blood to mothers plama
C.Crossmath blood to mothers blood
D.give wbc depleted transfusion
E.Give red cell concentrates crossmatched wid fetal blood

122. Following is Autosomal Dominant Disorder
a) Phenylketonuria
b) Hereditary Spherocytosis
c) Hemophilia A
d) Cystic Fibrosa

123. Source of Estrogen & Progesterone in last trimester is
a) Chorionic Villus
b) Placenta
c) Overy
d) Adenohypophysis
e) Corpus Leuteum

124. About K - Regulation , following is correct
a) K is 98% in the cells
b) normally completely reabsorbed in Distal tubule
c) increase water affects K-balance?
d) decrease in D.K.A

125.On examination of a female,a plaque like lesion seen on Postero-superior aspect of Vagina,it is
a) Squamous Cell CA
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) wart?



Gyn Obs July 07
GYN OBS Questions JULY 2007

Hi just got to know of dis site through cpsp community otherwise would have mailed u questions way back anyways great effore am mailing fcps part 1 obs gynae mar n jul 2007

question no 1:eversion of endocervical epithelium in pregnancy is due to:
a)physiological change
b)chronic cervicitis
c)carcinoma in situ
d)estrogen stimulation
e)epidermadization of epithelium


2:primary oocyte surrounded by a non cellular layer:
a)theca interna
b)theca externa
c)corona radiata
d)cumulus oophurus
e)zona pellucida

question no 3:
simple columnar epithelium is the lining of:
a)epithelium lining the ducts
b)cornea
c)testis
d)uterine tubese)

question no 4:48 years lady has carcinoma cervix that has involved the cervix and has involved the vagina but not its lower third and has not extended onto pelvic walls stage of ca:
a)stage 1ab)stage 1bc)stage 11d)stage 111e)stage 4
question no

5:38 years lady has endometrial ca that has involved upto half the tickness of myometrium and ovaries are normal stage:
a)stage 1a
b)stage 1b
c)stage 1c
d)stage 11
e)stage 111

question no 6:20 yrs old girl has been raped,she has now watery vaginal discharge,has painful red papules n ulcers on vagina and vulva has fever and tender inguinal lymph nodes,causative organism:
a)bacteroides
b)chlamydia
c)herpes simplex
d)gonococcus
e)trichomonas vaginalis

7: a married woman has right sided tubulo ovarian abscess which was removed in a surgery had an iucd placed before,causative organism:
a)chlamydia
b)gardenella
c)tuberculous
d)bacteroides
e)gonococcus

8.the late secretory phase of menstrual cycle is not characterised by:
a)the spongy layer becomes thick
b)corpus luteum secretes estrogen n progesterone
c)the endometrial thickness is doubled
d)endometrial cells have subnuclear vacuolations
e)endometrial glands become tortuous

9.just 2 days before ovulation,LH is increased:
a)2 fold
b)2 to 4 fold
c)2 to 6 fold
d)6 to 8 fold
e)8 to 10 fold

10.menopause is characterised by:
a)atrophy of uterus
b)decrease in ovarian size
c)derease estrogen increased FSH AND LH
d)decreased estrogen increased FSH decreased LH

11.sperms stay active in female genital tract:
a)12 hours
b)12 - 24 hours
c)12 -36 hours
d)24 - 48 hours
e)24 - 72 hours

12.the volume of distribution of a drug is not influenced by:
a)age
b)sex
c)cardiac failure
d)renal failure

13.the bioavailability of a drug determines :
a)efficacy
b)efficency

14.paracetamol:
a)is more potent analgesic than codeine
b)is a weak anti inflammatory agent
c)overdosage can cause nephrotoxicity

question no 15:anticoagulants are contraindicated in:
a)cerebral infarction
b)thrombocytopenia

16.20 yrs lady has endotoxic shock after septic abortion,which of the following investigation is least likely to benefit:
a)clotting time
b)FDPs
c)prothrombin time
d)platelet counte)serial fibrinogen levels

17.30 yrs male has dyspnea on lying down,examination revealed:
a)multinodular goitre
b)retrosternal goitre
c)colloid goitre
d)cold nodule

18:cortisol:
a)increases amino acids n glucose in blood
b)is a glucocorticoid
c)is found in circulation bound to proteins
d)metabolised in liver
e)formed from cholesterol

19.JVP is differentiated from carotid pulse:
a)does not change with abdominal pressure
b)does not change with posture
c)does not change with respiration
d)pulsation varies with respiratione)prominent outward movement

20.a multigravida admitted with labour pains examination revealed os 6 cm dilated,baby cephalic,and head at zero station,the point of reference is:
a)ischial tuberosity
b)pubic arch
c)pubic symphysis
d)ischial spines
e)sacral promontory

