GYNE AND OBS 24 april b- 41 XY

c- 42 XX
d- 46 XO
1. In dehydration,
7. Superior rectal artery is
concentration of which of
branch of
these is decreased a) Superior mesenteric artery
a) Urea b) Inferior mesenteric artery
b) HCO3 c) Celiac artery
c) K d) Axillary artery
d) Water
8. Branches of which artery are
2. Molecular weight of HCG =
end arteries = Coronary
a) 9-10kDa
artery?
9. AST increased in = MI?
b) 30-40kDa
10. In right shift of Oxy-Hb curve, level
c) 19-20kDa
of P50 will be?
d) 50-60kDa
a) 22mm Hg
b) 23mmmHg
c) 26mmHg
3. Immediate effect of Insulin = d) 30mmHg
a) Calcium entry in cell 11.Man came from Dubai after 3
b) Na entry in cell
years with weight loss,
c) Potassium entry into the cell
d) HCO3 entry in cell diarrhea, jaundice,
4. Turner syndrome karyotype is hepatosplenomegaly...
= Diagnosis?
a) XYX
b) XY a) Kala azar
c) XX b) Malaria
d) XO c) Leishmaniasis
d) AIDS
5. Webbed neck, wide carrying
angle, streak ovaries. 12.Structure runs in true pelvis is
a) XYX =
b) XY
c) XX a- Inferior mesenteric artery
d) XO b- Middle rectal artery
c- Celiac artery
6. True Hermaphrodite is = d- Axillary artery
a- 46XX
13.Number of new cases of d) Necrosis
breast cancer per 100000 in a 17.G-protein mediated
year, what will be the term = phospholipase C results in
intracellular increase of =
a) Rhythm
b) Median a) Magnesium
c) Variance b) Calcium
d) Rate c) Potassium
14.Three wards in a hospital, for d) Sodium
prophylaxis of DVT a Performa 18.Mother thalassemia minor,
was introduced in only one baby thalassemia major.
ward which improved the Percentage of thalassemia
prophylaxis by 30-40% over 4 cases in their babies? 25%
months. What will you do to Thalassemia major, 50%
confirm the effect of Performa minor, 25% normal.
in improvement of DVT 19.Lateral fornix of vagina
prophylaxis? Compare the 4- relation =
month results with other two a) Ureter
b) Bladder
wards that did not have the
c) Ovary
Performa. d) Fallopian
15. One of the 20.Lumber puncture site L3-L4
boundaries of lumbar interspace
triangle. 21.S2, 3, 4 nerves against which
a) Iliac spine vertebrae?
b) Iliac crest a) L3 L4
c) Rectus Abdominus b) L4 L5
d) Transverse oblique c) L1-L2
16.Few weeks after the patient
had removal of a part of liver, 22.Intervertebral joint is a type of
scan shows the defect to be = Symphysis
replaced by new shadow, 23.Patient has hypokalemia due
what is it? to gastroenteritis, how do I/V
potassium bring intracellular K
a) Hypertrophy to normal?
b) Atrophy a) Na/K pump
c) Hyperplasia b) Na/Ca pump
 c) Na / H pump 29.Infection after bone marrow
d) Na / glucose pump transplant in patient of AML,
24. Trypsinogen converted to with evidence of cytoplasmic
trypsin via? inclusions?
a) Amylase a) Aureus
b) Lipase b) EBV
c) Enteropeptidase c) RSV
d) Secretin d) CMV
25.Mother of 12 children with 30.Patient developed pernicious
angular stomatitis, pallor, anemia after gastrectomy,
lethargy… Diagnosis? how to treat?
a) IV Vitamin B12
a) Megaloblastic anemia b) Thiamine
b) Phenylketonuria c) Niacin
c) Septicemia d) Vitamin D
d) IDA
31.Beriberi caused by deficiency
26.Which analgesic has
of?
bronchodilator effect?

a) Lidocaine
a- Vitamin B12
b) Ketamine
b- Thiamine
c) Morphine
c- Niacin
d) Paracetamol
d- Vitamin D
27. Patient came for ANC, low
32. Vitamin B12 is =
alpha fetoprotein… Likely
Cobalamine
Diagnosis?
a) Edward syndrome
33.Pregnant patient at 6 weeks
b) Turner syndrome Hb 12, at 32 weeks Hb 9…
c) Down syndrome Diagnosis?
d) Patau syndrome a) Pernicious anemia
28.Patient works at plastic b) Iron deficiency anemia
factory developed weight loss, c) Megaloblastic anemia
d) Normal physiologic change
lethargy?
