gynaecology. part 1

7/23/2019 Gynaecology. Part 1

http://slidepdf.com/reader/full/gynaecology-part-1 1/70

Below are the MCQs of FCPS Part1 Gynaecology/Obstetrics Paper July !!"#

$uestion no 1#e%ersion of en&ocer%ical epitheliu' in pregnancy is &ue to#a(physiological change

b(chronic cer%icitisc(carcino'a in situ&(estrogen sti'ulatione(epi&er'a&i)ation of epitheliu'

Pri'ary oocyte surroun&e& by a non cellular layer#a(theca internab(theca e*ternac(corona ra&iata&(cu'ulus oophuruse()ona pelluci&a

$uestion no +#si'ple colu'nar epitheliu' is the lining of#a(epitheliu' lining the &uctsb(corneac(testis&(uterine tubese(

$uestion no ,#,- years la&y has carcino'a cer%i* that has in%ol%e& thecer%i* an& has in%ol%e& the %agina but not its lower thir& an& has note*ten&e& onto pel%ic walls stage of ca#a(stage 1ab(stage 1bc(stage 11&(stage 111e(stage ,$uestion no

.#+- years la&y has en&o'etrial ca that has in%ol%e& upto half the ticnessof 'yo'etriu' an& o%aries are nor'al stage#a(stage 1ab(stage 1bc(stage 1c&(stage 11e(stage 111

$uestion no 0#! yrs ol& girl has been rape&she has now watery %aginal&ischargehas painful re& papules n ulcers on %agina an& %ul%a has fe%eran& ten&er inguinal ly'ph no&escausati%e organis'#a(bacteroi&es

b(chla'y&iac(herpes si'ple*&(gonococcuse(tricho'onas %aginalis

"# a 'arrie& wo'an has right si&e& tubulo o%arian abscess which wasre'o%e& in a surgery ha& an iuc& place& beforecausati%e organis'#a(chla'y&ia



b(gar&enellac(tuberculous&(bacteroi&ese(gonococcus

-2the late secretory phase of 'enstrual cycle is not characterise& by#

a(the spongy layer beco'es thicb(corpus luteu' secretes estrogen n progesteronec(the en&o'etrial thicness is &ouble&&(en&o'etrial cells ha%e subnuclear %acuolationse(en&o'etrial glan&s beco'e tortuous

324ust &ays before o%ulation56 is increase&#a( fol&b( to , fol&c( to 0 fol&&(0 to - fol&e(- to 1! fol&

1!2'enopause is characterise& by#a(atrophy of uterusb(&ecrease in o%arian si)ec(&erease estrogen increase& FS6 789 56&(&ecrease& estrogen increase& FS6 &ecrease& 56

112sper's stay acti%e in fe'ale genital tract#a(1 hoursb(1 : , hoursc(1 :+0 hours&(, : ,- hourse(, : " hours

12the %olu'e of &istribution of a &rug is not influence& by#a(ageb(se*c(car&iac failure&(renal failure

1+2the bioa%ailability of a &rug &eter'ines #a(efficacyb(efficency

1,2paraceta'ol#a(is 'ore potent analgesic than co&eine

b(is a wea anti infla''atory agentc(o%er&osage can cause nephroto*icity

$uestion no 1.#anticoagulants are contrain&icate& in#a(cerebral infarctionb(thro'bocytopenia

102! yrs la&y has en&oto*ic shoc after septic abortionwhich of the



following in%estigation is least liely to benefit#a(clotting ti'eb(F9Psc(prothro'bin ti'e&(platelet counte(serial fibrinogen le%els

1"2+! yrs 'ale has &yspnea on lying &owne*a'ination re%eale&#a('ultino&ular goitreb(retrosternal goitrec(colloi& goitre&(col& no&ule

1-#cortisol#a(increases a'ino aci&s n glucose in bloo&b(is a glucocorticoi&c(is foun& in circulation boun& to proteins&('etabolise& in li%ere(for'e& fro' cholesterol

132J;P is &ifferentiate& fro' caroti& pulse#a(&oes not change with ab&o'inal pressureb(&oes not change with posturec(&oes not change with respiration&(pulsation %aries with respiratione(pro'inent outwar& 'o%e'ent

!2a 'ultigra%i&a a&'itte& with labour pains e*a'ination re%eale& os 0 c'&ilate&baby cephalican& hea& at )ero stationthe point of reference is#a(ischial tuberosityb(pubic archc(pubic sy'physis&(ischial spines

e(sacral pro'ontory

12at 5SCS the artery &a'age& in superficial fat in suprapubic incision#a(inferior epigaS<=>C arteryb(superior epigastric arteryc(internal iliac artery

2following is not a tu'or 'arer#a(aci& phosphataseb(beta hCGc(alpha fetoproteins&(C?7e(placental alaline phosphatase

+2$uestion o +#beta hCG#a(it is a polypepti&eb(it has action si'ilar toFS6c(it pre%ents in%olution of corpus luteu'&(e(

,#a&renal 'e&ulla will selecti%ely secrete norepinephrine in thecon&ition#a(e*erciseb(sleepc(col& e*posure&(he'orrhagee(

.#car&iac output is &ecrease& in#a(pregnancyb(stan&ing or sitting fro'



lying positionc(e*ercise&(e(

0#car&iac output is &ecrease& in all e*cept#a(sleepb(star%ationc(sitting&(e(

"#epinephrine will selecti%ely onstrict 'usclesin#a(arteriolesb(bronchiolesc(ciliary 'uscle&(pupilse(intestinal walls

-#spores shoul& be &isinfecte& by#a(&ry heat at 1!!cb(&ry heat at 0!cc(&ryheat at 10!c&(ci&e* solutione('oist heat

3#following is not a &isinfectant#a(&eri%ati%es of salicylic aci&b(alcoholc(soap&(e(

$uestion no +!# that she ha& urinary incontinence&ue to in4ury an&

co''unication in#a(ureter n bla&&erb(ureter n %aginac(bla&&er n cer%i*&(bla&&er n %aginae(bla&&er n uterus

$uestion no +1 erineal bo&y is in4ure&'uscle &a'age& is#a(bulbospongiosis n superficial perineal 'usclesb(superficial n &eep perineal 'usclesc(e*ternal anal sphincter n &eep perineal 'uscles&(ischioca%ernosus n sphincter urethrae

e(sphincter urethrae n &eep perineal 'uscles

+Pu&en&al ner%e#a(for'e& fro' ant pri'ary ra'i of secon& thir& n fourth sacral spinalner%esb(crosses the ischial spine 'e&ial to internal pu&en&al arteryc(enters the pu&en&al canal on the lateral si&e of ischiorectal fossa&(lea%es the pel%is by passing through the upper part of greater sciaticfora'ene(reenters the pel%is through lesser sciatic fora'en

++#following &oes not for' wall of inguinal canal#a(aponeurosis of e*ternal obli$ueb(internal obli$uec(con4oint ten&on&(lacunar liga'ente(fascia trans%ersalis

+,#following &oes not pass through lesser sciatic fora'en#a(inferior gluteal %esselsb(ten&on of obturator internusc(ner%e to obturator internus



&(pu&en&al ner%ee(internal pu&en&al artery

+.#after 5SCS patient ha& peritoneal he'orrhage she was reopene&blee&ing 'ost liely fro'#a(branch of o%arian arteryb(branch of uterine artery

c(internal iliac artery&(obturator arterye(e*ternal iliac artery

no +0#left o%arian artery is a branch of#a(ab&o'inal aortab(left renal arteryc(uterine artery&(left inferior 'esenteric arterye(obturator artery

$uestion no +" Patient ha& laparoto'y for o%arian 'ass 'ass was burrie&in o%arian fossa artery liely to be in4ure& is#a(co''on iliac%esselsb(internal iliac %esselc(e*ternal iliac %essel&(o%arian

arterye(obturator artery

$uestoion no +-#insulin sti'ulates transport of glucose into#a(renal tubular cellsb(neurons of cerebral corte*c(seletal 'uscle&(intestinal cellse(li%er

$uestion no +3#the secretion of following is not increase& in pregnancy#a(cortisolb(growth hor'onec(thyroi& hor'one

&(prolactine(P<6

$uestion no ,!#a patient ha& hypophsecto'y for pituitary tu'or she hasa'enorrhea for - 'onths o%ulation in&uction can be &one in her by#a(clo'iphene citrateb(pulsatile hCGc(hMG&(hMG followe& by pulsatile hCG

$uestion no ,1#following &oes not occur in pregnancy#a(increase in fasting bloo& sugarb(increase in uric aci& le%elc(increase in seru' urea le%el

&(&ecrease in seru' albu'ine(&ecrease in seru' proteinse(&ecrease innitrogen le%els

$uestion no ,#respiratory aci&osis occurs in#a(e'physe'ab(hyper%entilationc(ingestion of e*cess a'ount of so&iu' bicarbonate&(star%atione( %o'iting



$uestion no ,+#CO is transporte& fro' the al%eoli of lungs into bloo& inlungs %ia#a(&iffusionb(acti%e transportc(facilitate& &iffusion

&(secon&ary acti%e transporte(os'osis

$uestion no ,,#O:6b &issociation cur%e &eli%ering O in nor'al li'its willha%e#a(PaO ,!''6g SO 0!@b(PaO 0-''6g SO "-@c(PaO 30''6g SO 3!@&(PaO 1+''6g SO 3-@e(PaO .0''6g SO 33@

$uestion no ,.#b:hCG has alpha n beta unitseach unit hasa'inoaci&s#a(1! alpha 1! betab(1!!alpha n 10! betac(3 alpha n 1.0beta&(e(

$yuestion no ,0#'others 'il &iffers fro' cows 'il in that itcontains#a(calciu'b(lactosec(proteins&(%ita'in 9

$uestion no ," Pel%ic outlet#a(can b increase& in supine positionb(begins at the le%el of ischial spinesc(&i'ensions change by 'o%e'ents of coocy*&(contracture is 'ore co''on than 'i& ca%ity proble'e(

$uestion no ,- Patient has en&ocrine &isor&er has 'etabolic alalosis an&hypoale'iahe has e*cess

of#a(7C<6b(al&osteronec(cortisol&(estrogene(proges terone

$uestion no ,3#hor'one that stores carbohy&rates lipi&s n proteins in cellsis also nown as hor'one of abun&ance#a(growthhor'oneb(cortisolc(thyroi& hor'one&(estrogene(progesterone

$uestion no .!#hyperglyce'ia is cause&by#a(insulinb(glucagonc(estrogen&(progesteronee(gr owth hor'one

$uestion no .1#etoaci&osis is cause& by#a(increase& pro&uction of glucoseb(&ecrease& pro&uction of glucpoosec(&ecrease& utilisation of carbohy&rate in bo&y

&(insulin e*cess

$uestion no .#insulin secretion is stoppe& by#a(glucagonb(&ecrease& le%elsc(so'atostatin&(e(

$uestion no .+#hor'one that stores carbohy&rateslipi&s n proteins in bo&yis#a(growth hor'oneb(thyroi& hor'onec(cortisol&(insuline(P<6



$uestion no .,#- yrol& girl has %aginal blee&ing she is taller than her agean& e*a'ination re%eale& an ab&o'inal 'as arising fro' pel%is she issuffering fro'#a(constitutionalA sy'pto'sb(hypothala'ic tu'orsc(hypothala'ic 'ass

&(granulosa cell tu'ore(a&renal glan& tu'or

$uestion no ..#least positi%e titre for wi&al testisa(1#-!b(1#10!c(1#0!&(1#+!e(1#1.0

$uestion no .0#all of the following can b store& at ,ce*cept#a(shigellab(%ibrio cholerac(&(e(

$uestion no ."#%accine is a%ailable for alle*cept#a(?B;b(typhusc(pneu'ococcus&(e(