21.at LSCS the artery damaged in superficial fat in suprapubic incision:
a)inferior epigaSTRIC artery
b)superior epigastric artery
c)internal iliac artery

22.following is not a tumor marker:
a)acid phosphatase
b)beta hCG
c)alpha fetoproteins
d)CEA
e)placental alkaline phosphatase

23.question o 23:beta hCG:a)it is a polypeptideb)it has action similar to FSHc)it prevents involution of corpus luteumd)e)

24:adrenal medulla will selectively secrete norepinephrine in the condition:a)exerciseb)sleepc)cold exposured)hemorrhagee)

25:cardiac output is decreased in:a)pregnancyb)standing or sitting from lying positionc)exercised)e)

26:cardiac output is decreased in all except:a)sleepb)starvationc)sittingd)e)

27:epinephrine will selectively onstrict muscles in:a)arteriolesb)bronchiolesc)ciliary muscled)pupilse)intestinal walls


28:spores should be disinfected by:a)dry heat at 100cb)dry heat at 60cc)dry heat at 160cd)cidex solutione)moist heat

29:following is not a disinfectant:
a)derivatives of salicylic acid
b)alcohol
c)soap
d)
e)

question no 30: that she had urinary incontinence,due to injury and communication in:
a)ureter n bladder
b)ureter n vagina
c)bladder n cervix
d)bladder n vagina
e)bladder n uterus

question no 31:perineal body is injured,muscle damaged is:
a)bulbospongiosis n superficial perineal muscles
b)superficial n deep perineal muscles
c)external anal sphincter n deep perineal muscles
d)ischiocavernosus n sphincter urethrae
e)sphincter urethrae n deep perineal muscles

32:pudendal nerve:
a)formed from ant primary rami of second third n fourth sacral spinal nerves
b)crosses the ischial spine medial to internal pudendal artery
c)enters the pudendal canal on the lateral side of ischiorectal fossa
d)leaves the pelvis by passing through the upper part of greater sciatic foramen
e)reenters the pelvis through lesser sciatic foramen

33:following does not form wall of inguinal canal:
a)aponeurosis of external oblique
b)internal obliquec)conjoint tendon
d)lacunar ligament
e)fascia transversalis

34:following does not pass through lesser sciatic foramen:
a)inferior gluteal vessels
b)tendon of obturator internus
c)nerve to obturator internus
d)pudendal nervee)internal pudendal artery

35:after LSCS patient had peritoneal hemorrhage she was reopened bleeding most likely from:
a)branch of ovarian artery
b)branch of uterine artery
c)internal iliac artery
d)obturator artery
e)external iliac artery

no 36:left ovarian artery is a branch of:
a)abdominal aorta
b)left renal artery
c)uterine artery
d)left inferior mesenteric arterye)obturator artery

question no 37:patient had laparotomy for ovarian mass mass was burried in ovarian fossa artery likely to be injured is:a)common iliac vesselsb)internal iliac vesselc)external iliac vesseld)ovarian arterye)obturator artery

questoion no 38:insulin stimulates transport of glucose into:
a)renal tubular cells
b)neurons of cerebral cortex
c)skeletal muscled)intestinal cells
e)liver

question no 39:the secretion of following is not increased in pregnancy:
a)cortisol
b)growth hormone
c)thyroid hormone
d)prolactine)PTH

question no 40:a patient had hypophsectomy for pituitary tumor she has amenorrhea for 8 months ovulation induction can be done in her by:
a)clomiphene citrate
b)pulsatile hCG
c)hMG
d)hMG followed by pulsatile hCG

question no 41:following does not occur in pregnancy:
a)increase in fasting blood sugar
b)increase in uric acid level
c)increase in serum urea level
d)decrease in serum albumine)decrease in serum proteinse)decrease in nitrogen levels

question no 42:respiratory acidosis occurs in:
a)emphysema
b)hyperventilation
c)ingestion of excess amount of sodium bicarbonate
d)starvatione) vomiting

question no 43:CO2 is transported from the alveoli of lungs into blood in lungs via:
a)diffusion
b)active transport
c)facilitated diffusion
d)secondary active transporte)osmosis

question no 44:O2-Hb dissociation curve delivering O2 in normal limits will have:
a)PaO2 40mmHg SO2 60%
b)PaO2 68mmHg SO2 78%
c)PaO2 96mmHg SO2 90%
d)PaO2 123mmHg SO2 98%
e)PaO2 256mmHg SO2 99%

question no 45:b-hCG has alpha n beta units,each unit has aminoacids:a)102 alpha 210 betab)100alpha n 160 betac)92 alpha n 156 betad)e)