34.A 14 years old boy eats fast
a) HCC
b) RCC food only, peripheral blood
c) Lipoma picture is macrocytic,
d) Bronchogenic carcinoma diagnosis?
a- Folic acid deficiency
 b- Pernicious anemia b) EPO
c- Iron deficiency anemia c) Metformin
d- Megaloblastic anemia d) Sitagliptin
41.Function of beta HCG =
35.Five years old boy with Preservation of corpus luteum
Periorbital edema, [repeated ]
mechanism? 42. Mechanism of action of enzymes =
a) Lymphatic obstruction Decrease activation
b) Increase albumin energy[repeated ]
c) Decrease salt
43.Epithelium of vocal cords =
d) Hypoalbuminemia with salt
retention Stratified squamous[repeated
36.Pelvic diaphragm? ]
Puborectalis 44.During swallowing thyroid
37.During cardiac surgery ant moves upward because of?
a) Prevertebral fascia
interventricular vessels
b) Temporalis fascia
bleeding risk? c) Pretracheal fascia
a) IVC d) Spermatic fascia
b) SVC
45.Prostate cancer metastasizes
c) Great cardiac vein
d) Brachiocephalic vein to?
a) External iliac nodes
38.Inferior epigastric artery is a
b) Internal iliac lymph nodes
branch of? c) Para-aortic nodes
a) Femoral artery d) Superficial inguinal nodes
b) External iliac artery
46.Salivary glands derived from
c) Internal iliac artery
d) Sacral artery which layer?
a) Endoderm only
39. Investigation in primary
b) Ectoderm only
syphilis? c) Endoderm + Ectoderm
a) ASO d) Mesoderm
b) ESR
47.SA Node is pacemaker of heart
c) Genital sore swab
d) PCR because = its firing rate is
40.Drug that should be stopped faster than others.
24 hours before surgery to 48.Study on a group of people
prevent lactic acidosis? forward in time =
a) Case control
a) HZT b) Random
 c) Experimental d) Somatic
d) Cohort 56.Secondary ossification center
49.Transverse diameter more that appears just before birth
than anteroposterior, type of =
pelvis? a) Proximal end of femur
a) Anthropoid b) Scapula
b) Platypoid c) Clavicle
c) Gynoicoid d) Distal end of femur
50.Upper lateral breast lymphatic 57.Superficial external Pudendal
drain via? artery passes through?
a) Posterior axillary lymph a) Femoral sheath
nodes b) Deep ring
b) Anterior axillary lymph c) Rectus sheath
nodes d) Axillary sheath
c) Internal mammary nodes 58.Git epithelium regenerates
d) Celiac nodes after how much time?
51.Descriptive epidemiology? a) 10-11 days
Description of time, place and b) 5-7 days
person factors c) 9-10 days
52.Hutchison teeth, 8th cranial d) 15-19 days
palsy and interstitial keratitis? 59.Importance of gubernaculum =
a) Sjogren syndrome Swelling reaction (not
b) Scleroderma regression of testes)
c) Congenital syphilis 60. Patient presented with
d) HIV profuse vaginal bleeding 5
53.Structure absent in gallbladder years after menopause,
= Muscularis mucosae diagnosis?
54. If a pregnant woman has increased
a) Ovarian carcinoma
alpha fetoprotein, it might cause?
b) Endometriosis
a) Down syndrome
c) Carcinoma endometrium
b) Edward syndrome
d) Lipoma
c) Becker’s dystrophy
d) Neural tube defects
61.Chemotactic factor from
55.Superior rectum stretch reflex
Arachnidonic acid
carried by =
a) Sympathetic afferent lipoxygenase pathway?
b) Sympathetic efferent a) C3a
c) Parasympathetic afferent b) C5b
c) LTB4
 d) 5-HPETE 68.Lymph nodes of labia Majora?
62.Most important feature of IgM a) Lateral group of superficial
= inguinal nodes
a) Last to rise in an infection b) Medial group of deep
b) First to rise in an infection inguinal nodes
c) Never to rise in an infection c) Medial group of superficial
d) Chronic infection marker inguinal nodes
63. Absolute lymphocytosis with d) Internal iliac nodes
85% lymphocytes in a girl with 69.Letrozole is? selective
lethargy? aromatase inhibitor
a) Dengue 70.Anti-gonadotropin hormone
b) Infectious mononucleosis released in dark
c) HSV a) FSH
d) HIV b) LH
64. Conjunctivitis and Rash c) Melatonin
starting near the ear, then d) TSH
spreads all over face and trunk 71.Two point discrimination
in a 9 years old girl? mediated by = Lateral
a) Contact dermatitis inhibition
b) Drug reaction 72.Bronchopulmonary segment
c) Measles aerated by tertiary bronchus. [
d) Mumps repeated]
65.Upper part of abdominal 73.Structure damaged during
external oblique muscle hysterectomy?
interdigitate with? a) Internal iliac artery
b) Uterine artery
a) Latisimus dorsi c) Urethra
b) Serratus anterior d) Fimbriae
c) Pectoralis minor 74.Case of sickle cell anemia, type
d) Pectoralis major
of mutation?