$uestion no .-Patient has presente& with fe%er n generalise&ly'pha&enopathy bone 'arrow e*a' nor'alweight loss positi%ehe issuffering fro'#a('etastatic carcino'ab(hogins ly'pho'ac(non hoginsly'pho'a&(CM5e(

$uestion no .3 Patien is taing glucocorticoi&s for 1! &aysshe wont sufferfro'#a('oon faceb(hypotensionc(thin sin&(e(

$uestion no 0!#gestational age can best be esti'ate& fro'#a(ab&o'inalcircu'ference at +0 wsb(biparietal &ia at - wsc(crown ru'p length at -ws&(fe'ur length at + wse(

$uestion no 01#turners syn&ro'e'ost &efiniti%e &iagnostic test#a(presenceof barr bo&yb(chro'oso'al analysis

$uestion no 0#1, yrs girl has pri'ary a'enorrheanor'al breast&e%elop'entsecon&ary se*ual characteristics nor'alshort blin& en&ing%aginaslight pubic hairusg re%eale& absent uterusun&erlying cause#a(congenital a&renal hyperplasiab(chro'oso'al &efectc(failure f &e%elop'ent of genital tubercle&(&efect of para'esonephric &uct

$uestion no 0+#the lu'en of uterine ca%ity is obliterate& by fusion of#a(&eci&ua basalis n spongy layer

b(&eci&ua basalis n &eci&ua capsularisc(&eci&ua capsularis n &eci&ua parietalis&(&eci&ua parietalis n &eci&ua basalise(

$uestion no 0,#a wo'an has been e*pose& to ra&iation in young lifenowshe has %isite& a gynaecologist after so'e yearsorgan 'ost liely to baffecte&#a(fallopian tubesb(cer%i*c(o%ary&(en&o'etriu'e(%agina



$uestion no 0.#repeate& bloo& transfusions 7B n =h co'patible( in anin&i%i&ual will lea& to#a(hae'ochro'atosis ofli%erb(hypocalce'iac(hae'oglobinuria&(transfusion reactione(

$uestion no 00# =h inco'patibility occurs in a 'other if she has#a(=hnegati%e fetusb(=h positi%e fetusc(&(e(

$uestion no 0"#the best way to pre%ent =h isoi''unisation in a wo'anwho has gi%en birth to =h positi%e fetus#a(bloo& transfusionb(platelettransfusionc(seru'&(=h i''unoglobulinse(

$uestion no 0-#a person brought in er ha& burnshe was a&'itte& later onhe &e%elope& fe%er an& blee&ing &iathesishe is sufferingfro'#a(9>Cb(hepatorenal failurec(hepatic failure of prothro'binpro&uction&(renal failuree(

$uestion no 03#following is not a cause of 9>C#a(pre ecla'siab(a'nioticflui& e'bolis'c(cer%ical carcino'a&(abruptio placentaee(PP6

$uestion no "!#following is not a cause of 9>C#a(abruptioplacentaeb(burnsc('alignant tu'ors&(e(

$uestion no "1#'ultigra%i&a P3! &eli%ere& a boy in a %illage hours latershe starte& blee&ing profusely ha& oo)ing fro' gu's she was brought tohospital her labs showe& hb 0 <5C 1.!!!/ul platelets +!!!!/ul she issuffering fro'#a(9>Cb(PP6c(clotting &isor&er&(blee&ing &iathesise(><P

$uestion no "#" year ol& fe'ale ha& profuse %aginal blee&ing hrs after&eli%ery her labs showe& hb 0 <5C 1.!!!/ul plt +!!!!/ul peripheral bloo&fil' showe& burr bo&iesshe is suffering fro'#a(9>C

b(PP6c(><P&(%on willebran& &isease

$uestion no "+#%it &irectly influences & reaction#a(con%ersion offibrinogen to fibrinb(prothro'bin to thro'binc(acti%ation of factor"&(for'ation of fibrinogen

$uestion no ",#intrinsic n e*trinsic pathways con%erge upon#a(acti%ation offactor "ab(acti%ation of factor .ac(factor 1a&(prothro'bine(tissue factor

$uestion no ".#bacteria that grow at ,c#a(%ibriocholerab(gonococcusc(shigella&(?colie(sal'onella

$uestion no "0#following is not true about en&ocar&itis#a(bloo& cultures forcausati%e organis's r usually negati%eb(is cause& by streptococcus groupof bacteriac(is 'ore co''on in el&erly group&(%al%ular in%ol%e'ente(

$uestion no ""#cause f subacute bacterialen&ocar&itis#a(62influen)aeb(?colic(streptococcus %iri&ans&(e(



$uestion no "-#interferon#a(bin&s to 987bbin&s to =87c(is a protein&eri%ati%e&(inhibits protein synthesis n their phosphorylation

$uestion no "3#highest energy co'poun&#a(7<Pb(glucosec(he*osephosphate&(starche(glycogen

$uestion no -!#the en& pro&uct of carbohy&rate'etabolis'#a(fructoseb(glucosec(galactose&(starche (pyru%ate

$uestion no -1#5:&opa taen by a patient will &ecrease#a(estrogenb(progesteronec(prolactin&(cortisole(

$uestion no -#isonia)i&#a(cant b a&'inistere& with rifa'picinb(iscontrain&icate& in nephropathyc(pyri&o*ine is use& prophylactically topre%ent its neuroto*ic effects&(e(

$uestion no -+#hepatitis b following is not true#a(has an incubation perio&less than that of hep ab(cause& by se*ual contactc(cause& by 987 %irus&(e(

$uestion no -.#actino'yces &oes not cause &isease in#a(boneb(lungc(brain

$uestion no -0#&isse'inate& cocci&io&o'yces following is nottrue#a(infection will not pro%i&e life ti'e i''unityb(c(&(e(

$uestion no -"#'i&&le age& 'an crossing the roa& stu'ble& n hit by a carhe fell &own ha& in4ury to nec of fibula of his left leg was taen to hospe*a'ination re%eale& that he is unable to &orsifle* an& e%ert his left footthe in4ury is to#a(co''on peronel ner%eb(tibialis postc(superficial peroneal ner%e

&(&eep peroneal ner%ee(

$uestion no --#?CF#a(pro%i&es nutrients to cellsb(pro%i&es glucose tocellsc(bathes the cells&(taes away electrolytese(taes away wastes

$uestion no -3#sper'atogenesis is sti'ulate&by#a(FS6b(testosteronec(56&(FS6 n testosteronee(

$uestion no 3! atient brought in shoc in er successful flui& replace'entwill b in&icate& by#a(&ecrease in tachcar&iab(increase in bpc(increase inurine output&(e(

$uestion no 31#car&oiac cycle#a(0!@ of %entricular filling occurs in&iastoleb(en& &iastolic left %entricular %ol is 1!! 'lc(e4ection fraction is".@&(the notch of & pulse is &ue to atrial systolee(

$uestion no 3#a 'an has a pulse rate of "/'in i'pulse originates in#a(7;no&eb(S7 no&ec(left bun&le branch&(purin4e fibrese(

$uestion no 3+#'uscles r &eri%e& fro'#a('eso&er'b(ecto&er'c(en&o&er'



$uestion no 3,#in our country & cause of cell inu4uryis#a(alcoholb(hypo*iac(ische'ia&(ionising ra&iatione('alnutrition

$uestion no 3.#in our country cause of fatty li%eris#a(alcoholis'b(a'oebiasisc(&ue to hep b n c&(increase intae offats&ecrease& protein utilisation

$uestion no 3"#in & fe'ale & nec of urinary bla&&er is locate& #a(in front ofrectu'b(below & urogenital &iaphra'c(in & urogenital &iaphra'&(abo%e &urogenital &iaphra'e(behin& sy'phsis pubis

$uestion no 3-#the highest content of triglyceri&es is in#a(chylo'icronre'nantsb(695c(595&(>95e(;595

$uestion no 33#following is not aphospholipi&#a(cephalinb(lysolecithinc(lecithin&(plas'inogene(sphingolipi&

$uestion no 1!!#a hu'an being can sur%i%ewithout#a(calciu'b(proteinsc(carbohy&rates&(lipi&s e(

$uestion no 1!1 Patient has pyuria but has negati%e urine culture fororganis's this happens in all con&itions e*cept#a(acute post streptococcal glo'erulonephritisb(polycystic i&neysc(urine store& at roo' te'p for long&(alaline urinee(%esical calculus

$uestion no 1!#broa& liga'ent a &ouble layere& fol& of peritoneu' o%aryis attache& to it by#

a('esoo%ariu'b(suspensory liga'ent of o%aryc(roun& liga'ent of o%ary&(car&inal liga'ent

Below are the MCQs of FCPS Part1 Gynaecology/Obstetrics Paper October!!"#

12Dhich of the following &oes not for' the wall of perineu'

72coccy*B2pubic sy'phsis

C2ishcial tuberosity92sacrotuberous liga'ent?2sacrospinous liga'ent

27 pt presente& with pain on &efecation after se%ere constipation2pain inconstipation occurs &ue to E72autono'ic ner%esB2>nternal pu&en&al arteyC2pu&en&al ner%e



92perineal ner%e?2inguinal ner%e

+25y'ph &rainage of perianal sin is fro' one of the following

72internal iliac no&es

B2e*ternal iliac no&esC2lateral group of hori)ontal superficail no&es92'e&ial group of hori)ontal superficail no&es?2%ertical group of no&es

,25esser o'entu'72connects with &eu&enu'B2for's falcifor' liga'entC2relate& to left a&renal glan&92relate& to left i&ney?2relate& to rt i&ney

.27 young girl of . yrs went with her husban& on honey 'oon after one

'onth of 'arriage2she su&&enly e*periance& se%ere spas'otic pain in herrt iliac fossa2n presente& in e'ergency in state of shoc2'ost probable&iagnosis is722acute appen&icitisB2renal colicC2intestinal obstruction92ectopic Pregnancy?2acute cholecystitis

02which of the following structure is not palpable through %agina72cer%i*B2rectu'

C2ureteric stone92retrouterine pouch?2%esicouterine pouch

"2<he peritoneu' co%ers the anterior ab&o'inal wall which is continouswith the perineu'2it has fascia which has superior n inferior layers2theinferior fascial layer also calle& as72colles fasciaB2scarpe fasciaC2perineal 'e'brane922222fascia?222222fascia

-2>f a nown hypertensi%e pt too so'e &iuretic n &ie& in 0 hours2wat is thecause72acute renal failureB2chronic renal failureC2&iuretic use92hypophosphate'ia?2hypoale'ia E

32Dhich of the following is not a feature of shoc



72&ecrease car&iac outputB2'uslce weanessC2increase& urine output92tachycar&ia?2restlessness

1!2supply of sphincter urethra co'es fro'72ilioinguinal ner%erB2pel%is splanchnic ner%esC2sacral splanchnic ner%es92autono'ic ner%es?2Pu&en&al ner%es

112=t o%arian %ein &rains the following

72inferior %ena ca%aB2superior 'esentericC2inferior 'esenteric92rt renal %ein

?2left renal %ein

12Dhat is 'ost appropiate about uterine tube

72'o%es laterally to open 'e&ialy in the o%ariesB2present at the base of broa& liga'entC2is 0c' long in a&ults92has an ab& ostiiu' which is !2.'' when &ilate&?2e*ten& abo%e the fun&us of uterus

1+2Genital tubercle in fe'ales gi%e rise to

72labia 'a4oraB2labia 'inoraC2clitoris92%estibular glan&s?2bulbourethral glan&s

1,2urachal cyst is the re'nant of

72allantoisB2'eels &i%erticulu'C222222222922222?222222222

1.2<hy'us &e%elops fro'

72ecto&er' of n& brachial pouchB2en&o&er' of n& brachial pouchC2ecto&er' of +r& brachial pouch92en&o&er' of +r& brachial pouch?2'eso&er' of +r& brachial pouch



1027 pt presente& with an opening in the ant wall of sternocle&o'astoi&'uscle with pussy &ischarge co'ing out of it2this proble' occure& &ue toabnor'ality in one of the following