qyuestion no 46:mothers milk differs from cows milk in that it contains:a)calciumb)lactosec)proteinsd)vitamin D

question no 47:pelvic outlet:
a)can b increased in supine position
b)begins at the level of ischial spines
c)dimensions change by movements of coocyx
d)contracture is more common than mid cavity probleme)

question no 48:patient has endocrine disorder has metabolic alkalosis and hypokalemia,he has excess of:a)ACTHb)aldosteronec)cortisold)estrogene)progesterone

question no 49:hormone that stores carbohydrates, lipids n proteins in cells is also known as hormone of abundance:a)growth hormoneb)cortisolc)thyroid hormoned)estrogene)progesterone

question no 50:hyperglycemia is caused by:a)insulinb)glucagonc)estrogend)progesteronee)growth hormone

question no 51:ketoacidosis is caused by:
a)increased production of glucose
b)decreased production of glucpoose
c)decreased utilisation of carbohydrate in body
d)insulin excess

question no 52:insulin secretion is stopped by:a)glucagonb)decreased k levelsc)somatostatind)e)

question no 53:hormone that stores carbohydrates,lipids n proteins in body is:a)growth hormoneb)thyroid hormonec)cortisold)insuline)PTH

question no 54:8 yrold girl has vaginal bleeding she is taller than her age and examination revealed an abdominal mas arising from pelvis she is suffering from:
a)constitutional; symptoms
b)hypothalamic tumors
c)hypothalamic mass
d)granulosa cell tumor
e)adrenal gland tumor

question no 55:least positive titre for widal test isa)1:80b)1:160c)1:260d)1:320e)1:156


question no 56:all of the following can b stored at 4c except:a)shigellab)vibrio cholerac)d)e)

question no 57:vaccine is available for all except:a)EBVb)typhusc)pneumococcusd)e)

question no 58:patient has presented with fever n generalised lymphadenopathy, bone marrow exam normal,weight loss positive,he is suffering from:a)metastatic carcinomab)hogkins lymphomac)non hogkins lymphomad)CMLe)

question no 59:patien is taking glucocorticoids for 10 days,she wont suffer from:a)moon faceb)hypotensionc)thin skind)e)

question no 60:gestational age can best be estimated from:a)abdominal circumference at 36 wksb)biparietal dia at 28 wksc)crown rump length at 8 wksd)femur length at 32 wkse)

question no 61:turners syndrome,most definitive diagnostic test:a)presence of barr bodyb)chromosomal analysis

question no 62:14 yrs girl has primary amenorrhea,normal breast development,secondary sexual characteristics normal,short blind ending vagina,slight pubic hair,usg revealed absent uterus,underlying cause:
a)congenital adrenal hyperplasia
b)chromosomal defect
c)failure f development of genital tubercle
d)defect of paramesonephric duct

question no 63:the lumen of uterine cavity is obliterated by fusion of:
a)decidua basalis n spongy layer
b)decidua basalis n decidua capsularis
c)decidua capsularis n decidua parietalis
d)decidua parietalis n decidua basalise)

question no 64:a woman has been exposed to radiation in young life,now she has visited a gynaecologist after some years,organ most likely to b affected:a)fallopian tubesb)cervixc)ovaryd)endometriume)vagina

question no 65:repeated blood transfusions (AB n Rh compatible) in an individual will lead to:a)haemochromatosis of liverb)hypocalcemiac)haemoglobinuriad)transfusion reactione)

question no 66: Rh incompatibility occurs in a mother if she has:a)Rh negative fetusb)Rh positive fetusc)d)e)

question no 67:the best way to prevent Rh isoimmunisation in a woman who has given birth to Rh positive fetus:a)blood transfusionb)platelet transfusionc)serumd)Rh immunoglobulinse)

question no 68:a person brought in er had burns,he was admitted later on he developed fever and bleeding diathesis,he is suffering from:a)DICb)hepatorenal failurec)hepatic failure of prothrombin productiond)renal failuree)

question no 69:following is not a cause of DIC:a)pre eclamsiab)amniotic fluid embolismc)cervical carcinomad)abruptio placentaee)PPH

question no 70:following is not a cause of DIC:a)abruptio placentaeb)burnsc)malignant tumorsd)e)

question no 71:multigravida P9+0 delivered a boy in a village 2 hours later she started bleeding profusely had oozing from gums she was brought to hospital her labs showed hb 6 TLC 15000/ul platelets 30000/ul she is suffering from:a)DICb)PPHc)clotting disorderd)bleeding diathesise)ITP