66.Acetaminophen metabolism in a) Point
liver by b) Non sense
a) Glucuronidation c) Deletion
b) Oxidation d) Missense
c) Acetylation 75. Diagnosed case of hereditary
d) Hydration spherocytosis came to clinic,
67.Crus cerebri in close relation defect in which part?
with Substantia nigra. a) Membrane of platelets
 b) Membrane of monocytes 82.Bad taste in mouth, later
c) Membrane of RBC followed by thick vaginal
d) Membrane of lymphocytes
secretion?
76.Wernicke’s aphasia = Fast a) Brufen
speech with less sense. b) Vancomycin
77.Type of necrosis in heart and c) Metronidazole
kidneys? d) Amikacin
83.Case of diagnosed
a) Coagulative necrosis hypothyroidism, investigation
b) Liquifactive necrosis for choice?
c) Fat necrosis a) LH
d) Fibrinoid necrosis b) TSH
78.Antiemetic drug suitable after c) FSH
chemotherapy = d) CRH
a) Gravinate 84.Pelvic splanchnic nerves=
b) Opoids parasympathetic
c) Anti -histamine
85.Good analgesic but slow
d) Ondensetron
anesthetic?
79.Azoospermia in male,
a) Nitrous oxide
investigation? b) Lidocaine
a) Testosterone c) Bupivacaine
b) Inhibin d) Ketamine
c) DHT
86.Primordial germ cells migrate
d) FSH and LH
to gonadal ridges in?
80.Artery damaged at pelvic brim
a) 3rd week
= b) 4th week
c) 10th week
a) Femoral d) 6th week
b) Sacral 87.Submandibular and sub-
c) Ovarian
mental lymph node enlarged
d) Internal iliac
in?
81.Antitumor cells =
a) Lip carcinoma
a) Monocytes
b) Carcinoma tongue
b) NK Cells
c) Nasal pharyngioma
c) Macrophages
d) Burkitt lymphoma
d) Lymphocytes
88.Posterior part of thyroid gland
left for = Parathyroid glands
89.Superior thyroid surgery a) 1 week
damage nerve? b) 3 weeks
a) Internal laryngeal nerve c) 4 weeks
b) External laryngeal nerve d) 2 weeks
c) Recurrent laryngeal nerve
d) Maxillary nerve 95.Patient with maximum
90.Case of osteoporosis. transmissibility of Hep B
Osteoclast activity caused by? infection = HBeAg positive and
a) GH HBeAb negative
b) PTH 96.Most common type of
c) TSH
hepatitis in Asia?
d) FSH
a) Hepatitis B
91.Pain of appendicitis caused by b) Hepatitis C
= c) Hepatitis D
a) Histamine and Bradykinin d) Hepatitis A
b) Prostaglandin and 97.Neural crest derivative =
Bradykinin
Dorsal root sensory ganglia
c) Secretin and PGs
d) HCL and secretin 98.Transmitted via mosquito bite
=
92. Atopic asthma, what is seen in a) Actinic keratosis
b) Kala azar
cells =
c) Yellow fever
a) Monocytes
d) Flue
b) NK cells
c) Eosinophilic leukocytosis 99.Bladder carcinoma caused by =
d) Lymphocytes a) Plasmodium
b) Scistosomia hematobium
93. Patient has HBcAb positive all
c) Borellia
others negative? d) Taenia
a) Active infection
100. Case of patient with
b) Immunocompromised
c) Vaccination increased plasma cells in bone
d) Past exposure to Hep B marrow but no Ig formation?
a) HCC
94.Case of pregnant trigeminal b) RCC
c) Variable immunodeficiency
neuralgia patient advised to
d) IGA deficiency
take TCAs, their analgesic will
be seen in how much time? 101. Raw undercooked meat,
infection by
 a) Ring worm 108. Organism causing
b) Tapeworm gastritis and ulcers of stomach
c) Scistosomia hematobium
and duodenum? \
d) Borellia
a- H. pylori
102. Bitemporal hemianopia b- Tapeworm
caused by lesion of , c- Scistosomia hematobium
a) Upper part of optic chiasma d- Borellia
b) Medial part of optic chiasma 109. Side effect of thiazide
c) Middle part of optic chiasma
diuretics?