721st pharyngeal cleftB2n& pharyngeal cleft

C21st pharyngeal pouch92n& pharyngeal pouch?2+r& pharyngeal cleft

1"29iaphrag'atic hernia occurs &ue to

72 absence of pleuro:pericar&ial 'e'braneB2 absence of septu' trans%ersu'C2 absence of pleuro:peritoneal 'e'brane92 absence of central ten&on?2 absence of archE

1-2?rythropoises occurs in 'i&&le tri'ester 'ainly fro'

72li%erB2i&neyC2spleen92bone 'arrow?2both li%er n i&ney132Superior parathyroi& glan& &e%elops fro'

721st brachial archB2n& brachial archC2+r& brachial pouch92,th brachial pouch

?2+r& brachial cleft

!2>n cer%ical carcino'awat is the ly'ph &rainage

72internal iliacB2e*ternal iliacC2both internal n e*ternal iliac92superficial inguinal?2&eep inguinal

12=< coronary artery

72arises fro' anterior aortic sinus

B2enters the rt heart bor&er after passing through sulcus on posterir surfaceC2 supplies both %entricles92 supplies S27 no&e?2 supplies left atriu'

2Fat &eposition n &uctal &e%elop'ent of breast is the function of whichhor'one

72estrogen



B2progesteroneC2prolactin92o*ytocin?2hcG

+2>nhibition of o%ulation is the function of which hor'one

72progesteroneB 2prolactinC2&opa'ine92estrogen?2Gn=6

,2<hirst is least sti'ulate& by

72&ecrease bloo& %olu'eB2angiotension C2salt &epletion92&ecrease plas'a %olu'e

?2bloo& pressure

.2Most i'p hor'one in%ol%e in gluconeogenesis is

72growth hor'oneB2insulinC2thyro*ine92cortisol?2 Glycogen

027 pt presente& with rt iliac fossa pain2 he is &iagnose& to ha%e acuteappen&icitis on fle*ing his rt thigh inwar& n 'e&ially he cries with pain2wat

is the type of appen&icitis he has

72paracolicB2retrocolicC2pel%ic92paracecal?2subcecal

"2which of the following structure has both intra n e*tra pel%ic e*tension

72broa& liga'entB2o%arian liga'entC2trans%erse cer%ical liga'ent

92roun& liga'ent of o%ary?2roun& liga'ent of uterus

-2Stab woun& abo%e the pirifor'is 'uscle will &a'age which structure

72superior gluteal ner%esEB2inferior gluteal ner%esC2sciatic ner%e92ten&on of obturator internus



?2inguinal ner%es

328er%e supply of rectu'

72hypogastric ple*usB2greater splanchnic ner%es

C2pel%is splanchnic ner%es92short spanchnic ner%es?2 inferior 'esenteric ple*us+!2One sli&e of a speci'en shows stratifie& s$ua'ous epitheliu' with%ascular s'ooth 'uscle an& elastic fibres 'ost probably the speci'en is

72cer%i*B2uterine tubeC2%agina92uterus?2anus

+127poptosis is inhibite& by

72capsases acti%ationB2 Bcl: inhibitionC2 7cti%ation of P:.+92 apoptosis relate& protein EE?

+2Most potent che'otactic factor is

72C+aB2C.a E

C2>5:192%iruses?2arach&onic aci& 'etabolites

++2what is the 'ost appropiate answer

72C+a is opsoninB2C.a is potent anaphylacticC2C.a is a potent che'otactic agent92C+b n C.a are anaphylactant?2222222

+,25ow seru' co'ple'ent seen in which con&ition

72S5?B2anylosing spon&iolitisC2rheu'ati& arthritis92'ultiple sclerosis?2&er'ato'iositis

+.2Pt presente& with photosensiti%ityrash n 4oint pain2which is the&aignostic in this case



72anti SS antibo&iesB2anti 9S antibo&iesC2=792anticentro'ere antibo&ies?2anti'itochon&rial antibo&ies

+02Most &angerous Si&e effect of estrogen therapy is

72 suppression of lactationB2 hirsutis'C2thro'bophlebitis92osteoporosis?2222222222

+"2>f a pt is on long ter' corticosteroi& therapy2she wil 'ost probably ha%increase& ris of

72repeate& infections

B2&ecrease woun& healingC2osteoperosis n fractures9222222222?2222

+-2Platelets r store& at roo' te'prature because

72to opti'ise its functionEB2to 'aintain its nu'berC2to a%oi& allergic reaction92 to increase nu'ber?22222

+32Dhich is 'ost i'p in&icator of 'uscle protein loss

72ureaB2a''oniaC2none of abo%e92uric aci&?2 E

,!2wat is true about 987

729ouble stran&e& in which two stran&s are antiparallel to each otherB2 a single turn of 987 is n'

C2Can e*ist as heli* in single stran&e& for' as well as in 9ouble stran&e&for'92?2,127 nor'al looing Girl ca'e to you with pri'ary a'enorrheaone*a'ination she was ha%ing short blin& %agina wi& nor'al %ul%a scantypubic n a*illary hairsnor'al breastsabsent uterusher aryotype isE

72,0HI



B2,"HIC2,"HHI92,.HO

,.27 pt ca'e to you with pri'ary a'enorrhoeawebbe& necshort stature&iagnose& as <urner syn&ro'e wht is her aryotypeE

72,.HOB2,0HIC2,"HHI92,0HH?2222222

,026y&rolysis of 987 gi%es

72prolineB2riboseC2phosphoric aci&E9222

?222

,"2Dhich of the following has highest cholesterol content

72 Chylo'icron re'nantsB2 595C2 ;59592 695?2 >95

,-2Dhich hor'one con%ert to its acti%e for' at target tissue with the helpof . a re&uctaseE

72 <estosteroneB2?strogenC2&ihy&oepian&osterone92Progesterone?222

,32Dhich &rug &o not cause gynaeco'asiaE

729igo*inB2Griseoful%inC2Ci'eti&ine927n&rogen

?2spironolactone

.!2Dhich is the best option in i&entification of <urners syn&ro'e

72ultrasoun&B2barr bo&iesC2aryotyping92Ct scan?222



.12Pyru%ic aci& is use& as inter'e&ite in which step of cell 'etabolis'

72carbohy&rate to acetyl co 7B2glucose to acetyl co 7C2acetic aci& to acetyl co 7

92222222?22

.2?pinephrinenorepinephrine n &opa'ine are &eri%ati%es of whicha'inoaci&

72alanineB2arginineC2proline92tyrosine?2phenylalanine

.+2?n& pro&uct of purine 'etabolis' is

72urea an& waterB2uric aci&C2glucose92water an& a''onia?2a''onia

.,2?rythropoitin is secrete& fro'

72li%er cellB2peritubular interstitiu' of i&neyC2'acula &ensa of i&ney

9222?222

..2?S= is &ecrease& with

72te'pratureB2albu'in is &ecrease&C2globulin is &ecrease&92&ecrease& bloo& %olu'e?2&ecrease& plas'a %olu'e

.02=BCs are

72bicon%e*B2nonfragileC2ha%e nucleus92largest of all cells?2ha%e glycolytic en)y'e acti%ity."2<a'o*ifen has effect on which syste'

72C;SB2C8S



C2breast92li%er?2i&ney

.-2Dhich of the following &rug is 'ost notorious for causing renal to*icity

72cisplatinB2cyclophospha'i&eC2%incristine92blepha'i&e?22222

.32Co''onest Cause of P97

72&rugsB2to*inC2per'aturity92congenital abnor'ality?22infection

0!2Most co''on Cause of 'etaplasia is

72ultrasonographyB2chronic irritationC2infections92ra&iations?222

012Dat is the &ifferentiating point of hyperplasia fron hypertrophy

72increase in si)e of cell

B2increase in si)e n no of cellC2is re%ersible92is pre'alignant E?2in%ol%e %iscera only

029ysplasia is seen 'ainly seen in

72bone 'arrowB2cartilageC2epithelia92fibrous tissue?2&eep tissue

0+2Dat is the &ifferentiating feature of hyperplasia fro' benign tu'or

72increase in no of cellB2are the sa'e as parental cellC2cytplas' n nucleus ratio is &errange&92222?222

0,2Dhat is the 'ost true a'ong following



72'=87 has a co&onB2'=87 has antico&onC2r=87 is 'ost abun&ant n in%ol%e as riboso'es on en&oplas'ic reticulu'92t=87 is largest?2t=87 in%ol%e in protein synthesis

0.2&eficiency of <67>M>8?B1(causes all e*cept

72car&iac ano'aliesB2'uscle wastingC2&efects in alcohlics92subacute &egenaration of spinal cor&?2cns abnor'alities in alcoholics

0027>9S is associate& with all of the following e*cept

72aposi sarco'aB2ly'phoi& tu'ors

C2pri'ary tu'or of brain92S<9?2leue'ia

0"2;><7M>8 in%ol%e in collagen synthesis is

72ascorbic aci&B2biotinC2thia'ine92pyri&o*ine?2niacin

0-28eural tube &efects occur &ue to &eficiency of

72ironB2folic aci&C222222

032>ron is store& in the for' of

72ferritinB2transferrinC2apoferritin

"!2CO is tranporte& in lungs through

72si'ple &iffusionB2fasilitate& &iffusionC2acti%e transport92carriar proteins?2channels

"126S; is associate& with72C7 cer%i*B2C7 %ul%a



C2%aginal wart92%ul%al papulesE

"2>f a pt has presente& with the wart on lateral wall of introitus2the 'ostprobable &aignosis will be72fibroepithelial lesion

B2s$ua'ous cell C7 of sinC2polyp92s$ua'ous C7 of %agina?26P;

"+2Pt presente& on 1-th &ay of 'enstrual cycle her nor'al cycle is such &atshe o%ulates on &ay 1,2 Dhich phase will she be inE72follicularB2o%ulatoryC2pre 'estural92proliferati%e?2secretoryE

",2Optic groo%e appears on left si&e of forebrain on &ay721B2C2+92,?2.

".2Ger'en 'easles causes which abnor'ality2 Dhat is the 'ostappropriate answer72congenital cataractB2congenital &eafnessECcar&iac ano'aliesE

92li'b &efor'aties?22222222

"027 newborn with anterior ab& wall swelling an& u'bilical cor& attache& toit2wat is the con&ition calle&72o'phaloceleB2gastroschiaosisC2u'blical hernia92o'entocele?2intestinal 'alfor'ation

""2P< has e*ophthal'os n his <+ n <, are increase&2wat is the option fortreat'ent of e*ophthal'os

72&rugs blocing the action of <,EB2&irect suppresion of <,C2hypophysecto'y92a&'inistration of testosterone?2partial parathyroi&ecto'y

"-2<reat'ent of &iabetes in pregnant la&y is72sulphonyl ureaB2insulin



C2biguani&es92suphonylurea n biguani&es?222

"32Statistical a%erage applicable to the 'easure'ent of a population is72'eanE

B2'o&eC2'e&ian&2stan&ar& &e%iatione2central

-!2<wo groups one with C69 an& associate& ris factors is co'pare& toanother group with C69 but no associate& ris factors2 Dhat type of stu&yis itE72 case controlB2 cohortC2 prospecti%e92 retrospecti%e?2 ran&o'

-12O*ytocin is gi%en to a pt in labour2it has effect on#72 o*ytocin receptors on cer%i*B2o*ytocin receptor on 'yo'etriu' an& en&o'etriu'C2&ec prostaglan&in recp on cer%i*92&ec prostaglan&in recp on 'yo'etriun

-2Beta lactu' acts through72cell 'e'braneB2cell wallC2987

92+!S?2.!S

-+2si&e effect of strepto'ycin72i'pair'ent of hearingB2C292?2

-,2Dhich of the following is opportunistic organis'72? coliEB2sal'onella

C2shigella92lebsella?2chlostri&iu'