question no 72:27 year old female had profuse vaginal bleeding 2 hrs after delivery her labs showed hb 6 TLC 15000/ul plt 30000/ul peripheral blood film showed burr bodies,she is suffering from:
a)DIC
b)PPH
c)ITP
d)von willebrand disease

question no 73:vit k directly influences d reaction:a)conversion of fibrinogen to fibrinb)prothrombin to thrombinc)activation of factor 7d)formation of fibrinogen

question no 74:intrinsic n extrinsic pathways converge upon:a)activation of factor 7ab)activation of factor 5ac)factor 12ad)prothrombine)tissue factor

question no 75:bacteria that grow at 42c:a)vibrio cholerab)gonococcusc)shigellad)Ecolie)salmonella

question no 76:following is not true about endocarditis:a)blood cultures for causative organisms r usually negativeb)is caused by streptococcus group of bacteriac)is more common in elderly groupd)valvular involvemente)

question no 77:cause f subacute bacterial endocarditis:a)H.influenzaeb)Ecolic)streptococcus viridansd)e)

question no 78:interferon:a)binds to DNAbbinds to RNAc)is a protein derivatived)inhibits protein synthesis n their phosphorylation

question no 79:highest energy compound:a)ATPb)glucosec)hexose phosphated)starche)glycogen

question no 80:the end product of carbohydrate metabolism:a)fructoseb)glucosec)galactosed)starche)pyruvate

question no 81:L-dopa taken by a patient will decrease :a)estrogenb)progesteronec)prolactind)cortisole)

question no 82:isoniazid:a)cant b administered with rifampicinb)is contraindicated in nephropathyc)pyridoxine is used prophylactically to prevent its neurotoxic effectsd)e)

question no 83:hepatitis b following is not true:a)has an incubation period less than that of hep ab)caused by sexual contactc)caused by DNA virusd)e)

question no 85:actinomyces does not cause disease in:a)boneb)lungc)brain

question no 86:disseminated coccidiodomyces following is not true:a)infection will not provide life time immunityb)c)d)e)

question no 87:middle aged man crossing the road stumbled n hit by a car he fell down had injury to neck of fibula of his left leg was taken to hosp examination revealed that he is unable to dorsiflex and evert his left foot the injury is to:
a)common peronel nerve
b)tibialis post
c)superficial peroneal nerve
d)deep peroneal nervee)

question no 88:ECF:a)provides nutrients to cellsb)provides glucose to cellsc)bathes the cellsd)takes away electrolytese)takes away wastes

question no 89:spermatogenesis is stimulated by:a)FSHb)testosteronec)LHd)FSH n testosteronee)

question no 90:patient brought in shock in er successful fluid replacement will b indicated by:a)decrease in tachcardiab)increase in bpc)increase in urine outputd)e)

question no 91:cardoiac cycle:a)60% of ventricular filling occurs in diastoleb)end diastolic left ventricular vol is 100 mlc)ejection fraction is 75%d)the notch of d pulse is due to atrial systolee)

question no 92:a man has a pulse rate of 72/min impulse originates in:a)AV nodeb)SA nodec)left bundle branchd)purkinje fibrese)

question no 93:muscles r derived from:a)mesodermb)ectodermc)endoderm

question no 94:in our country d cause of cell inujury is:a)alcoholb)hypoxiac)ischemiad)ionising radiatione)malnutrition

question no 95:in our country cause of fatty liver is:a)alcoholismb)amoebiasisc)due to hep b n cd)increase intake of fatsdecreased protein utilisation

question no 97:in d female d neck of urinary bladder is located :a)in front of rectumb)below d urogenital diaphramc)in d urogenital diaphramd)above d urogenital diaphrame)behind symphsis pubis

question no 98:the highest content of triglycerides is in:a)chylomicron remnantsb)HDLc)LDLd)
IDLe)VLDL

question no 99:following is not a phospholipid:a)cephalinb)lysolecithinc)lecithind)plasminogene)sphingolipid

question no 100:a human being can survive without:a)calciumb)proteinsc)carbohydratesd)lipidse)

question no 101:patient has pyuria but has negative urine culture for organisms this happens in all conditions except:
a)acute post streptococcal glomerulonephritis
b)polycystic kidneys
c)urine stored at room temp for long
d)alkaline urinee)vesical calculus

question no 102:broad ligament a double layered fold of peritoneum ,ovary is attached to it by:
a)mesoovarium
b)suspensory ligament of ovary
c)round ligament of ovary
d)cardinal ligament



Gynae Obs Paper July 2007 Part-1

1. Eversion of cervix during pregnancy occur in response to:
a) Estrogen
b) Physiological change
c) Ca Cervix
d) Gonadotropins
e) Cervicitis

