Past Paper of FCPS Part 1 Gyne 2015

Gynae Obs Paper of June 10th, 2015

Compiled and Edited by Dr.Haya Khan)
Solved by Dr sidra and Dr khadija

Ureteric bud not reaching mesenchyme leads to

a) Kidney without ureter pancake kidney

b) Kidney without ureter

Longest pre erthrocyte stage is longer in

a) Plasmodium Falciparum

b) Plasmodium Ovale

c) Plasmodium Vivax

d) Plasmodium Malariae

No agglutinin is present in blood group

a) AB+

b) AB –

c) O+

d) O-

Excretory system of kidney is derived from

a) Ectoderm

b) Endoderm

c) Lateral plate mesoderm

d) Intermdiate mesoderm

e) Splanhnic mesoderm

Platelets transfusion does not transfuse

a) DIC

b) Previous multiple blood transfusions

4th heart sound is produced by

a) Vibration of the AV valves

b) Filling of the ventricles

2

 

Cloacal membrane

a) Arises from the caudal end of hindgut

b) Derivative of Endodermal plus ectodermal

Dead space remains unchanged in

a) Shallow breathing

b) Deep breathing

c) Standing

d) Old age

e) Tracheostomy

Patient is unable to open the mouth due to paralysis of

a) Medial pterygoid

b) Lateral pterygoid

What is correct about broncho pulmonary segment

a) Supplied by primary bronchi

b) Secondary bronchi

c) Tertiaary bronchi

d) Not directly related to each other

e) Each bronchopulmonary seg is supplied by a separate veinof its own

Characteristic of actinomyces

a) Abcess

b) Granuloma

c) Cancer

d) Abscess and granuloma

One of them is an end artery

a) Central retinal artery

b) Coronary artery

A carcinoma of vagina below hymen( vaginal orifice) is likely spread via the lymphatics into

the

a) Inferior mesentric nodes

b) Internal and external iliac nodes

c) Internal iliac nodes

d) Medial group of horizantal superficial inguinal nodes

e) Vertical group of superfial inguinal nodes

A scenario on pernicious anemia – Vit B12 deficiency after resection of the colon

Iron deficiency scenario in which MCV, MCH and MCHC were low.

A scenario of thalassemia in which the patient had moderate splenomegaly

Human placental lactogen

a) Single chain having 191 amino acids

b) Molecular wt 22 kg

Tachyphylaxis

a) Diminish unresponsiveness adapted quickly

b) Diminish unresponsiveness adapted slowly

c) Caused by morphine

Harmone that causes synthesis of protein in liver while its lysis in peripheral tissue

a) Cortisol

b) Insulin

c) Glycagen

d) Thyroid

Powerful vasoconstrictor

a) Bupivacaine

b) Cocaine

c) Tetracaine

Ureter is narrowest at

a) Ischial spine

b) Ischial tuberosity

c) Iliosacral joint

d) Sacral promontory

e) Perinatal mortality

Values were given we had to solve it using the formula for maternal mortality

Harmone which causes increase in cAMP

a) GH

b) LH

c) ADH

Muscles are

a) Origin is mobile

b) Fixed at insertion

c) Ligaments are fibrous

Intra embryonic obliteration of urachus

a) Urachal cyst

b) Urachul fistula

c) Urachal sinus

True about rectum is

a) Straight structure

True about pudendal nerve

a) Passes through great sciatic notch

b) Supply internal anal sphinter

c) Supplies muscles of perineum

GnRh is not inhibited by

a) Carcinoma

b) Estrogen

c) Progesterone

Maximum pressure dissipated is

a) Aortic arterial

b) Arterio arterial

c) Aertrio capillary)

Cerebellum

a) Coordinates all movements Both Correct A and B

b) Recieves afferents only from cerebral cortex

c) Recieves sensory afferents

d) Proprioception

Rapidly adapting

a) Pacinian corpuscles

b) Arterial barorecpetors

c) Messiener corpuscles

4th ventricle floor lateral border is formed by

a) Pons and medulla

b) Inferior cerebellar peduncle

c) lateral cerebellar peduncle

d) Medial cerebellar peduncle

Ureter is supplied by all except

a) Gonadal arteries

b) Renal arteries

c) Common iliac arteries

d) Inferior mesenteric arteries

Resting membrane potential is maintained by

a) Potassium efflux

b) Na+/K+ pump

Oral contraceptive causes what in pulmonary artery

a) Infarction

b) Embolism

Uncoupling of oxidative phosphorylation and heat production is the related to

a) Cortisol

b) Adrenaline c) Thyroxine

Myleperoxidase is an enzyme present in

a) Neutrophil

b) Basophil

c) Lymphocytes

Old age HB Dec, RBC increased, WBC increased, platelets increased with hypeplastic bone