-.2Psu&o'e'branous colitis is cause& by72Cl2&ifficileB2Cl2tetaniC2C5 perfiranges92Cl2botulinu'



?22

-027bout aspargillosis which is not correct72is cause& by fungalB2usually seen in pree*isting lung &iseasesEC2is cause& by long ter' antibiotic use2

9222?22222222

-"2Most co''on cause of puerperal sepsis is72bacterio&esB? coliC2tricho'onas92chaly'a&ia?2gonorrhea

--27nother $uestion associte& with aspargilosis

-32>nutero infection is not cause& by

72syphlisB2'u'psC2cyto'egalo%irus926>;?2rhino%irus

3!27 pt with cer%ical ly'pha&enopathy2 he has granulo'a onhistopathology2wat is the &iagnostic fin&ing in this case for <2B727FBB2caseous necrosisC2'ontou* test92*:ray

?2222222

3127 . yrs ol& 'ultiparaous presente& with lower ab& pain2on histology itshowe& soli& n cystic areas inter'i*e& but on laproscopy it was se'i soli&with brown centre2wat is the 'ost probable &aignosis72&er'oi& cystB2en&o'etrial cystC2o%arian C792eno&'etrial C7?2terato'a

327 pt presente& with pri'ary a'ennorhea2well &e%elope& secon&aryse*ual charactersticspresent breast but absent uterus2the organ not foun&

is &ue to abnor'al &e%elop'ent of 72'esonephric &uctB2para'esonephric &uctC2genital tubercle9222222222

3+27 wo'an presente& with %ul%ar itching n pinish purulent &ischarge2watis the cause72tricho'anas %aginilis



B2chla'y&iaC2gonorhea92lactobacillis?2222

3,2presense of &elta antigen shows 69;(

72>nfecti%ityB2reco%eryC2Chronicity92 7cute phase?2Measure of se%erity/fatality of the &isease

3.2Most co''on organis' in%ol%e in post operati%e ab&o'inal gynaecological infection is72? coliB2bacteroi&esC2chla'y&ia92tricho'onas?2go'orrhea

3027 pt presente& with lower ab& pain n purulent white &ischrge2o'laproscopy fallopian tubes were stice& together n rupture& &uringoperation2wat is the con&ition in%ol%e&72acute salpingitisB2chronic salpingitisC2pyosalpin*92hy&rosalpin*

3"2Pt has a history of infection , wees bac2now he &e%elope& sa'e painagain2wat type of cell will present at this ti'e of &isease72neutophils

B2eosinophilsC2ly'phocytes92basophils?2'ast cells

3-2Dhat is the &rug of choice for 9;< in ist tri'ester of pregnancy72aspirinB2heparinC2warfarin92in&o'ethacin?2'efana'ic aci&

1!!29eficiency of ;it K will effect all of the following e*cept

72factor "B2factor .C2factor 392fibrinogen?2prothro'bin

1!127t which step intrinsic n e*trinsic pathways con%erge72acti%ater 1!B2acti%ate& 11



C2acti%ate& 192prothro'bin?2acti%ete& 3

1!2<ype hypersensiti%ity reaction inclu&es72erythroblastis fetalis

all other options were wrong

1!+2<ransfusion reaction will not occur in a pt if we transfuse the72group 7 with OB2group 7 with 7BC2group 7B with 792group B with O?2group O with B

1!,2Dhich of the following &oes not cross placenta easily72glucoseB2a'ino aci&C2>g G

92>g M?2CO

1!.2Dhich &rug is use& in the treat'ent of hirsutis'72antian&rogensB2estrogenC2testosterone92cryptoterone acetate?2&iacrone

1!02Most co''on organis' in%ol%e& in infection cause& by >LC972actino'ycosis

B2? coliC2bacteroi&e92gonorrhea?2tricho'onas

1!"2?CF &iffer fro' >CF in72high conc2 of 8a n CaB2high K low 8aC2low 8a n Ca high K92 high conc2 Of K Ca with low 8a?2;olu'e

1!-2&iffrence of s'ooth n seletal 'uscle

72Ca:Cal'o&ulin co'ple* is present in s'ooth 'uscles

1!32>n partial 'olearyotype is72,0HHB2,.HOC2,"HH92,"HI?203HHI



11!2>f carbohy&rate is separate& fro' proteins wat will be the fate72aggregation n precipitationB2eli'inate fron i&neyEC2increase uptae int 'uscle

11125yso)o'e contains

72glucoseB2CaC28a92 hy&rolases?2alaline phosphate

112Dhich of the following &oes not ha%e sulpha group72cysteineB2cyste&ineC2ho'ocystine92'ethionine?2threonine

11+2Dhat is not true about le%ator anni 'uscle72supplie& by 51 n 5B2puborectalis for's part of it

11,2Dhat is not true about ureter72enter the pel%is infront of co''on iliac arteryB2enter the bla&&er on superio lateral surface of trigoneC2not ha% sphincteric %al%e at opening into bla&&er92can be palpate& at pel%ic bri'?2EE11.2 MCQ on Significance72

1102 >f a test is able to both &iagnose an& eli'inate &isease& an& non:&isease& wht is it calle&E72SpecificB27ccurateC2Sensiti%e9

11"2 Fro' a population two groups are selecte& on age basis an& thensubgroups are assigne& ran&o'ly for the stu&y2wht type of sa'pling is itE72Multistage sa'plingB2Stratifie& sa'plingC2=an&o' stratifie& sa'pling

92si'ple ran&o' sa'pling

11-2 Metabolic 7lalosis is cause& bya( Chronic 6ypo%entilationb( Pancreatic Fistulac( hyperglyce'ia&( 7<8

1132Q on Metabolic aci&osis



1!2Q on co'pensate& respiratory alalosis

112 For =h bloo& transfusion to the ane'ic baby72cross'atch bloo& to babys plas'aB2Cross'atch bloo& to 'others pla'a

C2Cross'ath bloo& to 'others bloo&92gi%e wbc &eplete& transfusion?2Gi%e re& cell concentrates cross'atche& wi& fetal bloo&

12 Following is 7utoso'al 9o'inant 9isor&era( Phenyletonuriab( 6ere&itary Spherocytosisc( 6e'ophilia 7&( Cystic Fibrosa

1+2 Source of ?strogen Progesterone in last tri'ester isa( Chorionic ;illusb( Placenta

c( O%ery&( 7&enohypophysise( Corpus 5euteu'

1,2 7bout K : =egulation following is correcta( K is 3-@ in the cellsb( nor'ally co'pletely reabsorbe& in 9istal tubulec( increase water affects K:balanceE&( &ecrease in 92K27

1.2On e*a'ination of a fe'alea pla$ue lie lesion seen on Postero:superior aspect of ;aginait is

a( S$ua'ous Cell C7b( 7&enocarcino'ac( =hab&o'yosarco'a&( wartE

Gynaecology/Obstetrics Past Paper March 2008-FCPS Part1

Below are the MCQs of FCPS Part1 Gynaecology/Obstetrics Paper March!!-#

12 ?%ersion of cer%i* &uring pregnancy occur in response to#a( ?strogen

b( Physiological changec( Ca Cer%i*&( Gona&otropinse( Cer%icitis

2 >f Carcino'a in%ol%es nipple of breast which ly'ph no&es r lielyto in%ol%e firstEa( Pectoralb( 7pical



c( Central&( inernal 'a''ary

+2 7 Pt2 ca'e in OP9 Dith enlarge& 7nt27*illary ly'ph no&es an&&iagonose& a case of CaBreast which region is 'ost liely in%ol%e&Ea( Lpper Outer Qua&rant

b( 5ower >nner Qua&rant

,2 More or less sa'e $uestion as +2 reapeate& again

.2 7 pt ca'e to you with pri'ary a'enorrhoeawebbe&necshort stature&iagnose& as <urner syn&ro'e wht is her aryotypeEa( ,.HOb( ,0HIc( ,"HHI

02 7 nor'al looing Girl ca'e to you with pri'ary a'enorrheaone*a'ination she was ha%ing short blin& %agina wi& nor'al %ul%a scantypubic n a*illary hairsnor'albreastsabsentuterusher aryotype isE

a( ,0HIb( ,"HIc( ,"HHI

"2 Dht is the best way to &etect e*act gestational age of fetusEa( C=5 at - w2b( Fe'ur length at -th w2c( Biparietal &ia'eter at 1-th w2&( 7b&o'inal circu'ference at22222

-2Sper's life span in fe'ale genital tract is Ea( , to ,- hrs

b( , to " hrs

32 Sper'atogenesis is controlle& byEa( <estosteroneb( FS6 <estosteronec( 56&( ?strogen

1!2 7l'ost sa'e as abo%e

112 >n &rug receptor relations which one is incorrectEa( Bra&ycar&ia ::: Propranololb( Miosis ::: Pilocarpine

c( Seletal Muscle Paralysis ::: <ubocurarine&( Broncho&ilation ::: Salbuta'ol

12 Dhich one of the' &o not pass through 5esser Sciatic Fora'enEa(<en&on of obturatorinternus2b(Pu&en&al 8er%ec(>nternalPu&en&al ;essels&(sup2 inf2 gluteal %essels



1+2 >n a 'otorbie acci&ent nec of fibula fracture& an& lea& to a loss of&orsifle*ion n e%ersion of footwhich ner%e is liely to b &a'age&Ea(Co''on Peronealb(9eepperonealc(SuperficialPeroneal

1,2 Dht is 'ost liely to b true about pu&en&al ner%eEa( ?nter the ischiorectal fossa thru its lateral wallb( 5ea%e the pel%is thru upper part of greater schiatic notchc( =e enter the pel%is thru lesser schiatic notch

1.2 >f perineal bo&y is cut which 'uscle liely to b &a'age&Ea( Bulbospongiosus superficial <rans%erse Periealb( 9eep Superficial <rans%erse Perineal

102Lreter is foun& at #a( the bifurcation of co''on iliac arteryb( pel%ic bri'

1"2 >f o%aries are re'o%e& fr' o%arian fossa wht is 'ost liely to b&a'age&Ea( >nternal iliacb( uterine arteryc(O%arian artery&( ?*ternal iliac artery

1-2 <o reach the uterus uterine artery crosses the#a(Lreterb(Fallopian <ubec(5iga'ent of o%ary

132 >f Ca2Cer%i* 'etastasi)e to 5abia 'a4ora which one of these is 'ostliely responsible for sprea&Ea( =oun& lig2 Of uterusb( pubocer%ical liga'entc( pectineal liga'ent

!(which structure &o not participate in for'ing the walls of inguinal canalEa( <rans%ersalis fasciab( >nternal Obli$uec( ?*ternal Obli$ue&( Con4oint ten&one( 5acunar liga'ent

1( >f after 1 hr of ceaserian section pt start b blee&ing internally which oneis 'ost liely &a'age&Ea( Lterine arteryb( >nternal iliac a2c( O%arian artery&( uterine %ein

( >f on lying &own pt beca'e &yspnoecwht is the causeE



a( =etrosternal goiterb( Multino&ular goiterc(

+( >f a wo'en at 1!th wee pregnancy ha%6b 1A6ct . 8or'ocytic8or'ochro'ic fil' but at + w pregnancy her 6b is 1!23 A 6ct ! with

sa'e peripheral fil' wht is the causeEa( Physiological changeb( >ron &eficiencyc( Folate 9eficiency&( ;it B1 &eficiency

,( O%aries are attache& to broa& liga'ent byEa( Mesoo%ariu'b( Mesosalpin*c( suspensory liga'ent

.( >n fe'ales 8ec of bla&&er en&s #a( abo%e the urogenital &iaphrag'

b( below the urogenital &iaphrag'c(

0( Most co''on cause of hosp2 ac$uire& infection isEa( >n&welling cathetersb( >/; linesc(

"( Dhich 'etho& is use& ill spores of surgical instru'entsEa(&ry heat at 10!c for 1 hrb(&ry heat at 10! c for , hrc('oist heat at 10!c for1hr

&(Gension %iolet for , hrs

-( Dhich one is not use& as insectici&alEa( 9eri%ati%es of salicylic aci&b( Phenolc( So&iu' hypochlorite&( Soap

3( Most co''on cause of subacute bacterial en&ocar&itis is#a( sterpt%iri&ansb( sterptepi&er'i&isc( staphaureus

+!( Foo& poisoning cause by staph2 >s 'ainly &ue to#a( e*oto*inb( en&oto*inc( enteroto*in

+1( 8ow a &ays the best way to &iagnose %iral infection is#a( ?5>S7b( by &etecting %irus fro' secretion or woun&c( i''unofloresence



+( >f ptha% persistent pyuria all can be the cause e*cept#a( polycystic i&ney &iseaseb( long stan&ing alaline urine at roo' te'peraturec( Post Streptoccocus glo'erulonephritis

++( wht is the least positi%e %alue for wi&al to &iagnose typhoi&Ea( 1#-!b( 1#1!c(1#+0!