2. If Carcinoma involves nipple of breast which lymph nodes r likely
to involve first?
a) Pectoral
b) Apical
c) Central
d) inernal mammary

3. A Pt. came in OPD With enlarged Ant.Axillary lymph nodes and diagonosed a case of Ca Breast , which region is most likely involved?
a) Upper Outer Quadrant
b) Lower Inner Quadrant

4. More or less same question as # 3. reapeated again

5. A pt came to you with primary amenorrhoea,webbed neck,short stature diagnosed as Turner syndrome, wht is her karyotype?
a) 45XO
b) 46XY
c) 47XXY

6. A normal looking Girl came to you with primary amenorrhea,on examination she was having short blind vagina wid normal vulva, scanty pubic n axillary hairs,normal breasts,absent uterus,her karyotype is?
a) 46XY
b) 47XY
c) 47XXY

7. Wht is the best way to detect exact gestational age of fetus?
a) CRL at 8 wk.
b) Femur length at 28th wk.
c) Biparietal diameter at 18th wk.
d) Abdominal circumference at.....

8.Sperms life span in female genital tract is ?
a) 24 to 48 hrs
b) 24 to 72 hrs

9. Spermatogenesis is controlled by?
a) Testosterone
b) FSH+ Testosterone
c) LH
d) Estrogen

10. Almost same as above

11. In drug receptor relations which one is incorrect?
a) Bradycardia --- Propranolol
b) Miosis --- Pilocarpine
c) Skeletal Muscle Paralysis --- Tubocurarine
d) Bronchodilation --- Salbutamol

12. Which one of them do not pass through Lesser Sciatic Foramen?
a)Tendon of obturator internus.
b)Pudendal Nerve
c)Internal Pudendal Vessels
d)sup. & inf. gluteal vessels

13. In a motorbike accident neck of fibula fractured and lead to a loss of dorsiflexion n eversion of foot,which nerve is likely to b damaged?
a)Common Peroneal
b)Deep peroneal
c)Superficial Peroneal

14. Wht is most likely to b true about pudendal nerve?
a) Enter the ischiorectal fossa thru its lateral wall
b) Leave the pelvis thru upper part of greater schiatic notch
c) Re enter the pelvis thru lesser schiatic notch

15. If perineal body is cut which muscle likely to b damaged?
a) Bulbospongiosus + superficial Transverse Perieal
b) Deep + Superficial Transverse Perineal

16.Ureter is found at :
a) the bifurcation of common iliac artery
b) pelvic brim

17. If ovaries are removed frm ovarian fossa, wht is most likely to b damaged?
a) Internal iliac
b) uterine artery
c)Ovarian artery
d) External iliac artery

18. To reach the uterus, uterine artery crosses the:
a)Ureter
b)Fallopian Tube
c)Ligament of ovary


19. If Ca.Cervix metastasize to Labia majora which one of these is most likely responsible for spread?
a) Round lig. Of uterus
b) pubocervical ligament
c) pectineal ligament

20)which structure do not participate in forming the walls of inguinal canal?
a) Transversalis fascia
b) Internal Oblique
c) External Oblique
d) Conjoint tendon
e) Lacunar ligament

21) If after 1 hr of ceaserian section pt start b bleeding internally which one is most likely damaged?
a) Uterine artery
b) Internal iliac a.
c) Ovarian artery
d) uterine vein

22) If on lying down pt became dyspnoec wht is the cause?
a) Retrosternal goiter
b) Multinodular goiter
c)

23) If a women at 10th week pregnancy hav Hb 12;Hct 25 Normocytic Normochromic film but at 32 wk pregnancy her Hb is 10.9 ; Hct 20 with same peripheral film wht is the cause?
a) Physiological change
b) Iron deficiency
c) Folate Deficiency
d) Vit B12 deficiency

24) Ovaries are attached to broad ligament by?
a) Mesoovarium
b) Mesosalpinx
c) suspensory ligament

25) In females Neck of bladder ends :
a) above the urogenital diaphragm
b) below the urogenital diaphragm
c)

26) Most common cause of hosp. acquired infection is?
a) Indwelling catheters
b) I/V lines
c)

27) Which method is used 2 kill spores of surgical instruments?
a)dry heat at 160c for 1 hr
b)dry heat at 160 c for 4 hr
c)moist heat at 160c for1hr
d)Gension violet for 4 hrs

28) Which one is not used as insecticidal?
a) Derivatives of salicylic acid
b) Phenol
c) Sodium hypochlorite
d) Soap

29) Most common cause of subacute bacterial endocarditis is:
a) sterpt viridans
b) sterpt epidermidis
c) staph aureus

30) Food poisoning cause by staph. Is mainly due to:
a) exotoxin
b) endotoxin
c) enterotoxin

