11.8.15

FCPS Gynae Obs Paper part 1 June 2014

FCPS Gynae Obs Paper part 1 June 2014


Kindly correct the answers if found wrong, thanks

1) ureter is narrow at the following points except?
pelvic brim
pelvic ureteric junction where it lies on the psoas (ans)
where it passes through the bladder

2)regarding spinal nerves true statemnt?
they leave the vertebral canal via intervertebral foramina(ANS)
dorsal root contain both sensory & motor fibers
have ganglia on there ventral root

3) following statements about ischio rectal fossa are true except?
has pudendal canal in lower medial wall (ANS)
allows dilatation of anal canal during defecation
extend forward into urogenital triangle
bounded lat by obturatr internus
is bounded post by sacrotuberous ligamnt

4) regarding suprarenal gland all true excpt?
foetal gland is 1/3rd the size of kidney(ANS)
cortex develop frm mesoderm

5) following structures present in dermis except?
melanocytes(ANS)
fibroblast
macrophages
reticulocytes
mast cells

6) neural crest cell give
origin to??
autonomic ganglia(ANS)
neural plate
suprarenal gland

7) secondary centre of ossification in long bones develop in?
epiphyses(ANS)
metaphysis diaphysis

8) Ca cervix mostlikely to spread via lymphatics?
internal iliac nodes(ANS?)
ext iliac nodes
superficial inguinal nodes

9)sub arachnoid space ends inferiorly at the level of?
S2 & S3(ANS)
L1 L 2
L3 L4
L5 S 1

10)which lymphoid tissue , not contain lymph nodule?
lymph node
spleen
thymus(ANS)
payers patches

11) To auscultate the tricuspid valve , sthetoscoped should be placed at??
right half of lower end of body of sternum(ANS)
medial end of 2nd right intercostal space
medial end of 2nd left intercostal space
Left 5th ICS in mid clavicular line
Lt 4rth ICS in mid clavicular line

12) significantly raised level of Sr alpha fetoprotein is characteristic of ??
hepato cellular carcinoma (ANS)
bronchogenic ca gastric ca

13) most significant & potent exotoxin produced by st pnemonia ??
catalase
coagulase
fibrinolysin
leucocidin
streptolycin(ANS)

14) a male patient develops swelling of the parotid gland ..radiological exam reveals stone in the duct . the atrophic changes in the gland is best described by the process of ?
apoptosis(asim surgry key)
degenration ( nt rembr exactly bt may b in chandkain or asim med??)
hyalinization infarction necrosis

15) when heparin is given to a pt with venous thrombosis it wil prevent?
dissolution
embolization
inflamation
organization
propagation(ANS)

16) factor most closely associated with thalassemia is??
abnormal globulin chain production imbalance in the chain ratio (ASIM SURGRY KEY)
rbcs membrane defect due to cytoskeleton

17)clostridium perfringes produces cell injury by?
causing local hypoxia disturbing citric acid cycle elaborating phospholipases (ANS ASIM SURGRY KEY)
inhibitng glycolysis producing ATP depletion

18) A woman of 35 yr C/O yellowish vaginal Discharge on cytological exam of vaginal smear the etiolgical agent most likely to b found would be???
trichomonas vaginalis(ANS)
lactobascillus
candida albicans
E.coli
leptothrix bacicci

19)slide of endocervix which shows the partial presence of stratified sq epi...it may be due to??
Anaplasia Dysplasia Metaplasia(ANS)

20)If ejection fraction is increased then followng will decreased??
End diastolic volume
End systolic volume(ANS)

21)Most comn cause of pyogenic peritonitis??
Bacteroides(ANS)
Ecoli

22)Pt with pyogenic lung abcess now develop meningitis most likely organism?? Streptococci Staphylococi(ANS)

Pneumococii Klebsiella H.influenza

23)durng pregnancy which of the following drug will b safe in hyperthyroid disease??
propylthiouracil(ANS)
carbamizole
beta blockers
diazepam
carbamazepine