+,( <wo &ays before o%ulation 56 surge rises toa( 1 to . fol&b( , to 0 fol&c( 0 to 1! fol&

+.( %illous surroun&e& by cyto n syncitiotrophoblast is#a( Pri'ary %illousb( secon&ary %illous

c( tertiary %illous

+0(Following is not a pro%en cause of hirsuitis'Ea( 7n&rogenb( PCOsc( ste%enle%enthalsun&ro'e&(

+"( CO is transporte& fr' bloo& to al%eoli by #a( Facilitate& &iffusionb( 7cti%e transportc( 9iffusion

+-( 7cti%e transport &iffersfr' Passi%e &ue to#a( &epen& on os'osisb( re$uire carriers but no energyc( re$uires energy but no carriers&( re$uire energy by phosphate anhy&ri&e bon&

+3( Mean 7rterial pressure isa( &ifference b/w systolic an& &iastolic pressureb( 9iastolic 1/+ pulse pressurec(

,!( Colu'nar epitheliu' is foun& in#

a( uterine tubesb( <hy'usc( o%aries

,1( Obese are at ris of all e*cept#a( 6yepertensionb( 9iabetesc( <hyroto*icosis&( >69



,( Following will lea& to =espiratory 7ci&osisEa( e'physe'aEb( hea%y intae of 8a6CO+c( ;o'iting

,+( 6or'one which causes an increase carbohy&rate protein an& lipi&stores isEa( G6b( insulinc( cortisol&( 7l&osteronee( thyro*ine

,,( sa'e $uestion

,.( insulin secretion is inhibite& by#a( glucagonb( secretin

c(

,0( 7cellular layer surroun&ing an o%u' is #a( Nonapelluci&ab(Granulosa layerc( <heca interna&( Corona ra&iate

,"( Pri'or&ial ger' cells arises fr'#a( Iol sac

,-( 6ighest energy containing co'poun& is#

a( Starchb( Glucosec(6e*ose phosphate&( 7<P

,3( Dhich contain high triglyceri&eEa( Chylo'icron re'nantsb( 595c( ;595&( 695e( >95

.!( Dhich is not a phospholipi&E

a( 5ecithinb( >Solecithinc( Cephalin&( Plas'alogen

.1(5ow PO Sti'ulate respiratory centre thru#a( 9irectly acting on 'e&ullab( sti'ulating peripheral che'oreceptorc( acting on central che'oreceptor



.( >f =h :%e 'other &eli%er an O %efetuswht is the best way to protectsubse$uent pregnanciesEa( >''unoglobulin

.+( wht is the lan&'ar for biscop scoring#

a( >shial Spineb( >shial <uberosity

.,( >n a wo'en of craniopharyngio'awht is the best opetion to in&uceo%ulationEa( Clo'iphen citrateb( Menopausal Gona&otropins

..( >f you gi%e 5 9opa to the pt of Parinsonis' which hor'one will&ecreaseEa( Prolactinb( FS656c( <estosterone

.0( Dhich hor'one con%ert to its acti%e for' at target tissue with the helpof . re&uctaseEa( <estosteroneb( ?strogen

."( Pt ca'e to you with eosinopeniapolycythe'ialy'phocytopenia an&raise& 7C<6 le%elwht is 'ost lielyEa( Cushing &iseaseb( Cushing Syn&ro'ec( 7&&isons &isease

.-(Dht change will not seen in a wo'en ha%ing inc2cortsiol le%elEa( 6ypotensionb( Moon facec( Buffalo <orso&( <hin sine( 6irsuitis'

.3( Main support of uterus is#a( Car&inal liga'ent

0!( =ational for storage of platelet at roo' te'p2 is #a( Opti'i)e the platelet functionb( platelet nu'ber &o not &ec2

01( Do'en brought to you in ?= in shoc who ha& a 1! pint transfusion 1!yrs bac &ue to PP6 is 'ost liely ha%ing#a( Sheehan syn&ro'e

0( <herapeutic in&e* in&icate#a( Bioa%ailabilityb( ?fficacyc(



0+( >f after 1. &ays of c:section &ue to Obstructe& 5abour pt2 &e%elope&Lrinary incontinencewht is the 'ost liely causeEa( ;esico%aginal Fistulab( ;esicouterine Fistula

0,( Dhich one is the supporting liga'ent of uterus tht is palpable on Per:rectal e*a'inationEa( Lterosacral liga'ent

0.( >f +. yr ol& wo'en &e%elope& Generali)e& 5y'ha&enopathywht is the'ost liely cause#a( 6o&gin 5y'pho'ab( 8onho&gin ly'pho'ac( Malignant &isease&( CM5e( 755

00( >f wo'en acci&ently e*pose& to ra&iation + to , yrs bac which organ is

'ost liely effecte&Ea( Cer%i*b( Fallopian tubec( O%aries&( ;agina

0"( Dht is the best 'etho& to chec bone &ensityEa( C< scan spineb( M=> spinec( Calciu' 5e%el&( 9 scan of spine

0-( Dhich &rug &o not cause gynaeco'asiaEa( 9igo*inb( Griseoful%inc( Ci'eti&ine&( 7n&rogene( ?strogen

03( Pt &e%elope& Morning stiffnessPhotosensiti%ityrash which test will bepositi%eEa( =7b( 787b( anti'itochon&rial

"!( Dht is the en& pro&uct of glucose brea&own Ea( Galactoseb( 5actosec( Fructose&( Pyru%ate

"1( >n a pre ecla'pticpt which &rug is use& to lower BP before surgeryEa( 6y&rala)ineb( 7'lo&ipine



"( 7'niotic flui& e'bolis' is relate& to#a( 9>C

"+( Dhich hor'one is necessary for brain &e%elop'ent of fetusEa( G6

b( <hyroi&c( Cortisol

",( >f feto protein is high wht is 'ost lielyEa( 7nencephalyb( Spina bifi&a Occultac( 9own syn&ro'e

".( <+ <, raise& in pregnancy &ue to#a( >nc <BGb( >nc <S6c( >nc <=6

"0( Dhich one is not a tu'or 'arerEa( 6CGb( C?7c( fetoprotein&( Placental 7ci& phosphataseP57P(e( 7laline Phosphatase

""( 6ysterosalpingography is 'ore accurate than M=> in#a( 7&eno'yosisb( bloce& tubes

"-( <O=C6 can lea& to all ?HC?P<#

a( Pnue'oniab( Cataractc( 9eafness&( Car&iac ano'aliese( Blin&ness

"3( 987 is#a( 9ouble stran&e& in which two stran&s are antiparallel to each otherb( all other wrong

-!( Dhich antithyroi& &rug is gi%en &uring PregnancyEa( Propylthiouracil

-1( <* of raise& sugar in pregnancy is #a( >nsulinb( Sulfonylurea

-( Menopause is &iagnose& by#a(=aise& FS6=aise&56&ec?strogenb(&ec FS6 n 56

-+( <uboo%arianabcess cause& by >LC9swht is the 'ost liely causati%e



agentEa( 7ctino'ycosisb( Streptococcus

-,( Dhich co'ponent is low in Cows 'il as co'pare& to 'others 'ilEa( 5actose

b( Fatc( Calciu'&( Protein

-.( ?*cess of 7l&osterone will cause#a( 6ypoale'iab( 6yperale'ia

-0( Dhich 'etho& is 'ost useful in i&entifying chro'oso'al abnor'alitiesEa( Karyotypingb( L/Sc( Bar bo&ies

-"( 9>C is relate& to all ?HC?P<#a( Cancerb( 7'niotic flui& e'bolis'c( Sepsis&( =POCse( answer

--( >n C:section insicion is gi%en in subcutaneous fat suprapubically willliely to &a'ageEa( Superior 'esenteric arteryb( 9eep Circu'fle* iliac arteryc( Superior epigastric artery

&( inferiorepigastric arterye( Perforating arteries

-3( >nsulin increase absorbtion of glucose inEa( 6epatocytesb( Mucosa of s'all intestinec( =enal tubular cells

3!( Glucose is absorbe& in renal tubules through#a( Secon&ary 7cti%e transportb( Facilitate& &iffusionc( 9iffusion

31( 7 pregnant wo'en is on Phenytoinwht is the least liely co'plicationin fetusEa( Bone &efor'ityb( Mental retar&ationc( Cleft palate

3( 7nticoagulants are in&icate& in all ?HC?P<#a( <hro'bocytopenia



b( Cerebral infarctionc( Prolong be& rest&( 9;<

3+( 7 'other brought her - yr ol& &aughter in OP9 with co'plain of %aginalblee&ingshe was taller acc2 <o her age with well &e%elope&breasts2she was

otherwise nor'alwht is the cause#a( O%arian tu'orb( 6yperpituitris'c( 6ypothala'ic &isor&er

3,( Main function of ?*tracellular flui& is#a( <ransport electrolyteb( =e'o%e waste pro&uctsc( Pro%i&e nutrition

3.( Dhich in%estigation is least liely &one in a suspecte& case of 9>CEa( Clotting ti'eb( F9P

c( 9:9i'er&( Platelet counte( P<

30( Dhich &rug is not use& in 9ys'enorrheaEa( >buprofenb( Mefena'ic aci&c( 7spirin&( COH inhibitor

So'e 'ore Questions

?*pect repetition of $uestions(

1(which hor'one is resposible , storage of carbohy&ratefatsprotein inbo&yEa(cortisolb(growthhorc(thyro*ine

(which hor'one is responsible , storage of fat C6O n protein in bo&y ncalle& hor'one of abun&anceEa(costisolb(thro*inec(grwoth hor'one

+(which hor'one is nee&e& , brain &e%elop'ent of fetous &uring intranatallifeEa(growth hor'b(thyroi&etc

,(tubo o%arian abcess in a wo'an using iuc& is caue& byEa(actino'ycosis



b(streptococietc

.(which co'ponent is low in cow 'il as co'pare 'othr 'ilEa(lactoseb(protien

c(calciu'&(fat

0(a'ong following which is not antisepticEa(soapb(salicylic aci&c(so&iu' hypochlorite&(ethanol

"(, t* of ecla'psia which &rug is use&Ea(hy&rala)ineb('ino*i&iletc

-(which 'etho& is use& ill sporeEa(&ry heat at 10!c for 1 hrb(&ry heat at 10! c for , hrc('oist heat at 10!c for1hr

3(e*cess of al&osteron will causeEa(hypoale'iab(hyperale'iaetc

1!(structure of n&ry %illus unclu&eE

a('eso&er' cytotrophoblast syncytiu'b(capillariescytotrophoblast syncytiu'etc

11(a ,. yrs ol& la&y is post 'enopausal fro' last 3 'onthswhich is 'ostliely show onset of 'enopauseEa(ano%ulatory cycleb(atrophic uterusetc