31) Now a days the best way to diagnose viral infection is:
a) ELISA
b) by detecting virus from secretion or wound
c) immunofloresence

32) If pt hav persistent pyuria all can be the cause except:
a) polycystic kidney disease
b) long standing alkaline urine at room temperature
c) Post Streptoccocus glomerulonephritis

33) wht is the least positive value for widal to diagnose typhoid?
a) 1:80
b) 1:120
c)1:360

34) Two days before ovulation LH surge rises to
a) 1 to 5 fold
b) 4 to 6 fold
c) 6 to 10 fold

35) villous surrounded by cyto n syncitiotrophoblast is:
a) Primary villous
b) secondary villous
c) tertiary villous

36)Following is not a proven cause of hirsuitism?
a) Androgen
b) PCOs
c) steven leventhal sundrome
d)

37) CO2 is transported frm blood to alveoli by :
a) Facilitated diffusion
b) Active transport
c) Diffusion

38) Active transport differs frm Passive due to:
a) depend on osmosis
b) require carriers but no energy
c) requires energy but no carriers
d) require energy by phosphate anhydride bond

39) Mean Arterial pressure is
a) difference b/w systolic and diastolic pressure
b) Diastolic + 1/3 pulse pressure
c)

40) Columnar epithelium is found in:
a) uterine tubes
b) Thymus
c) ovaries

41) Obese are at risk of all except:
a) Hyepertension
b) Diabetes
c) Thyrotoxicosis
d) IHD

42) Following will lead to Respiratory Acidosis?
a) emphysema?
b) heavy intake of NaHCO3
c) Vomiting

43) Hormone which causes an increase carbohydrate protein and lipid stores is?
a) GH
b) insulin
c) cortisol
d) Aldosterone
e) thyroxine

44) same question

45) insulin secretion is inhibited by:
a) glucagon
b) secretin
c)

46) Acellular layer surrounding an ovum is :
a) Zona pellucida
b)Granulosa layer
c) Theca interna
d) Corona radiate

47) Primordial germ cells arises frm:
a) Yolk sac

48) Highest energy containing compound is:
a) Starch
b) Glucose
c)Hexose phosphate
d) ATP

49) Which contain high triglyceride?
a) Chylomicron remnants
b) LDL
c) VLDL
d) HDL
e) IDL

50) Which is not a phospholipid?
a) Lecithin
b) ISolecithin
c) Cephalin
d) Plasmalogen

51)Low PO2 Stimulate respiratory centre thru:
a) Directly acting on medulla
b) stimulating peripheral chemoreceptor
c) acting on central chemoreceptor

52) If Rh -ve mother deliver an O +ve fetus wht is the best way to protect subsequent pregnancies?
a) Immunoglobulin

53) wht is the landmark for biscop scoring:
a) Ishial Spine
b) Ishial Tuberosity

54) In a women of craniopharyngioma wht is the best opetion to induce ovulation?
a) Clomiphen citrate
b) Menopausal Gonadotropins

55) If you give L Dopa to the pt of Parkinsonism which hormone will decrease?
a) Prolactin
b) FSH,LH
c) Testosterone

56) Which hormone convert to its active form at target tissue with the help of 5 α reductase?
a) Testosterone
b) Estrogen

57) Pt came to you with eosinopenia,polycythemia,lymphocytopenia and raised ACTH level,wht is most likely?
a) Cushing disease
b) Cushing Syndrome
c) Addisons disease

58)Wht change will not seen in a women having inc. cortsiol level?
a) Hypotension
b) Moon face
c) Buffalo Torso
d) Thin skin
e) Hirsuitism

59) Main support of uterus is:
a) Cardinal ligament

60) Rational for storage of platelet at room temp. is :
a) Optimize the platelet function
b) platelet number do not dec.

61) Women brought to you in ER in shock who had a 10 pint transfusion 10 yrs back due to PPH is most likely having:
a) Sheehan syndrome

62) Therapeutic index indicate:
a) Bioavailability
b) Efficacy
c)

63) If after 15 days of c-section due to Obstructed Labour pt. developed Urinary incontinence,wht is the most likely cause?
a) Vesicovaginal Fistula
b) Vesicouterine Fistula

64) Which one is the supporting ligament of uterus tht is palpable on Per-rectal examination?
a) Uterosacral ligament

65) If 35 yr old women developed Generalized Lymhadenopathy wht is the most likely cause:
a) Hodgkin Lymphoma
b) Nonhodgkin lymphoma
c) Malignant disease
d) CML
e) ALL

66) If women accidently exposed to radiation 3 to 4 yrs back which organ is most likely effected?
a) Cervix
b) Fallopian tube
c) Ovaries
d) Vagina

