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2016 Recalls September 2
2016 Recalls September 2
Paper 1
Anatomy
1.During Laparoscopy injury to vessel during right lateral port insertion this vessel is a branch of
which artery?
Uterine artery
Aorta
A. Skin
B. Anal canal
D. Vagina
E. Rectum
L2
L1
L4
Answer : L2
5. Which of the following muscles leaves the lesser pelvis through the greater
sciatic foramen?
A. pubococcygeus
B. Iliococcygeus
C. Puborectalis
D. Piriformis
E. Coccygeus
ANSWER : Piriformis
A. T12
B. T12 and L1
C. L1
D. L2
E. L1 and L2
ANSWER : L1
7. Following radical hysterectomy and pelvic lymphadenectomy for Stage I carcinoma of the cervix,
63-year-old woman reports weakness of hip adduction. Which nerve most likely to have been
injured during the operation?
A. Obturator nerve
B. Femoral nerve
E. Sciatic nerve
8. Surgeon wants to take blood from femoral artery. What is the relation of nerve with femoral
artery and vein from lateral to medial?
VAN
NAV
AVN
Answer NAV
9. Dorsal artery of clitoris and deep artery of clitoris are a branch of?
T10
L1
T12
L2
Answer L1
L1
T12
T10
L3
L4
Answer T10
Pudendal Nerve
Skene gland
Gartner duct
Bartholin’s gland
B. Ischiorectal fossa
C. Pudendal canal
E. Urogenital diaphragm
Genitofemoral nerve.
Subcostal nerve
Ilioinguinal
Iliohypogastric
17. Pain due to ovarion irritation can be felt through which nerve segment
A. T10
B. T12
C. L1
D.L2
Epoophoron
Ovarian ligament
Answer Epoophoron
Internal iliac
External iliac
Femoral artery
External iliac
Umbilical artery
21 In Renal transplant kidney is anastomosed to
Vesical artery
Aorta
Uterine artery
22. Symphysis diathesis in a patient ..what is the type of joint which is involves
Primary cartilaginous
Secondary cartilaginous
Synovial
EMBRYOLOGY
23. Correct relation of round ligament with its embryological origin and anatomy is:
Answer: Gubernaculum ovarii. In front of the uterine cornu to the labia majora
46XX
69 XXY
47XX
46XY
Answer 69XXY
25. Layer surrounding the zona pellucida?
Cumulus oophorus
Basal lamina
Theca externa
Theca interna
Become nutabach
Disappear
27. The ureteric bud is derived from which of the following embryonic structures?
A. Urogenital sinus
B. Pronephros
C. Mesonephros
D. Mesonephric duct
Ectoderm
Endoderm
Urogenital sinus
Mesonephric duct
Answer : Endoderm
29. Which hernia will be the result of small defect in lateral umblical region due to regression of
umblical vein
Gastroschisis
Answer : Gastroschisis
Lateralumbilical fold
Urachus
31. In the new non invasive prenatal diagnostic test of cell-free fetal DNA what is the source of the
cells in maternal blood ?
Fetal WBCs
Fetal fibroblasts
Amniotic cells
Placental trophoblast
neural crest
Neural tube
Olfactory bulb
Hypothalamus
Intermediate mesoderm
Paraxial mesoderm
Endoderm
Ectoderm
35. What is the name of structure that shunts oxygenated blood from the right to
A. Ductus arteriosus
B. Ductus venosus
C. Foramen ovale
D. Ligamentum venosum
E. Pulmonary trunk
36. Which of the following agents can cause premature closure of the patent
ductus arteriosus?