d) Lower part of optic chiasma
a) Hyperkalemia
103. Upper motor neuron b) Hypercalcemia
lesion sign is, c) Hypocalcaemia
a) Lower tone d) Hypokalemia
b) Low reflexes 110. Hypothyroidism is
c) Non spastic paralysis
associated with increase in?
d) Exaggerated reflexes
a) Protein level
104. Dormant phase in b) Carbohydrate level
malaria = Hypnozoite c) Cholesterol level
105. Pressure in right d) Triglyceride level
ventricle just before opening 111. Enzyme that breaks
pulmonary valve? down plasma triglycerides?
a) 12 mm Hg a) Amylase
b) 15mm Hg b) Kinase
c) 25mmHg c) Lipoprotein lipase
d) 50 mm Hg d) Enteropeptidase
106. Patient took Primaquin 112. Case of soldier coming
for malaria and developed from Siacheen with hypoxia.
anemia with Heinz bodies and Diagnosis?
bite cells on peripheral film, a) Primary polycythemia
diagnosis? b) Secondary Polycythemia
a) G6PD deficiency c) Hypercapnea
b) IGA deficiency d) Methemoglobenemia
c) SCID 113. Regarding skeletal
d) Malaria muscle = Nuclei located at
107. Cervical hyperextension periphery
in RTA, lesion is = Lower motor 114. Landmark muscle used
neuron lesion in upper limbs. to pass CVP line =
Sternocleidomastoid
115. Calculate the alveolar
ventilation rate where tidal a) Secondary oocyte
b) Primary oocyte
volume is 350ml, dead space is
c) Oogonia
100ml and RR is 18? d) Spermatid
a) 6L
122. Positive feedback
b) 8L
c) 9L mechanism = Childbirth
d) 4.5L 123. Nucleus ambiguous of 9
116. Cardiogenic shock is a 10 11 nerve arises from?
complication of a) Pons
a) Ulcer b) Medulla
b) SCID c) Midbrain
c) MI d) Cerebellum
d) Stroke 124. Mononuclear
117. To prevent bleeding in phagocytes derived from?
patient receiving warfarin a) Spleen
b) Thymus
therapy post MI, what should
c) Bone marrow
be given? d) Liver
a) Vitamin B
125. Diabetic Nephropathy
b) Vitamin K
c) Vitamin C diagnosed by?
d) Vitamin A a) Polyuria
b) Polyphagia
118. Diabetic foot ulcer with
c) Dysuria
decreased sensation?
d) Micro albuminuria
a) Chronic ulcer
126. Cabergoline is D2
b) Necrosis
c) Angiopathy and neuropathy receptor agonist
d) Apoptosis 127. Chromosome pair
119. Derivative of foramen separated at centromere
cecum = Thyroid transversely instead of
120. Conducting system of longitudinally called? Is
heart in? chromosome
a) Myocardium 128. Platelets transfused at
b) Pericardium room temperature because?
c) Epicardium a) Destruction of platelets
d) Sub-endocardium b) Optimization of platelet
121. During ovulation oocyte function
called?
129. Pregnant female with 136. Menopause findings =
multiple times abortion. What Decreased estrogen, increased
could be the cause? FSH LH.
a) Amniotic embolism 137. Increased CVP due to?
b) Fat embolism
c) Antiphospholipid antibody a) Increased TPR
d) Syndrome b) Decrease TPR
e) Ovarian carcinoma c) Increase HR
130. Dysplasia occurs in d) Increase VR
epithelium 138. Hypertensive with renal
131. Test to confirm HIV in 8 artery thrombosis, renin is
months old infant of HIV released, what will happen?
positive mother? a) Decrease by AT1
a) Serology b) Decrease by AT2
b) HIV PCR c) Increased peripheral by
c) AFB angiotensin II
d) Southern blot d) No effect
132. Local anesthetic affects 139. Lateral border of
first? Unmyelinated Fibres urogenital diaphragm = Ischial
133. Difference between CSF ramus and pubic ramus.
and plasma? 140. Primary Tb?
a) High glucose Parenchymal lesion with
b) Low glucose
spread to lymphatic.
c) High protein
141. Albumin does not cross
134. Increased neural activity
basement membrane due to?
before voluntary fine
movement? a) Positive charge
a) Cortical association area b) Less size
b) Area 44 c) Negative charge
c) Thalamic area
142. No history of heart
d) Bradman area
disease or poisoning, Hb
135. Breast feeding should be normal, p02 60mmHg,
started within? diagnosis?
a) 2 hours
b) 4 hours a) Anemic hypoxia
c) Half hour b) Hypoxic hypoxia
d) 3 hours c) Cardiogenic shock
 d) Polycythemia
143. Regarding breast =15-20
lactiferous ducts.