67) Wht is the best method to check bone density?
a) CT scan spine
b) MRI spine
c) Calcium Level
d) D scan of spine

68) Which drug do not cause gynaecomasia?
a) Digoxin
b) Griseofulvin
c) Cimetidine
d) Androgen
e) Estrogen

69) Pt developed Morning stiffness,Photosensitivity,rash which test will be positive?
a) RA
b) ANA
b) antimitochondrial

70) Wht is the end product of glucose breakdown ?
a) Galactose
b) Lactose
c) Fructose
d) Pyruvate

71) In a pre eclamptic pt which drug is used to lower BP before surgery?
a) Hydralazine
b) Amlodipine

72) Amniotic fluid embolism is related to:
a) DIC

73) Which hormone is necessary for brain development of fetus?
a) GH
b) Thyroid
c) Cortisol

74) If α feto protein is high wht is most likely?
a) Anencephaly
b) Spina bifida Occulta
c) Down syndrome

75) T3 , T4 raised in pregnancy due to:
a) Inc TBG
b) Inc TSH
c) Inc TRH

76) Which one is not a tumor marker?
a) HCG
b) CEA
c) α fetoprotein
d) Placental Acid phosphatase(PLAP)
e) Alkaline Phosphatase

77) Hysterosalpingography is more accurate than MRI in:
a) Adenomyosis
b) blocked tubes

78) TORCH can lead to all EXCEPT:
a) Pnuemonia
b) Cataract
c) Deafness
d) Cardiac anomalies
e) Blindness

79) DNA is:
a) Double stranded in which two strands are antiparallel to each other
b) all other wrong

80) Which antithyroid drug is given during Pregnancy?
a) Propylthiouracil

81) Tx of raised sugar in pregnancy is :
a) Insulin
b) Sulfonylurea

82) Menopause is diagnosed by:
a)Raised FSH,Raised LH,dec Estrogen
b)dec FSH n LH

83) Tuboovarian abcess caused by IUCDs…wht is the most likely causative agent?
a) Actinomycosis
b) Streptococcus

84) Which component is low in Cow`s milk as compared to mother`s milk?
a) Lactose
b) Fat
c) Calcium
d) Protein

85) Excess of Aldosterone will cause:
a) Hypokalemia
b) Hyperkalemia

86) Which method is most useful in identifying chromosomal abnormalities?
a) Karyotyping
b) U/S
c) Bar bodies

87) DIC is related to all EXCEPT:
a) Cancer
b) Amniotic fluid embolism
c) Sepsis
d) RPOCs
e) answer

88) In C-section insicion is given in subcutaneous fat suprapubically will likely to damage?
a) Superior mesenteric artery
b) Deep Circumflex iliac artery
c) Superior epigastric artery
d) inferior epigastric artery
e) Perforating arteries

89) Insulin increase absorbtion of glucose in?
a) Hepatocytes
b) Mucosa of small intestine
c) Renal tubular cells

90) Glucose is absorbed in renal tubules through:
a) Secondary Active transport
b) Facilitated diffusion
c) Diffusion


91) A pregnant women is on Phenytoin,wht is the least likely complication in fetus?
a) Bone deformity
b) Mental retardation
c) Cleft palate

92) Anticoagulants are indicated in all EXCEPT:
a) Thrombocytopenia
b) Cerebral infarction
c) Prolong bed rest
d) DVT

93) A mother brought her 8 yr old daughter in OPD with complain of vaginal bleeding,she was taller acc. To her age with well developed breasts.she was otherwise normal,wht is the cause:
a) Ovarian tumor
b) Hyperpituitrism
c) Hypothalamic disorder

94) Main function of Extracellular fluid is:
a) Transport electrolyte
b) Remove waste products
c) Provide nutrition

95) Which investigation is least likely done in a suspected case of DIC?
a) Clotting time
b) FDP
c) D-Dimer
d) Platelet count
e) PT

96) Which drug is not used in Dysmenorrhea?
a) Ibuprofen
b) Mefenamic acid
c) Aspirin
d) COX inhibitor


Questions
(Expect repetition of questions)

1)which hormone is resposible 4 storage of carbohydrate,fats,protein in body?
a)cortisol
b)growth hor
c)thyroxine

2)which hormone is responsible 4 storage of fat CHO n protein in body n called hormone of abundance?
a)costisol
b)throxine
c)grwoth hormone

3)which hormone is needed 4 brain development of fetous during intranatal life?
a)growth horm
b)thyroid
etc

4)tubo ovarian abcess in a woman using iucd is caued by?
a)actinomycosis
b)streptococi
etc