A. Prostaglandin E1
B. Nitric oxide
C. Cortisone
D. Acetaminophen
E. Indomethacin
ANSWER : Indomethacin
Statistic
37. What do the bottom and top represent on the box-and-whisker plot?
38. You wish to investigate the time it takes to perform a caesarean section on
women with and without pre-eclampsia. At the end of the study you have two
groups of women with the duration of caesarean sections recorded for each. It
A. Chi-squared test
C. Mann-Whitney U test
D. Pearson’s R test
E. Student’s t-test
39. .Data was collected from maternal records of the women having shoulder dystocia at delivery
and reviewed and compared with normal deliveries along with birth weight of babies.what is the
type of study
Retrospective cohort
Case Control
Cross sectional
Randomised control
40.. The number of hours worked per week for a sample of students is shown
below
Hours. students
1. 12
2. 9
3. 29
4. 28
5. 15
6. 10
7. 18
8. 15
10
12
ANSWER : 3
41. Calculate the odds ratio of asymmetrical iugr and symmetrical iugr ....etc etc
Assymetrical. Symmetrical
Apgar <7. 2. 10
2. 40
2.5
16
1.5
Answer: 4
Ordinal
Nominal
Continuous
Categorical
Discrete
43. How to calculate standard error of the mean ?
44. A range of one SD above and one SD below the mean includes CI of
68.2%
95.4%
99.7%
Answer 68.2%
45. Which one of the following statements best describes a type I statistical
(α error)?
46. 700 women were enrolled for the assesment of PPV for test preterm labour?320 women were
test positive out of them 80 had preterm labor .380 were test negative and out of them 20 had
preterm labor.what ia the positive predictive value of the test?
25%
50%
70%
10%
100%
Answer. :25%
Genetics
47.. In which phase of the cell cycle do chromosome are allign to the equatorial plate
Metaphase
Anaphase
Telophase
Interphase
Answer metaphase
C. 16, 17,18, 20
D. 9, 10, 11, 12
G1
G0
G2
S phase
Answer S phase
Addition of nucleotide
DNA repair
51. Which one of the following stages of the cell cycle is cell become quiescent?
25%
50%
75%
100%
Answer 50%
0%
25%
50%
Answer 0%
54.. What role does messenger RNA play in the synthesis of proteins?
Translation
Southern plot
Northen plot
Western plot
PCR
Answer Thymine
Answer Histones
58. Image
Endocrinology
Hcg
Progesterone
Estrogen
HPL
FSH
Answer hcg
A)shbg
B)albumin
Answer : albumin
62..Patient with primary hyperparathyroidism what will be the correct value of calcium and
phosphate
Inc Ca. Dec phosphate
FSH
GH
Answer : GH
65. What is the second common cause of congenital adrenal hyperplasia (CAH)?
A. 17-hydroxylase deficiency
B. 21-hydroxylase deficiency
A. Chief cells
B. Parathynotic cells
C. Oxyphilic cells
D. C cells
E. Follicular cells
Graves disease
Hashimoto’s thyroiditis
Iodine deficiency
A) pituitary adenoma
B) adrenal adenoma
A. 0.1%
B. 1%
C. 5 %
D. 15%
E. 70%
Answer : 0.1%
70. Which test you is used to check ovarian reserves in pre menopausal women
Antimullerian hormone
FSH
LH
Dopamine
Answer : Leptin
A. 16 hr
B. 24 hr
C. 36 hr
D. 48 hr
E. 72 hr
ANSWER : 36 Hours
74. Which hormone causes rupture of graffian follicle and release of esrtogen and progesterone?
LH
FSH
TSH
GnRH
Hcg
Answer : LH
DHT...A2...DHEA ...testosterone
Testosterone. .DHT...A2...DHEA
Zona fasciculata
Zona reticularis
Zona glomerulosa
Physiology
A. Residual volume
D. Tidal volume
E. Vital capacity
Inferior wall
79. women 7 week not feeling well came in ER with shortness of breath
PH 7.36
PCO2 normal
PO2 12
HCO3 18
Respiratory acidosis
Metabolic acidosis
Compensatory metabolic acidosis
A. Caesin
B. Galactose
C. Glucose
D. Lactose
E. Sucrose
Answer : Lactose
32 wk
36 wk
18 wk
16wk
84. A 20 year old girl goes for walking in a hill with friends and when she is on the extreme of the
hill she becomes little breathless and has paraesthesia in her hands . What is the appropriate acid
base imbalance?
A. Metabolic acidosis
B. Metabolic alkalosis
D. Respiratory alkalosis
E. Respiratory acidosis
ANSWER : Respiratory alkalosis
Ectocervix.
