Past Paper of FCPS Part 1 Medicine Gynacology October 2007

GYNAE/OBS  FCPS-1 (OCT  07)

 

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

 

  1. absence of pleuro-pericardial membrane
  2. absence of septum transversum
  3. absence of pleuro-peritoneal membrane
  4. absence of central tendon
  5. 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

  1. supplies both ventricles
  2. supplies S.A node
  3. 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

  1. 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

  1. 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

  1. Bcl-2 inhibition
  2. Activation of P-53
  3. 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

 

  1. suppression of lactation
  2. 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

  1. 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

  1. ?

 

40.wat is true about DNA

 

A.Double stranded in which two strands are antiparallel to each other

  1. 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

 

  1. Chylomicron remnants
  2. LDL
  3. VLDL
  4. HDL
  5. IDL

 

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

 

  1. 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?

  1. case control
  2. cohort
  3. prospective
  4. retrospective
  5. random

 

81.Oxytocin is given to a pt in labour.it has effect on:

  1. 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

  1. 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

  1. 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

  1. 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.??

  1. MCQ on Significance

A.

 

  1. 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…

 

  1. 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

 

  1. Metabolic Alkalosis is caused by
  2. a) Chronic Hypoventilation
  3. b) Pancreatic Fistula
  4. c) hyperglycemia
  5. d) ATN

 

119.Q on Metabolic acidosis

 

120.Q on compensated respiratory alkalosis

 

  1. 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

 

  1. Following is Autosomal Dominant Disorder
  2. a) Phenylketonuria
  3. b) Hereditary Spherocytosis
  4. c) Hemophilia A
  5. d) Cystic Fibrosa

 

  1. Source of Estrogen & Progesterone in last trimester is
  2. a) Chorionic Villus
  3. b) Placenta
  4. c) Overy
  5. d) Adenohypophysis
  6. e) Corpus Leuteum

 

  1. About K – Regulation , following is correct
  2. a) K is 98% in the cells
  3. b) normally completely reabsorbed in Distal tubule
  4. c) increase water affects K-balance?
  5. 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

  1. a) Squamous Cell CA
  2. b) Adenocarcinoma
  3. c) Rhabdomyosarcoma
  4. d) wart?

 








 

 

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