5)which component is low in cow milk as compare 2 mothr milk?
a)lactose
b)protien
c)calcium
d)fat

6)among following which is not antiseptic?
a)soap
b)salicylic acid
c)sodium hypochlorite
d)ethanol

7)4 tx of eclampsia which drug is used?
a)hydralazine
b)minoxidil
etc

8)which method is used 2 kill spore?
a)dry heat at 160c for 1 hr
b)dry heat at 160 c for 4 hr
c)moist heat at 160c for1hr

9)excess of aldosteron will cause?
a)hypokalemia
b)hyperkalemia
etc

10)structure of 2ndry villus unclude?
a)mesoderm cytotrophoblast syncytium
b)capillaries cytotrophoblast syncytium
etc

11)a 45 yrs old lady is post menopausal from last 9 months,which is most likely 2 show onset of menopause?
a)anovulatory cycle
b)atrophic uterus
etc

12)spermatogenesis is supported by?
a)FSH n testosteron
b)gonadotrophin
etc

13)germinal epithelium of ovary contain?
a)cuboidal epithelium
c)columnar
etc

14)columnar epithelium line which structure?
a)thymus
b)choroid plexus
c)uterine tubes

15)which method is most helpful in identifying chromosomal abnormalities?
a)karyotyping
b)u\s
etc

16)a normallooking female cam 4 primary amenorrhea on examination she was having short blind vagina wid normal vulva n scanty hair,her wt n ht for age were normal bt absence of uterus,she was othrwise a normal lookinggirl karyotype was xy
a)46xy
b)46xx
etc

17)DIC is related 2 all of the following except?
a)amniotic fluid embolism
b)cancer
c)gram-ve sepsis
d)retained dead fetus
e)etc(answer)

18)a women brought 2 hospital after having difficult delivery at home wid bleeding diathesis
wat is the cause
a)dic
etc etc

19)which of the following is leat likely 2 b effected by actinomycosis
a)bone
b)brain
c)oral cavity

19)which is not the manifestation of child born wid toxoplasma infection?
a)pneumonia
b)cataract
c)mental retardation
etc

20)a woman having morning stiffness of hand n pericardial effusion which lab finding woud help in dx?
a)anti nuclear DNA
b)strptolysin
c)rheumatic factor
etc

21)which structure pass thro inguinal canal from uterus 2 labium majus in female?
a)round ligament
b)broad ligament
etc

22)which ligament can b palpated on per rectal examination?
a)uterosacral
b)broad ligament
c)round ligament
etc

23)main support of uterus?
a)broad ligament
b)transverse cervical ligament
etc

24)an incision given supra pubically in a female for LSCS would damage which artery?
a)superior epigastric
b)inferior epigastric
etc

25)ovary is attached 2 back of braod ligament by?
a)mesovarium
etc etc

26)which sturcture does not form walls of inguinal canal?
a)lacunar
b)external oblique apenerosis
c)conjoint
etc

27)insulin help in absorption of glucose through?
a)musoca of small intestine
b)renal tubules
c)hepatocytes
etc

28)glucose is absorbed in renal tubules thro?
a)2ndry active transport
b)facilitated diffusion
etc

29)after lscs(c\section) a woman is bleeding intaperitonealy which artery can b damaged?
a)uterine
b)ovarian
c)internal iliac
etc

30)which organism require selective media 4 its diagnosis?
a)vibrio cholera
b)e coli
c)campylo bacter
etc

31)a pregnant woman on phenytoin, which is the least likely complication?
a)bone deformity
b)mental retardation
c)cleft palate

32)anticoagulant are contraindicated in pt wid?
a)thrombocytopenia
etc etc

33)a pt showing eosiniphilia,lymphoctytopenia polycythemia his blood levels show increase ACTH level which of following is the cause?
a)cushing syndrome
b)sudhing disease
c)addisons disease
etc

34)ca breast will effect which of the breast quadrant mostly?
a)upper n outer
b)medial
c)inner n medial
etc

35)a women having ca breast which group pf lypmh nodes is effected?
a)anterior axillay
etc

36)a mother brought her daughter wid vaginal bleeding she is 8 yrs old taller 4 her age wid well develop breast n odr wise normal which coud b the cause?
a)constitutional
b)hypothalamic
etc

37)a man wid full burns in icu develop bleeding diathesis which coud b the cause?
a)dic
b)infection
etc

38)a women brought 2 ER unconcious wid history of postpartum hemorrhage 10 yrs back which of the following is dx?
a)sheehan syndrome
b)low bp
etc

39) Main functions of extracellular fluid is?
a)transport electrolytes
b)removal of waste material
etc

40)therapeutic index show
a)drug efficacy
b)safety















More questions awaited, will be updated soon.