24) if ovaries are removed from ovarian fossa , what is most likely to b damged? Uterine artery Internal illiac(ANS)
Vesical artery
External illiac
Inferior rectal

25) main support of uterus ??
cardinal ligament(ANS)
round ligament

26) amino acids absorbed in renal tubules ??
secondary active transport (ANS)
facilitated diffusion
simple diffusion

27)axillary & pectoral group of lymph nodes drain which portion of breast?
upper lateral quadrant(ANS)
whole breast
uper half of breast
uper medial quadrant

28)supply of sphicter urethera comes from??
pudendal nerves(ANS)
ilioinguinal nerves
pelvic splanchnic nerves
autonomic nerves

29) thirst is decreased by ??
inc ECF vol (ANS)
AT-2
increase plasma osmolarity
lateral part of hypothalamus
blood loss

30) one of the following is essential amino acids ??
a) phenylalanine(ans)
b) tyrosine
c) glutamate
d) alanine
e) aspartate

31)In vitamine K deficiency wat wil be decrease ?
PT(ANS)
APTT

32)lignocane overdose??
cause convulsion that lasts for several hours
is managed by hydrocortisone(ANS)
is averted by 2% solution only
causes perioral paresthesia

33) mother brought a new born to a peadiatrician surgeon for congenital anomalies involving multiple system of body with H/O intake of various drugs during pregnancy .the fetotoxic drugs used by mother during the following developmental periods had not affected his newborn??
1-2 weeks(ANS)
3-4 weeks
5-6 weeks
7-8 weeks
9-10 weeks

34)of 20 women with neonates getting tetanus 19 had not taken a tetanus toxoid vaccine & of 40 whose babies did not have tetanus . 30 had taken two tetanus toxoid shots during pregnancy .the odd ratio will b??
10
11
09(Ans)
7
8

35)The most toxic effect of chlorpromazine??
Anxiety
Hallucinatn
Dystonia(ANS)
Seizures

36)Tubular organ lined by stratified sq epi ..specimn show increase cellularity vascularity & elasticity elemnt with a muscular layer immediately adjacent to adventia ...specimn??
Vagina(ANS)
Esophaus
Cervix
Oropharynx
Duodenum

37)a pap smear & colonscopic exam for the ealry detection of cervical cancer & papillo,a virus infection constitute??
Primary prevention
Secondary prevention(ANS)
Tertiary prevention

38)Inferior thyroid is branch of
1: External carotid
2: costocervical
3: thyrocervical(ANS)
4: vertebral

39)colon cancer PRIMARILY metastasize to
lymph node
lung
liver(ANS?)

40)which cancer is caused by VIRUS
retinoblastoma
helatic angiocarcinoma
t leukemia(ANS)

41)O2 saturation at sea level
97%(ANS)
75%
85%
100%

42)cloaca membrane
have relation with both ectoderm and endoderm(ANS)
have no relation with ectoderm

43)discoid rash and arthritis and heamolytic anemia
anti ds antibidy(ANS)
anticentromere

44)VMA is present in.......4 hydroxy..vinyle malanic acid
carcinoid syndrom
pheochromocytoma(ANS)

45)Which of the following metals has least penetrating ability

Iron(ans?)
Cobalt
Cadmium
Lead
Mercury

46)A pt was given epidural during labor pains but at time of crowning further epidural was given which nerves do u think were spared initially?
L1 L2
S1S2
S3$4
T8 t12

47)base of the bladdar on
posterior
anterior
inf
sup

48)6 week child have jaundice his diper is blurubin stained
billary atresia
gilbert
grigler
physiological

49)HSV 2 :
Cervical carcinoma(ans)
Endometrial carcinoma
Lymphoma

50)Bone blood supply
Flat bones supplied by nutrient n petrosal arteries
Short bones supplied by nutrient arteries only
Epipheseal end supplied with epiphsial arteries(ANS?)
Metaphysial end supplied with metaphyseal arteries


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