1(sper'atogenesis is supporte& byEa(FS6 n testosteronb(gona&otrophin

etc

1+(ger'inal epitheliu' of o%ary containEa(cuboi&al epitheliu'c(colu'naretc

1,(colu'nar epitheliu' line which structureEa(thy'us



b(choroi& ple*usc(uterine tubes

1.(which 'etho& is 'ost helpful in i&entifying chro'oso'al abnor'alitiesEa(aryotypingb(us

etc

10(a nor'allooing fe'ale ca' , pri'ary a'enorrhea on e*a'ination shewas ha%ing short blin& %agina wi& nor'al %ul%a n scanty hairherwt n ht forage were nor'al bt absence of uterusshe was othrwise a nor'allooinggirl aryotype was *ya(,0*yb(,0**etc

1"(9>C is relate& all of the following e*ceptEa(a'niotic flui& e'bolis'b(cancer

c(gra':%e sepsis&(retaine& &ea& fetuse(etcanswer(

1-(a wo'en brought hospital after ha%ing &ifficult &eli%ery at ho'e wi&blee&ing &iathesiswat is the causea(&icetcetc

13(which of the following is leat liely b effecte& by actino'ycosisa(bone

b(brainc(oral ca%ity

13(which is not the 'anifestation of chil& born wi& to*oplas'a infectionEa(pneu'oniab(cataractc('ental retar&ationetc

!(a wo'an ha%ing 'orning stiffness of han& n pericar&ial effusion whichlab fin&ing wou& help in &*Ea(anti nuclear 987b(strptolysin

c(rheu'atic factoretc

1(which structure pass thro inguinal canal fro' uterus labiu' 'a4us infe'aleEa(roun& liga'entb(broa& liga'entetc



(which liga'ent can b palpate& on per rectal e*a'inationEa(uterosacralb(broa& liga'entc(roun& liga'entetc

+('ain support of uterusEa(broa& liga'entb(trans%erse cer%ical liga'entetc

,(an incision gi%en supra pubically in a fe'ale for 5SCS woul& &a'agewhich arteryEa(superior epigastricb(inferiorepigastricetc

.(o%ary is attache& bac of brao& liga'ent byEa('eso%ariu'

etcetc

0(whichsturcture &oes not for' walls of inguinal canalEa(lacunarb(e*ternal obli$ue apenerosisc(con4ointetc

"(insulin help in absorption of glucose throughEa('usoca of s'all intestineb(renal tubulesc(hepatocytes

etc

-(glucose is absorbe& in renal tubules throEa(n&ry acti%e transportb(facilitate& &iffusionetc

3(afterlscscsection( a wo'an is blee&ing intaperitonealy which arterycan b &a'age&Ea(uterineb(o%arianc(internal iliacetc

+!(which organis' re$uire selecti%e 'e&ia , its &iagnosisEa(%ibrio cholerab(e colic(ca'pylobacteretc

+1(a pregnant wo'an on phenytoin which is the least liely co'plicationEa(bone &efor'ity



b('ental retar&ationc(cleft palate

+(anticoagulant are contrain&icate& in ptwi&Ea(thro'bocytopeniaetcetc

++(apt showing eosiniphilialy'phoctytopenia polycythe'ia his bloo& le%elsshow increase 7C<6 le%el which of following is the causeEa(cushing syn&ro'eb(su&hing &iseasec(a&&isons &iseaseetc

+,(ca breast will effect which of the breast $ua&rant 'ostlyEa(upper n outerb('e&ialc(inner n 'e&ialetc

+.(a wo'en ha%ing ca breast which group pflyp'h no&es is effecte&Ea(anteriora*illayetc

+0(a 'other brought her &aughter wi& %aginal blee&ing she is - yrs ol&taller , her age wi& well &e%elop breast n o&r wise nor'al which cou& b thecauseEa(constitutionalb(hypothala'icetc

+"(a 'an wi& full burns in icu &e%elop blee&ing &iathesis which cou& b thecauseEa(&icb(infectionetc

+-(a wo'en brought ?= unconciouswi& history of postpartu'he'orrhage 1! yrs bac which of the following is &*Ea(sheehan syn&ro'eb(lowbpetc

+3( Main functions of e*tracellular flui& isE

a(transport electrolytesb(re'o%al of waste 'aterialetc

,!(therapeutic in&e* showa(&rug efficacyb(safety



Below are the MCQs of FCPS Part1 Gynaecology/Obstetrics Paper June!!-#

122half life of &opa'ine is . 'in how 'uch ti'e will it tae to reach thestea&y state concentration2

a210 secb2- secc21! sec

22wt is the circulation ti'e b/w brachial n cerebral circulation2a21. secb2+! secc20! sec

+22wt is the 'ost potent sti'uli for al&osterone release2a27C<6b2=enin

,22which state'ent regar&ing a&renals is wrong2a2si)e at birth is e$ual to a&ult si)e

.22actions of glucagons are all e*cept

022actions of growth hor'one r all e*cept

"22which of the following are features of type hypersensiti%ity reactiona2>gGb2>g Mc2< cells&2B cells

-22wt is the re$uire'ent for co'plete sterili)ationa2heating at 1.1 &egree C for 2 Min

322energy liberate& on co'plete 'etabolis' of protein isa2,21 calb2.2+ calc2321 cal

1!22energy liberate& on fat 'etabolis' isa2321 cal

1122thyroi& isth'us is at le%el of

a2n& +r& tracheal ringb2+r& ,th tracheal ringc2.th 0th tracheal ring

122bloo& supply of spinal cor& isa2%ertebral arteriesb2spinal arteriesc2internal 4uglar arteries



1+ en& arteries are present ina2spleenb2brainc2ly'ph no&e

1,22&eri%ati%e of en&o&er' isa2'esentry

1.22laryngeotracheal bu& appears &uringa2,th weeb.th weec2"th wee

1022'uscle cut on episioto'y isa2superficial trans%erse perineal bulbospongiosus

1"22patient feels pain on &efecation ner%e in%ol%e& isa2pu&en&al ner%e

b2inferior rectal ner%e

1-22al'ost 1! to 1. $uestions on 8S7>9s an& prostaglan&ins

1322one of the following regar&ing le%atorani is true

!22epthelial lining of ureter is

122'uscular layer of ureter in lower thir& is

+22&eri%ati%es of pharyngeal arches to + $uestions(

,22wt 'aes right bor&er of hearta2rt atriu'b2rt %entriclec2rt atriu' rt %entricle

.22che'oatractant for neutrophil is

022factors affecte& by %ita'in K &eficiency

"22ly'phatic &rainage of cer%i* isa2int n e*t iliac no&es

b2int iliac no&esc2e*t iliac no&es

-22point of 'eeting of intrinsic n e*trinsic pathway

322o*yhe'oglobin &issociation cur%e $uestions(

+!22si'ples$a'ous epitheliu' is present in all e*cept



+122protein content of CSF is

+22which has highest protein contenta2plas'ab2ly'phc2CSF

++22autoso'al &o'inant n recessi%e &isor&ers $uestions lie na'e wasgi%e n was ase& wt is wt(

+,22origin of e*t obli$ue 'uscle is fro'2

+.22boun&aries of inguinal triangle the site for &irect inguinal hernia are

+022structure palpable through lateral %aginal wall is

+"22cortisol causes &ecrease ina2plateletsb2=BCs

c2ly'phocytes&2neutrophils

+- &ifference b/w benign n 'alignant tu'orsis al'ost si'ilar $uestions(a2in%asionb2'etastasisc2capsule

12Dhat is 'ost lateral in cerebral he'isphere #>nsulaPars triangularis RPars intere'e&ia

7'yg&ala

2Below the u'blicus anterior ab&o'en is for'e& by#?*ternal intercostal an& part of >nternal obli$ueR>nternal intercostals an& part of trans%erse ab&o'inisuscle?*ternal intercostals an& trans%erse ab&o'inis 'uscle>nternal intercostals an& trans%erse ab&o'inis 'uscle

+2Pre cancerous in ai&s#C'%?b%R6s%6p%

,2>n li%er of a patient un&er the 'icroscope a lesion was seen with centralcheesy appearance surroun&e& by large cells with ly'phocytes an&fibroblast what type of necrosis is presentCoagulati%eR5i$uefati%eFattytuberculous



.2Dhichhar'one of the following sti'ulates thirst7&hR7l&osterone=enino*ytocin

02Dhich has no antigens7BRO:O7

"2>n a thyroi& surgery 'ass was e*cisie& which 'icroscopically showe&a'yloi&s post surgically which 'arer woul& be taen in accountP<6CalcitoninRCaPo,

-2Dhich %ariant rises with rise in BP<P=RPulse;enous tone7rterial tone

32Dhen r the %entricles 'ost fille& with bloo& 9iastasis=api& inflow7trial systole;entricular systole

1!2?*a'ple of wet gangrene<hro'boe'bolis'Bacterial en&ocar&itisPancreatitis

112Dhich of the following har'one stops o%ulation &uring lactation?strogenProgestroneProlactinRO*ytocin

1Dhich of the follwing &elays woun& healing;it cR

%ita>''obili)ation;it ?

1+2feature of 9owns Syn&ro'eCar&iac ano'oliesFallots6ypospa&iasis?arly &eathR



1,<urner syn&ro'e hasChro'oso'al &efectHline&Short statureR<all stature

1.2H line& &o'inantPu7laptonuriaFa'ilial polyposisRGlycogen storage

102Dhich of the following tissue is 'ost ra&iosensiti%eSeletal 'uscleCartilageRBone

1"2>n &orsal colu'n lesion which of the following will be lost

Pain<e'pCru&e touch>tchProprioception

1-27sth'a has lowFe%1RF%c;c<lc

132Pre carcinogenic isBerryliosis7sbestosisRBen)ethePenta'i&ine

!2Co''on feature in nitrates isoprenaline 2 <hrophylline isPostural hypotension=api& pulse;aso&lation;eno&ilation

12Mi&ar' circu'ference is the 'easure of

ProteinsRFatsCarbohy&ratesMinerals

2<e'poral 7rteritis is &iagnosis by?srRBiopsyB/c



DBC count

+2>n foo& poisoning &eath occur by?*ot*in of sa'onella;ibro cholera RShigella

?n&oto*in of Shigella

,25ong ter' granulo'atous &isease isCrohnCeliacSarcoi&osisLlcerati%e colitisR

.2Dater reabsorption through 796 is &one inPro*i'al9istalCollecting5oop of henle

02<he organ place& retroperitoneally isSpleen<rans%erseBla&&er7scen&ingR5i%er

02Lrinary bla&&er in 'ale isCo'pletely co%ere& by peritoneu'Superiorly co%ers

Fro' rectu' separate& by fascia of 9enon ;illiers

"26y&rocephalus occurs because of obstruction in>/% fora'enRSyl%iusMagen&ie5usha

-26ipoca'pal in4ury causesSe* rage6unger5oss of Me'oryR<e'perature &isturbances

"2Dhat organ lesion causes hypother'iaPreoptic5ateral hypothala'usPost hypothala'us RPitutary

-2Che'otactic factors functions 'ostly in9iape&isis



Margination Migration7cute infla''ation

32 Para'esonephric &uct re'nant in 'ale is7ppen&ice testis

7ppen&i*O%ary

+!2Musle tra%ersing the shoul&er 4ointCrochobrachilisSspinatus>spinatus

+12Bloo& sprea& of C7 occurs 1st inMetaphysis9iaphysis?piphyses?piphyseal plate

Corte*

+27 boy presente& in the ?= with fracture with less seu'calciu'26e issuffering fro'Pri'ary hypoparathyroi&is';it 9 &eficiencyn&ry hypoparathyroi&is'

++2?*a'ple of synchon&rosis isSy'phisis

>n%ol%es hyaline crtlg b/w bonesCostal 4oint

+,2?rythropoietin is secrete& fro'Iellow 'arrowJg co'ple*Macula &ensaPreitubualr capillaries5oop of henle