marrow with weakness and lethargy, what’s your diagnosis

a) CRF

b) Megaloblastic anemia

c) Acute leukemia

d) Myleofibrosis

A girl 10 years with HB 5 MCV 5,MCH 15, MCHC 18 with splenomegaly

a) Iron def anemia

b) Anemia of chronic diseases

c) Beta thalessemia major

40 years lady with 2 year history of pruritis ,for the last 6 months having xanthoma,

hepatospleenomegaly, which investigation will confirm Diagnosis

a) ALT

b) AST

c) U/S

d) CT scan

AFP is not raised in

a) Hepatitis

b) Pancreatic carcinoma

c) Liver carcinoma

New cases per 100,000 in a given time

a) Incidence

b) Prevalence

A specific group of patients selected and their outcome is checked by

(I don’t remember if this was an mcq – please help me correct it)

a) Stratified sampling

b) Cross control studies

c) Cohort

Pubic bones are an example of

a) Symphisis joint

b) Syndesmosis

One of the following does not regenerate

a) Adrenal gland

b) Cornea

c) Lens

d) Epithelium

Ureteric bud does not grow towards metanephric cap causes

a) Absent ureter

b) Absent kidney

c) Polycystic kidney

d) Pancake kidney

Milk presents in the breast during pregnancy with normal prolactin level but no lactation it is

due to inhibitory effect of

a) Estrogen

b) Progesterone

c) Oxytocin

Antimicrobial and protective effect in alveoli is produced by

a) IgA

b) Alveolar macrophages

c) Mucin

Pulmonary artery supplies

a) Tertiary bronchi

b) Secondary bronchi

c) Alevoli

 

Primary hepatocellular carcinoma is caused by all of the following except

a) Hepatitis C

b) Alfa 1 antitrypsin deficiency

c) Toxins in food

d) Aflatoxin

Vaginal lymphatic drainage below the hymen is to

a) Superior inguinal lymph nodes

b) Aortic nodes

c) Inferior mesenteric nodes

d) Superior mesenteric nodes

e) Femoral lymph nodes

A patient can’t store food in vestibule, can’t blow, cannot frown and cannot clench his teeth,

which nerve has been damaged

a) Facial nerve

b) Mandibular nerve

c) Vagus nerve

d) Maxillary division of the mandibular nerve

Inferior orbital branch is a terminal branch of

a) Facial artery

b) Maxillary artery

c) Transverse facial artery

Lengthening of a muscle is controlled by

a) Golgi tendon

b) Muscle spindle

Alpha blocker effect

a) Mydriasis

Benign tumor

a) Keratocanthoma

b) Warthin

c) Wilms

Aggressive tumor

a) Squamous cell carcinoma

b) Melanoma

c) Compound nevus

d) Basal cell carcinoma

e) Intraepithelial Paget’s

leiomyoma overlying endometrium shows increased fibrosis with scanty glands/ducts in the

stroma

a) Atrophy

b) Hyperplasia

c) Dysplasia

Metaplasia

a) Change in function of the cells

b) Change in size and shape

b) Soon after delivery

c) Postpartum





Amniotic fluid embolism

a) During labor and postpartum

d) Complicated labor like abruptio placenta

Inguinal canal in female contains

a) Iioinguinal nerve and round ligament

Bladder does not have

a) Trigone

b) Detruser

c) Ureteric opening

d) Pubovesical

Nerves in pelvis

a) Obturator

 

Anaphylactic Shock (What was the correct stem plz)

a) Arterial dilation

b) Endotoxin

c) Increased capillary permeability

d) Venous dilation to increase venous return

Fetal adrenal gland produce

a) Testosterone

b) Progesterone

c) DHEA

d) Pregenolone

Parturition is caused by

a) Fetal cortisol

b) Oxytocin

Cardiac output increases in

a) 1st trimester

b) 2nd trimester

c) After delivery

d) 3rd trimester

E)during labour

Gonococci obtained from exudate most easy test to diagnose is

a) Gram staining

b) ZN staining.

c) Culture

40 years lady with post coital bleeding and inter menstrual bleeding on examination

hypertrophic cervix, first investigation to do

a) Cone biopsy

b) Cervical smear

Which is not appropriate

a) Widal in 1st week

b) VRDL not specific for syphilis

Sjorgen most sensitive

a) Anti DS DNA

b) Anti SSA

c) ANA

Systemic thrombi mostly arise from

a) left art mural thrombi

b) left ventricle

Sensitive for cardiac muscles

a) Myoglibin

b) ADH

c) Trop T

Inscisionall hernia from within outwards

a) Transversls fascia

b) External oblique

c) Internal oblique

Hesselbalch triangle gives way to

a) Indirect inguinal hernia

b) Direct Inguinal hernia

ADH

a) Supra optic nucleus

SA node

a) Superior part of sulcus terminals

b) lower part crista terminals

Increased lipid solubility means

a) Increased entry into cell

b) Rapid action

Diuresis

a) Negative water clearance

b) Decreased Na excretion c) Osmalility diuresis

 