Endocervix
Skene gland
Bartholin’s gland
A. Chloride
B. Potassium
C. Hydrogen
D. Sodium
E. Calcium
ANSWER : Sodium
87. Mg excreted :
Synthesize collagen
89. Which enzyme is present in granulosa cells but not in theca cells?
Aromatase
17 B hydroxylase
Answer Aromatase
MSH
Answer : MSH
91. A women had two children who had recived phototherapy after delivery she has O - blood group
got married 2nd time and currently pregnant. Husband has A + CDe CDe what can be the blood
group of the fetus
A+ A- O+ O -
A+
O-
A+ O-
A+ O +
Answer A+O+
92. Physiological variation of the menstrual cycle between 21-35 days due to
A. Aberrant LH surge
D. Luteal phase varies in duration by time taken for corpus luteum to degenerate
Increase 20 to 30%
Increase 30 to 50%
Increase 60 to 70%
Increase 50 to 70%
Active
Passive
Facilitated
Endocytosis
Pinocytosis
Facilitated diffusion
Active transport
Passive diffusion
Endocytosis
96.. Which types of cells are phagocytic for residual bodies left over from the
process of spermiogenesis?
B. Testicular macrophages
C. Fibroblast cells
E. Sertoli cells
BIOCHEMISTRY
L arginine
L aspartate
L lysine
L guanine
Answer L arginine
98. Gonadotropin Releasing Hormone (GnRH) is what type of Biochemical structure
A. Tripeptide
B. Octapeptide
C. Nanopeptide
D. Decapeptide
E. Polypeptide
ANSWER Decapeptide
Mitochondria
Smooth ER
Answer : Mitochondria
A. Cytosol
B. Mitochondrial matrix
C. Mitochondrial cristae
ANSWER : Cytosol
Paper 2
1. Arrow was on columnar epithelium
1) columner
2)squamous
3) transformation zone
2. a graph showing x y z levels (almost same in past papers) ..what is y that was asked
Answer : LH
3. Picture showing cut section of umblical cord and asked about labelled thing
Answer : umbilical vein
4. Indian Origin Lives In London Have History Of Low Grade Fever Weight Loss Cough For 5 Months.
She is pregnant. CXR image given
Diagnosis
Tuberculosis
Bronchitis
Pneumonia
Answer : Tuberculosis
5. Fetal skull picture and question was asking about bone marked
Ans : mentovertical
8. Ct scan of a post hysterectomy patient who came in emergency as not feeling well
shows
a. Ureteric obstruction
B. Pelvic hematoma
Pharmacology
9. Labetalol
A. Quetiapine
B. Metoclopramide
C. Loperamide
D. Leuprolide
E. Cabergoline
ANSWER : Cabergoline
12. Drosperinone is
Antiandrogenic
Androgenic
Estrogenic
Progestogenic
Antiminrelocorticoid
Answer: Antiandrogenic
13. When should the prophylactic dose of low molecular weight heparin (LMWH)
A. 6 hr
B. 12 hr
C. 24 hr
D. 48 hr
E. 72 hr
ANSWER : 12 hr
15. Women on anti emetics came in ER with complain of involuntary muscle movements
Answer : Metoclopramide
Inhibit ovulation
Inhibit fertilization
D. ionization of molecules
18. What is the term used for the anticancer agent methotrexate?
A. plant alkaloid
B. Antimetabolite
C. Alkylating agent
D. Chain cutting agent
E. Intercalating agent
ANSWER : Antimetabolite
A. α2 agonist
C. α blocker
D. β2 agonist
E. Direct-action on smooth-muscle
Antimetabolite
Heart
Kidney
Brain
Answer : heart
22. Which organ anomaly occur with the use of ACE inhibitor
Heart
Cranio facial
Kidney
Answer : kidney
23. 28 year old Women on carbamazepine for epilepsy what is the suitable contraception
Coc
Mirena
Pop
Implant
Answer: mirena
24. Patient on ulipristal acetate for the treatment of fibroid which contraceptive method you advice
to her
Barrier method
POP
COC
Mirena
carboprost?
A. Oxytocin agonist
B. Progestogen
C. prostaglandin E1
D. prostaglandin E2
E. prostaglandin F2
ANSWER : prostaglandin F2
27. Patient allergic to penicillin which drug is adviced in labor as GBS Prophylaxis?
Clindamycin
Ceftriaxone
Erythromycin
Ciprofloxacin
Answer : Clindamycin
A-vomiting
B-diarrhea
C-nausea
D-constipation
Anti progesterone
Clinical management
30. A 70-year-old lady had an ultrasound because she was feeling bloated which showed bilateral
ovarian masses with no solid areas associated with abdominal ascites. She is post menopausal and
otherwise well. She was sent for a CA 125 which comes back as 50 U/mL. What is her risk of
malignancy index score (RMI)?