+.2 Gluteus 'e&ius 'ini'us7&&uctslaterally rotate7&&ucts 2'e&ially rotate

7b&ucts 'e&ially rotate7b&ucts laterally rotateFle*es 'e&ially rotate

+02Ju%enile polyps are also calle&6a'arto'as=ectal polyps>nternal hae'orrhoi&s



+"2<Glyceri&es are absorbe& inChylo'icrons;l&l6&l5&l

+-2>ngastrecto'y loss of following occurs6cl>ntrinsic facorFats;it 9

+326b is enclose& in =BC at stage of 8or'oblast5ate nor'oblast?rythroblast

,!27&renal glan& is separate& fro' i&ney byPeritoneal fascia

=enal fasciaPerinephric fat

,127bout antibo&ies6a%e %arible hea%y chains>gM is abun&ant

,2Me&ian ner%e suppliesPal'ar 'e&ial 1/+Pal'ar an& &orsal 'e&ial'1/+9orsal 'e&ial 1/+9orsal /+ lateral

,+27bout 1st lu'brical7rises fro' n& 'eta carpal>s bipennateSupplie& by 'e&ian ner%e

,,25u'bricals are supplie& byMe&ian ne%e &eep br of 'e&ian n9eep br of ulnar n

,.25ateral part of breast supplie& by7nt groupPost group

5ateral groupCentral group

,02<he 'uscle of passi%e inspiration is9iaphrag'?*ternal intercostal>nternal intercostalScalenes 'uscles



,"25y'ph &rainage of lateral /+ of tongue occurs throughSup &eep cer%ical no&es>nferior &eep cer%ical no&esSub'an&ibular no&esSub'ental no&es

,-2Boil on the tip of the tongue will &rain into following ly'ph no&esSub'entalsub'an&ibularSub'entaln& sub'an&ibular

,32Posterior triangle in the nec has follwingboun&ries7nt ant bor&er of SCM post o'ohyoi&Post ant bor&er of SCM an& ant &iagastric7nt post bor&er of SCM an& post ant bor&er of trape)ius

.!25eft recurrent laryngeal ner%e hasShorter route than right recurrent laryngeal ner%eBranch of %agus ner%e

Supplies all the 'uscles of soft palateSupplies all the 'uscles of laryn*

.12=ight hepatic artery is branch of 6epatic arterygastro&uo&enal arteryCeoliac arterySplenic artery

.2Subcapsularis sinus is present inSpleen

5y'ph no&esPayers patchesPalatine tonsils

.+27fterilleal resection absorption of which of the following co'ponents&oes not tae placeChylo'icronsBile<glyceric aci&;it &;it c

.,2>n C=F all of following occurs e*cept

7ne'ia6yperale'ia6ypocalce'ia6ypoposphate'ia6yperurice'ia

..2Patient after ra&iation %o'ite& for ,hrs Cl is raise& he hasMetabolic aci&osis=espiratory alalosis wirh ion gap



Metabolic alalosis

.02Patientt has Babinsi lesion is inLM85M89orsal colu'n

7nt colu'n

."2>nferior rectal artery is a branch of ?*t illiac>ntilliacSup epigastric>ntpu&en&al arteryFe'oral artery

.-2Peristalsis in the intestine inhibite& byCCKGastrinSecretin

G>P6ista'ine

.32Granulo'a for'ation &oes not occur in<BCat scratch fe%er<o*oplas'osisPneu'onia

0!2One of the following is not a feature of anaerobe

Cough<etanusPusGranulo'a for'ationGangrene

012Melanocytes originate fro'8eural crestMeso&er'?cto&er'

02Structures which passes through the aortic opening is%agus an& a)ygous%n

7)ygous%n?sophagusPhrenic ner%e

0+2>J; &rain inPetrosal sinusSagittal sinusStraight sinusSig'oi& sinus



0,25i%er helps in i''unity by9eto*fying no*ious agentsKupffer cells6epatocytes

0.2Sour an& hot is percei%e& by tongue through;on ebner cellsFolate papillaePain fibers8ociceptors

002796 is inhibite& by7lcohol7ngiotensin>nsulin=enin

0"2>n testis se'inferous tubules show following un&er M/S

Sertoli cellsSper'atogoniaMi*e& cellsSper'atocytesSper's

0-2Constricting afferent &ucts in i&ney re&ucesGfr=pf Creatinine clearanceGlucose claerance

0327 boy is 'alnutrione& an& has e&e'a &ue to protien loss hisPlas'a colloi& pressure is &ecrease&>ncrease hy&rostatic pressureBloce& ly'phatics

"!2Cholestatic cholangitis is cause& byColonercisselecans&iphyllobothru'latu'Schistoso'a?nta'eoba

"127fterappen&icecto'y what 'ay be &a'age&>nguinal liga'ent

Superior epigastric artery>llhypogastric ner%eSper'atic cor&

"2<he 'c burney point in&icates the presence of tip of appen&i*2Followingis true about appen&i*7ppen&i* ha inco'plete 'uscular coat7ppen&i* not attache& to 'esentrySupplie& by ceoliac artery



"+2One of the following is not a branch of ?*ternal caroti& artery5ingual 7Ophtal'ic 7Occipital 7Ma*illary 7

Suprficial te'poral 7

",2Fe'oral artery can be palpate& inMi& inguinal lateral to pubic tubercleMi& point of inguinal liga'ent7&&uctor canal

".27pe* of the fe'oral triangle5ies un&er inguinal liga'entContains s'all saphenous %einContains no&es>s pointe& &ownwar&s

"02Me&ial si&e of han& is supplie& byMe&ian ner%eLlnrrner%er=a&ial ner%e7*illary ner%e

""2;o'iting center is persent in6ypothala'usPitutaryPonsMe&ullaMi&brain

"-2PatientwirhGra%i&a , Par, 7bortio ! with ane'ia an& occult bloo& instoolFe &eficiency ane'iaPernicious ane'ia7ne'ia of chronic &iseaseSi&eroblasticane'ia

"32>n4ury to the nec an& hea& of fibula causes &a'age toSural ner%eSciatic ner%e<ibial ner%eCo''on peroneal ner%e

-!28er%e to liga'entu'terescapitis isFe'oral nObturator nMe&ial fe'oral n5at circu'fle* fe'oral n

-127rtery to hea& of fe'ur isMe&ial fe'oral circu'fle* a



5ateral fe'oral circu'fle* aObturator aFe'oral a

-2Muscranic receptors are present inPostgaglionic parasy'pathetic

Postgaglionic sy'patheticPreganglionic parasy'patheticPreganglionic sy'pathetic

-+2On bronchoscopy bronchoscope will 1st enterSup bronchus7pical bronchus>nf bronchusMi&&le apical bronchus

-,2?ssential fatty aci& is5inoleicPal'itic

CitricO*aloacetic

-.2>n tissue blee&ing occurs because of 5oss of coagulation factorsCongenital &isor&ers?n&othelial &a'age&ec F9F

-02Following is not a feature of 9>C9ec F9F9ec B<

9ec P<9ec thro'bin ti'e9ec platelets

-"2=ole of 'i&&le ear bones is<rans'it soun&7'plify soun&9oes not respon& to low noise7re sesa'oi& bones

--29irect inguinal hernia lies5ateral to infepigastric aMe&ial ti sup epigastric a

'e&ial to infepigastric aMe&ial to pubic tubercle

-32<hro'bosis is initiate& by5euotrienesProstacyclin7rachi&onic 'etabolites<hro'bo*ane 7



3!2Most &rug 'etabolis' occur inKi&ney5i%erSpleen>ntestine

312 ?n& arterySpleenBoneBrain

Gyn Obs JUNE 2009. Recalled By Syeda.

1-Etiology of cleft palate.

a-anticon!lsant

b-"!ltiple p#eg

c-"!ltifacto#ial

d-inc "ate#nal age

2-left cleft palat dt "alfo#"ation of.$

a-palatine s%eles

b-"a&illa#y p#o"inence

c-"ed nasal p#o"inence

d-lat nasal p#o"inence

e-incisie fo#a"en

'-ge#" cells de#ied f#o".$

a-ectode#"

b-endode#"

c-"esode#"

d-ne!#al c#est cell

(-)a#yotype of t!#ne# synd#o"$$.......$$$$*s"et%ng li)e dat e&actly nt #e"e"b#+

a-(,O

,-%ic% 1 contain g#an!losa cell$$

a-g#affian follicle

b-$$$...$..$

/-in p#i"a#y infe#tility$$diagnosis of fail!#e of o!lation by

a-id loe# abdo"inal pain$$..$$

b-#ise in basal body te"p



c-"iddle of "enst!al cycle$$$

d-t%ic) "!cosa sec f#" c& c% nt s%o fe#n patte#n....

-penta"e# i""!noglob!lin is

a-g3B-gG

c-g45

d-g6

e-gE

7-Rega#ding enta"eba %istplytica....

a-it is a ne"atode

b-it ca!ses lie# disease

c-occ!#s in bot% t#op%o8oite nd cyst stage

d-it e&ist no#"ally in intestinee-..$.$.$.$.$

9-co#nybacte#i!" dip%t%e#ia..$.$

a-g" -e bacilli

b-cl!b s%aped5

c-$$..$.$.

10-"ode of cell in!#y by clost#idi!":::::.....$$$$$

a-3;< depletion.b-.$.$.$.

11-s%igella..

endoto&e"ia

ne!#oto&in

e#oto&in

ente#oto&in

e&oto&in

12-co#neal opacity ca!sed by..

et%a"b!tol

=!inine

p%enot%ia8ine

c%lo#o=!ine

.$$.$.$.$..$.....



1'-d#!g ind!ce# by p(,0 "ec%anis"$..

ci"itidine

)eto)ona8ole

p%enoba#bitone

$.$.....$$$$$$$....$.$.$.$.$.$.$.$.$.

1(-last "ediato# of endoto&ic s%oc)...$..$

>1

>/

;N? 3><@3

><O<O>AS3@3RR6E

1,-yello fee# inf occ!#s $.$.$..$.$.$.$

ende"ic

spo#adiac

pande"ic

epide"ic

.$.$.$.$..$.$.$

1/-all of ing!inal canal Not fo#"ed by

e&t obli=!e appone!#osis

lac!na# lig

inte#nal obli=!econoint tendon

t#anse#salis fascia

1-endoce#ical polyp in p#egnancy$$$

<%ysiological

.$.$.$.$.$.$.$.$.$C

17-accination of "ycobacte#i!" ;.B based on

;ype %ype#sensitiity;ype

;ype

;A<E D ell "ediated

19-afte# s!bdiided no of peoples into gps $$sa"pling is ta)en ac to age C.at type

of sa"pling it is

Rando" sa"pling *ot%e# options nt #e"e"be#$ $$$st#atified etc $$$$$nt s!#e+



20-!lt#aso!nd..

(-7 ee)s t#ansabdo"inal !s$$ fetal %ea#t so!nds can detected

#esente#ic line seen % cnfi#" p#egnancy$$$$*s"et%ing li)e dat +

21-4R

?#e=!encies$$$$$$$$$$$$

$nd "et%ae"oglobin.$$$$$$$$$$$ *t%ese so#t of alien o#ds e#e #itten+

22-bone scan $$$$$$

*na"e of s"e disesases e#e #itten+

2'-incidence$$$.$

No. of ne cases in a pop!lation in a ti"e gien

2(-pie c%a#t

2,-c% 1 is absent in "!scles

Gl!cose / po(ase

@e&o)inase

2/-end p#od!ct of gl!cose "etabolis"

>actic acid1"olec!le of py#!ic acid

2 "olec!le of py#!ic acid

2-%o#"one ass it% gl!cose $fats $and p#otein sto#age

ns!lin

27-fetal b#ain deelop"ent

G#ot% %o#"one

;%y#oid %o#"one

29-% of t%e folloing a"ino acid s%o!ld be ta)en in diet

3lanine

;y#osine

GlycineFgl!ta"ine



'0-follloing p%agocytic cell p#esent in ci#c!lation

4onocyte

4ac#op%age

>y"p%ocyte

Ne!t#op%ils'1-"o#p%ine can be gien in

Bilia#y ci##%osis

;e#"inal ill patient of cance#

3c!te panc#eatitis

'2-f!nctional laye# of endo"et#i!" consists of

St#at!" basal

St#at!" co"pact!" nd st#at!" spongios!"