Causes vasoconstriction

a) ADH

b) Dopamine

Cannot cross BBB

a) Levodopa

b) Dopamine

Pellagra is caused by

a) Niacin

Difference between malignant and normal cells such that malignant cells repair the shortening

of chromosome so that they can continue dividing. Enzyme responsible

a) Telomerase

b) Reverse transcriptase’

c) Isomerase

Tumor supper gene

a) P53

b) Bcl

c) M-Myc

d) L-Myc

An person fall had abrasion and bleeding first effect will be

a) Platelets adherence

b) Vasoconstriction

Memory center is present in

a) Temporal

b) Frontal

c) Parietal

Succinylcholine

Increase in BT ,Increase CT with diarrhea

a) CRF

b) Vitamin K deficiency

c) Chronic liver disease

4th heart sound is produced by

a) Ventricular filling

b) Atrial filling

Breast implants with inflammation, the type of cell found are

a) Giant cells

b) Mast cell

c) Plasma cells

Axillary sheath is derived from

a) Prevertebral fascia

b) Pretracheal fascia

There is decreased pO2 in arteial blood than pulmonary artery because

(Correct the options and the stem please)

a) Diffusion to occur

b) Due to dead space

If 28 day cycle on day 21 progesterone will be

a) 5ng

b) 10ng

c) 18ng

d) 20ng above

Pillar of medical ethics

local cause if edema

a) Allergy

b) Arterial dilation

c) Portal Hypertension

Pseudohermaphroditism with 46XX

a) Turner syndrome

b) Klienfelter syndrome

c) Adrenigenital syndrome

d) Mixed gondal dysgenesis

Effect of oral contraceptives

a) Prevention of ovarian carcinoma

b) Prevention of vaginal carcinoma

c) Treatment of cervicitis

Quartan malaria

a) Plasmodium malariae

b) Plasmodium vivax

c) Plasmodium falciparum

Sorbitol

a) Alcohol sugar

Pyruvate intermediate between

a) Glucose and acetyl coA

b) Acetyl acetate and coA

c) Glucose and carbohydrates

Cause of insulin secretion

a) Glucagon

b) Somatostatin

c) Beta blockers

GFR is increased by

a) Increase in GFR pressure

b) Decrease in hydrostatic pressure

c) Decrease in oncotic pressure

Gas gangrene is caused by

a) Clostridium perfringens

b) Clostridium welchi

c) Clostridium septicum

Platelets cannot be given in

a) Autoimmune the on Oct to pennies

b) Spleenomegaly

Amino acid with sulphur group

a) Cysteine

Contents between lower layer of urogenital diaphragm and perenial membrane

a) Sphyncter urethrae

b) Bulbourthral glands

c) Superficial transverse perennial membrane

d) Neck of bladder

lymph drainage of medial breast lobe

a) Medial mediastinal lymph nodes

lymph drainage of upper outer quadrant of the breast

Cervical lymph drainage

Below knee amputation irregular mass after sometime

a) Neuroma

b) Ganglioma

c) Neuroganglioma

Area 3,1,2 is associated with

Transtional epithelium

a) Cilaited

b) Pseudostratified

c) Stratified cuboidal

d) At the base is flatter while more disatally cuboidal

Bipolar cells are found in

a) Nasal epi

b) Anterior horn

c) Posterior horn

lobes of breast through many terminal ducts open into

a) lactiferous duct

b) lactiferous sinus

Kidney

a) Lobules constitute the parenchyma

b) Adrenal gland and kidney are separted by parirenal fat

c) Basement membrane is thicker then other basement memranes in the body

Oxygen consumed by brain(Cerebral Cortex) per minute

Total gastrectomy cause

a) Pernicious anemia

b) Iron deficiency anemia

c) Megaloblastic anemia

Pseudo membranous colitis caused by

a) Clostridium difficile

An MCQ about the diameter of pelvic outlet

Patient has creatinine 7, BP 210/130 the pathology involves

a) Peritubllar arterioles

b) Macula densa

c) JG cells

Bronchopulmonary segment is aerated by

a) Tertiary bronchus

b) Secondary bronchus

c) Has its own vein

Definition of Proband (And MCQ from Biostats)

Left adrenal gland drains into

Connection between cells with protein channels and low electric resistance

a) Tight junctions

b) Gap junctions

c) Desmosomes

Free radical injury produces pathology by affecting

a) Cell wall

b) DNA

c) RNA

60 year old woman a known case of Ischemic heart disease, Carcinoma breast has now

come with osteoporosis. Which drug you will prescribe to treat her

a) Beta blocker

b) Raloxifene

Most aggrassive tumor

a) Squamous cell carcinoma

b) Melanoma

Most lethal hepatitis in pregnancy

a) Hep A

b) Hep B

c) Hep C

d) Hep D

e) Hep E

Alpha one receptor supplies

a) iris

0.5% bupivacain in 100 ml soultion contains

a) 100mg

b) 200 mg

c) 300 mg

d) 500mg

In osteoporosis which of the fallowing is defective

a) Bone collagen

b) Ostoblasts

c) Osteoclasts

d) Structure of PTH

Respiratory tract is supplied by bronchial and pulomnary arteries. What artery

supplies the alveoli?