A. 5
B. 10
C. 150
D. 300
E. 450
Answer 450
Endometrial hyperplasia
Endometrial cancer
Atrophic vaginitis
Endometrial polyp
Answer : atrophic vaginitis
1:3
3:1
1:1
1:2
2:1
33. Women presented in emergency with acute abdomen which waked her up at night..she has a
history of surgical management of missed miscarriage one week ago.hitopathology report showed
normal decidua no chorionic villi.what is your further action
B. Urgent CT scan
D. Call a consultant as you think she may have ruptured ectopic and might need intervention
Baseline normal
Acceleration present
Variability normal
Some variable decelerations which are v shaped and going down upto 20 seconds.
G2P1+0 with previous normal delivery with labor pains and membrane ruptured showed thick
meconium shebus 5cm dilated.what will be your plan
Answer: Brachytherapy
36. Postpartum haemorrage after vaginal delivery. pharmaceutically failed to stop the
bleeding.what is the first surgical step to stop the bleeding?
37. mother with twins diagnosed hyperthyroidism comes with vomiting TSH 0.1
FT4 29 .
A) start propiothiouracil
Answer Vitamin B1
Labia majora,
Labia minora
Vestibule
, vagina
40. Women died after cesarian she had shortness of breath postpartum haemorrhage. .was in DIC
Postmortem showed fetal hair and epithelial cells
41. 42 year old with frequency urgency urge incontinence. No stress incontinence bladder diary
showed low compliance bladder us normal ..no improvement in symptoms with bladder drill
Antimuscarinic
Urodynamic studies
Beta blocker
Answer : antimuscarinic
42. Women with PPROM..Which test is using in practice to diagnose preterm labor
Fern test
Fibronectin test
Nitrazine test
Answer : fibronectin
43. A male came for infertility check up who was taking Finasteride .Finasteride exert its action by
inhibition of which enzyme?
A. 21-hydroxlase
B. 5-alpha reductase
C. Aromatase
D. Phosphodiesterase
E. Desmolase
44. 15 yrs old British Teenager Ask about having contraception . What will the Doctor do in line with
best practice?
45. A 34 week prenatal lady came in emergency with the complain of heavy painless vaginal
bleeding.
CBC
Cesarian section
Answer CBC
Biophysics
47. Which one of the following imaging techniques gives maximum radiation exposure to the patient
during checking tubal patency?
B. Hysterosalpingography
Answer : Hysterosalpingography
48. Which modality you will use to check growing thyroid nodule in pregnancy
Technetium scan
Radio isotope
Ultrasound
CT
MRI
Tesla
Weber
Gray
Answer Tesla
Answer : 20 KHz
51. The difference between the peak and the base line of ultrasound wave is called?
A. Amplitude
B. Acoustic impedence
C. Frequency
D. Resolution
E. Wave length
Answer: Amplitude
most radioresistant?
A. Intestinal epithelium
B. Cerebral nuerons
C. Respiratory epithelium
D. Bone marrow
E. Skin
53. An Asian woman books in for her third pregnancy at 12 weeks of gestation. She
has recently moved to the UK from Thailand to be with her new husband. After pre -test counselling,
with the aid of an interpreter, she agrees to hepatitis B virus (HBV) screening. The results return as
follows. What is the significance of these results?