St#at!" basal nd co"pact!"

''-"aldeelop"ent of !#o-#ectal sept!" $$

Rectoag fist!la

Recto!te#ine fist!la

"pe#fo#ate an!s

Rectope#ineal fist!la

'(-st#!ct!#e lying b labi!" "a!s nd "in!s

U#et%#al glandB!lbo!#et%#al gland

4ino# !#et%#al gland

',-c 1 of folloing "!scle not attac%ed to tendon of pe#ineal body

sc%iocae#nos!s

E&t !#et%#al sp%incte#

B!lbospongios!s

;#anse#se pe#ineal "!scle

'/-ly"p%oide nod!le nt p#esent in

;%y"!s

Spleen

>y"p%node



'-Notoc%o#d fo#"s

Ne!#al t!be

ns

'7-epit%eli!" of oa#y

Si"ple c!boidal

'9-piot t incl!de

3tlanto occipital t

3tlanto a&ial t

(0-sac#oiliac t

?ib#o!s .$.

Synoial.$.$

$$.$.$..$.$.$.$.

(1-%a"a#to"a is.$.$.$.$.$.$

(2-an o#gan lined by st#atified s= epi it% inc cell!la#ity$ asc!la#ity$ nd

elasticity$$t!b!la#

glands in la"ina p#op#ia

Dagina

Esop%ag!s

O#op%a#yn&

6!oden!"

('-post #elation of left !#ete#

Root of "esent#y

liac essel

((-o!te# lat =!ad#ant of "a"#y gland d#ain into

3nt gp a&illa#y ly"p% node

(,-&e#op%t%al"ia dt

Dit 3 def

(/-anti-o&idantDit E

(-% st %aing ' laye#s of "!scles

?!nd!s of sto"ac%

Esop%ag!s

(7-fat e"bolis"



(9-#ega#ding "a""a#y tiss!es % is Not app#op#iate

<ect "ao#$ se#at!s ant$lie in deep #elations

an "o f#eely oe# #et#o"a""a#y space

<ea!Fd o#ange ca!sed by ly"p%atic obst#!ction.$.$.$.$.$.$.$.$.

<!c)e#ing of s)in dt s!bc!t d!ctal infilt#ation.$.$.$.$.$.$.$.$.

,0-lady died dt a"niotic fl!id e"bolis"

6!#ing delie#y

6!#ing cs nd post pa#t!"

3fte# post pa#t!"

6!#ing labo!#$delie#y nd postpa#t!"

,1-pacinians co#p!scles

;actile to!c%

?ine to!c%

;e"p

<ain

Dib#ation* t%in) it as nt in option nt s!#e+

,2-@ e&c%ange in p#o&i"al t!b!les it%

@O' #eabso#ption

H sec#etion

,'-pat id see#ly o"iting ca"e id

b#eat%lessness$$$<@I.,$$@O'IN--------$$$<O2I,,

4etabolic al)alosis

4etabolic acidosis

o"pensato#y "etabolic al)alosis

,(-!te#oag p#olapse % lig is in!#ed

B#oad ligRo!nd lig

;#anse#se c& lig

,,-al)aline po(ase #ises in

<#ostatic ca

B<@

<anc#eatic ca



,/-in ca "a""a#y gland % d#!g is gien in post "enopa!sal lady

;a"o&ifen

lo"ip%en

.$.$.$.$.$.$.$.$.

,-in left s%ift O2 %bdissociation c!#e % 1 is inc#ease

?etal %b

,7-in t%alasse"ia t%e#e is

<oo# %e"oglobini8ation

6yse#yt%#opoiesis

$.$.$.$.$.$.$$.$.$..

,9-int#aasc!la# %ae"olysis diagnosed by

Retic!locytosis

nc in %epatoglob!lin binding

nc ;B

$.$.$.$.$.$.$.$.$CC..

/0-lady id #eddis% c%ee)s$ $$a#t%#itis$$$$$

S>E

/1-in "etaplasia % is inapp#op#iate##ee#sible

.$$$$$$$$$$$$$.

/2-ac!te infla""ation

;#ans!date

E&!date

nc p#otein content

/'-% d#!g ca!sing "ini"al G side effects

<a#aceta"ol

3spi#in

b!p#ofen

Heto#olac

6iclofenac

/(-in / y#s old c%ild "eningitis occ!#s dt % o#ganis"



@-nf!en8a

Ecoli

Niesse#ia

/,-sepsis is diagnosed "ost app#op#iately by

Blood c!lt!#e

G#an!locyte 2000---K1,000

@.R K100

@RK$.$.$C$

//-% is t#ans"itted by "os=!ito

Aello fee#

..$.$.$.$.$.$.$.$.$

/-i#!s not associated it% ca in %!"an

@SD

@BD

@6D

@<D

<apoa i#!s*papillo"a it!s polyo"a i#!s+

/7-% is "o#e in %!"an "il) as co"pa#e to coFs

>act!lose

/9-gonococc!s is best easily diagnosed by

G#a" staining

!lt!#e

LN stain

0-% is co"pletely coe#ed by p#et#ac%eal fascia

;%y#oid gland

1-is not an e"b#yonic #e"anant

>at !"bilical liga"ent

2-o&ytocin nd asop#essin o#iginate f#"

@ypot%ala"!s

Ney#o%ypop%ysin

3!tono"ic ganglion



'-s!c#ose

s a diasacc#ide

4etaboli8ed into 2 gl!cose "olec!les

Red!cing o# non #ed!cing *nt #e"e"be#+

(-% of t%e folloing dis not ass it% ca#cino"a

>ysoso"al sto#age dis

.$.$.$.$.$.$.$.$.$.$.$.$.$.$.$.$.$.

,-#o!g% endoplas"ic #etic!l!"

<#otein synt%esis

/-f#agility of #bcs "e"b#ane

Spect#in

-be%aio!#al sciences .definition

7-e#bal co""!nication s)ill

Spea) fl!ently

Ed!cation nd #esea#c% t#aining

<#esentation

Good ocab!la#y

9-Not a f!nction of beta bloc)e#s

-e ionot#opic

-e c%#onot#opic

.$.$.$.$.$.$$.

.$.$.$.$.$.$.$.$.$.

70- alp%a bloc)e#s

71-cent#ally acting @;Nsie

lonidine

4et%yldopa

.$.$.$.$.$.$.$.$.$.

72-% 1 dec#ease t%e "!scle lengt%

Golgi tendon o#gan



4!scle spindle

.$$$$$$$$$$$$$$$$$$$$$$$

7'-ce#ebella# lesion$

3ta&iaRigidity

nitiate "!scle "oe"ent

7(-p#e-"oto# co#te& lie in

?#ontal lobe

7,-coccygeal pa#t of spinal co#d lie at t%e leel of % e#teb#a

2

>2

S1

S2

7/-lie in t#!e pelis nd c#osses f#" "ed to lat side of pelis

S!p #ectal a#t

4iddle #ectal a#t

nf #ect a#t

nte#nal iliac

7-inf fascia of !#ogenital diag%p%#a" also called as

<e#ineal "e"b#ane

77-fe"ale pelis also called as

3nd#oid

3nt%#opoid

<latypelloid

4esatipellic

79-at c#oning % "!scle is c!t d!#ing episoto"y

B!lbospongiosis

90-l!"ba# p!nct!#e

>2 >'

>' >(

>( >,



S1 S2

91->actation$$$$$$

@o#"ones$$$% sti"!late

92-p#olactin %o#"oneSti"!lated by$.$.$.$.$.$.

9'-p#egnancy is diagnosed by

Gonadot#op%in %o#"one

9(-!#ogenital diagp%#a" inse#ted on

s%c%ial t!be#osity

sc%ial spine

S!b p!bic a#c%

sc%ial #a"!s

9,-% "!scle di s!b"andib!la# gland into s!pe#ficial nd deep pa#t

4ylo%yoid

3nt belly of diagast#ic

9/-#oot of left l!ng

38ygo!s ein a#c%ed at #oot of left l!ng.

9-te#atogenic

3lco%ol

affeiene

97-ca#cinogenic

4et%yl alco%ol

Ben8idine

99-pat it% blood gp 3 s%o!ld nt gien

3

3:

O3B

100-. Rega#ding )idney $% se=!ence is co##ect

#enal a#t K a#c!ateKinte#loba#Kinte#lob!la#Kglo"e#!la#Keffe#ent a#te#iole

#enalKinte#lob!la#Kinte#loba#Ka#c!ateKeffe#ent a#te#ioleKglo"e#!la#

#enalKglo"e#!la#Kinte#loba#Kinte#lob!la#Ka#c!ateKaffe#ent a#te#iole



#enalKa#c!ateKinte#lob!la#Kglo"e#!la#Kinte#loba#Kaffe#ent a#te#iole

101-in "!scle ca2 #elease f#"

sa#coplas"ic #etic!l!";-t!b!le

Sa#co"e#e

102-sa#co"e#e

b 2 8 line

10'-pa#asy"pat%etic ne#es #

'$ $ 9$ 10

10(-c is p#esent in de caity of cae#no!s sin!s

3bd!cent ne#

;#oc%lea#

Occ!lo"oto#

10,-in %ae"op%ilia

<; N

3<;; N

nc bleeding ti"e

10/-gestational age esti"ated f#".$.$.$.$.

3bd ci#c!"fe#ence.$$.

Bipa#ital dia"ete#.$.$.$. )s

#on #!"p lengt% $$$ 7 ee)s.

10-no#epi se#otonin deg#aded by

43O

107-at last t#i"este# c !te#!s is sensitie to c %o#"one

O&ytocin

109-to p#eent %eat loss

S%ie#ing

Dasoconst#iction

110-inc H

3ldoste#one sec



sunday !anuary " 2010

MC#S $or FCPS part-1 G%&'( O)S

G%&'( O)S

1-pacinians corpuscles

*actile touch

Fine touch

*e+p

Pain

,ibration. thin it as nt in option nt sure

2-coccygeal part o$ spinal cord lie at the leel o$ /h ertebra

C2

32

S1

S2

"-shigella44

endoto5e+ia

neuroto5in

eroto5in

enteroto5in

e5oto5in

6-in pri+ary in$ertilitydiagnosis o$ $ailure o$ oulation by 77

a-id loer abdo+inal pain44



b-rise in basal body te+p

c-+iddle o$ +enstual cycle

d-thic +ucosa sec $r+ c5 ch nt sho $ern pattern4444

-lu+bar puncture

32 3"

3" 36

36 3

S1 S2

9-in hae+ophilia

P* .&C

'P** .&C

.nc bleeding ti+e

:-(tiology o$ cle$t palate4

a-anticonulsant

b-+ultiple preg

c-+ulti$actorial

d-inc +aternal age

8-$e+ale pelis also called as

'ndroid

'nthropoid

Platypelloid

Mesatipellic



;-/c is present in de caity o$ caernous sinus

'bducent ner

*rochlear

Occulo+otor

10-all o$ inguinal canal &ot $or+ed by7777777

e5t obli<ue apponeurosis

lacunar lig

internal obli<ue

con!oint tendon

transersalis $ascia

11-structure lying b/ labiu+ +a!us nd +inus

=rethral gland

)ulbourethral gland

Minor urethral gland

12-gestational age esti+ated $r+44444

'bd circu+$erence44

)iparital dia+eter4444 s

Cron ru+p length 8 ees4

posted by glitter at :>0: a+

gynaecology. part 1

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