Functional layer of endometrium consists of

a) Stratum basale

b) Stratum compactum and stratum spongiosum

c) Stratum basale and compactum

Which one of the following will not regenerate

a) Retina

b) lens

c) Cornea

d) Epithelium

When one molecule of glucose is completely oxidized to carbon dioxide and water no

of ATP molecule formed

a) 10

b) 20

c) 30

d) 38

Which dont have agglutinin

a) O +

b) O –

c) Ab +

Dilation of pupil by

a) Sympathetic

b) Parasympathetic

Incidence

a) No of new cases in a particular area at a particular time

Action due to alpha receptor

a) Increased GIT motility

b) Sphyncter contraction

The structures included in the upper fascial layer and the lower fascial layer of

urogenital diaphragm are

a) Sphyncter uretherae

b) Vaginal sphincter

Inferior layer of uroginital diaphragm

a) Camper’s fascia

b) Colle’s fascia

c) Perinneal fascia

d) Perinneal membrane

e) Scarpa’s fascia

Hessel Bach triangle… direct ingunal hernia

Gonococci easily detected on gram staining

Cause of emniotic fluid embolism

a) C-section

b) Normal delivery

c) Post partum hemorrhage

d) C/S+ post partum

Fast impulse passes through

a) Sa node

b) Av node

c) Intermodal pathways

d) Pukinje fibers

Diabetic nephropathy is best diagnosed by

a) Ultrasonography

b) Plasma albumin

a) Which hormone produced by fetus is required to start labour

Cortisol

Corticosterone

Estradiol

The compound containing the highest content of triglycerides is

a) LDL

b) Chylomicrons

c) VLDL

d) HDL

Which of the following does not delay the complication of brain tumor

(Please help correct the stem)

a) Brain cancer

b) Gilioma

c) Brain edema

 

25 year old female come with 34 weak gestational amenorrhea HB being 9gm/dl. Her

 

blood picture shows normocytic normochromic picture

a) Megaloblastic anemia

b) Iron deficiency anemia

c) Blood volume expansion

4th heartsound is produced by

a) Atrial systole

Proband

a) It is 1st family member who is affected from disease with no previous history of genetic

diseases who need treatment.

Which is not a cause of hepatocellular carcinoma

a) Hep A

b) Hep B

c) Hep C

d) Hep H

e) Hep D

Urter is supplied by all arteries except

a) Renal Artery

b) Vesical Artery

c) Inferior Mesenteric

Inferior rectal artey is a branch of

a) Internal pudendal artery

A lady diabetc and asthmatic was taking oral hypoglycaemic drugs after an attack of

asthma and drug intake her bsl rises it is due to

a) Beta blockers

b) Steroids

Cause of edema

a) Blockage of lamphatics

b) Inrcreased hydrostatic pressure

local cause of edema

a) Allergy

Maternal mortality – You should know the formula

A patient with pruritis for 4 months, jaundice, hepatosplenomegaly , the best

investigation to find the cause is

a) Ultrasound

b) CT Scan

c) Alkaline phosphatase

The cause of primary hepatic carcinoma

a) Alpha antitrypsin 1 deficiency

b) Aflatoxin 1 in diet

Tumor suppressor gene

a) p53

Unlikely about anaphylactic shock

a) Endotoxin release

b) Increased venous return

c) Arteriolar dilation

Viruses produce damage by denaturing proteins

A question about single blinding

Pregnant lady HB 9 normo chromic – Physiological change/Plasma volume expansion

Gas gangrene in super limb – Clostridium welchi

Atrial fibrillation – Pulse deficit

A person picks a thorn and abscess is formed, organism involved – Staphylococcus

Aires

Axillary sheath is the extension of

a) Pretracheal

b) Prevertebral

c) Superficial cervical fascia

Arterial emboli mostly arises from

a) Femoral

b) Mural left artrium

c) Right atrium

Which causes release of insulin

a) Glucagon

b) Thaizides

c) Potassium

Patient brought to emergency – stiff neck, spinal tap was bloody

a) Subarachnoid hemorrhage

Arterial supply of prostate?

Diarrhoea after jejunostomy

a) Osmotic

b) Secretory

c) Both

 

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