HBsAg POSITIVE
Anti-HBc POSITIVE
AntiHBs NEGATIVE
A.Post vaccination
B Resolved infection
54. Women has PPROM at 29 weeks clear liquor managed conservatively as an outpatient
coticosteroids given.she came in labor at 32 weeks and delivered normally...she also had pph after
delivery...she was asses (on next day or after 2 days ) in ward round
Pulse 120
RR 22
Temp 38.2
BP 110/50
Labs
normal Hb
Tlc 18000
Plt normal
Lactate 3
CRP >250
Rest I forgot
Hypovolemic shock
Sepsis
Internal bleeding
55. A pregnant woman got screening test for down's syndrome and the following report is obtained
AFP; 1.05MoM
NT : 0.85MoM
Fsh 4
.Lh 3
Prolactin normal
Tsh normal
Diagnosis
Hypothalamic amenorrhea
Hyperthyroidism
58. A 28 year old tall man normal normally virilaized and do regular daily exercise came for infertility
check up
Fsh <0.1iu/L
Testosterone 42
Prolactin 300
A kallman
B steroid use
C retrograde ejaculatio
D pituitary adenoma
E adrogen tumor
Pathology
Dilated cardiomyopathy
Hypertrophic cardiomyopathy
61. 23-year-old woman presents with fishy foul smelling vaginal odour. 'Clue cells'
are found in the smear. Which of the following cell types is belong to 'Clue cells'?
A. Neutrophils
C. Lymphocytes
D. Macrophages
Fallopian tube
Ovaries
Uterosacral
Pouch of douglas
Peritoneum
Answer : ovaries
Tumor markers were obtained and demonstrated a markedly elevated LDH value.
B. Dysgerminoma
C. Immature teratoma
ANSWER : Dysgerminoma
A. calcium
B. iron
C. Fibrin
D. Mucin
E. Lipid
ANSWER : calcium
65. Two months postoperatively, a 55-year-old woman who is being treated with
a diagnosis of small lung cancer presents with excessive polyuria and depression and urine showed
red cells +++
A. Hypernetremia
B. Hyponatremia
C. Hyperkalemia
D. Hypokalemia
E. Hypercalcemia
Answer : Hypercalcemia
Breast cancer
Cervical cancer
Melanoma
67. Kleihauer test is a test to quantify the amount of fetal blood in maternal circulation, following a
fetomaternal hemorrhage. What is the basis behind Kleihauer test?
Melanoma
Adenocarcinoma
Vascular enditheliosis
Glomerulonephritis
b. Hyaline degeneration
c. sarcomatous changes
72. What is the single best description for the histological appearance of the
secretory endometrium?
A. Simple columnar
C. Stratified columnar
D. Stratified cuboidal
resemble?
A. Proliferative endometrim
B. Secretory endometrim
C. Endometritis
D. Endometrial polyp
E. Endometrial carcinoma
from?
A. Lung
B. Brain
C. Kidney
D. Uterus
E. GIT
ANSWER : GIT
75. Twin pregnancy rash on abdomen especially at linea nigra ...rash was not on any other place
ALT normal
Diagnosis
A Obs cholestasis
Adenocarcinoma
Sq cell carcinoma
Sarcoma
Answer : Adenocarcinoma
77. Patient presented in emergency with complain of shortness of breath and hemoptysis she has
history of miscarriage and histopathology showed molar pregnancy .Chest x ray showed above
pocture.which tumor marker is raised in this condition
Answer : Bhcg
78. Patient with complete molar pregnancy with ultrasound showing bilateral cyst with thin septa
PCOS
Follicular cysts
79. Ovarian solid mass on ultrasound Benin histopathology with spindle shaped cells chest X ray
showing pleural effusion diagnosis?
Fibroma
Leiomyoma
Endomerioma
Dermoid
Answer Fibroma
Transitional cell
Squamous cell
81. What is the most common congenital solid tumor of the newborn?
astrocyte
wilms tumor
Sacrococcygeal teratoma
hepatic Hemangioma
82. Question about cystoscopy which showed papillary bladder cancer which is the commonest type
of cancer in bladder
Transitional
Microbiology
83. A women got infection in first trimester rash and joint pain later on ultrasound showed only fetal
ascites with no other structural defect
Parvovirus b19
84 .A patient is diagnosed as having vaginal infection Trichomonas vaginalis. .what will be the
treatment
1 gm Azithromycin
A. Adenovirus
B. Herpes virus
C. Papovavirus
D. Parovirus
E. Pox virus
Group A streptococcus
Group Bstreptococcus
Staph aureus
Group B streptococcus
33
11
Ans 33
90. Patient with Iucd came for a routine check up and high vaginal sab showed gonorrhoea .What
will be your management?
Trichomonas
Gardenela vaginalis
Chlamydia
Gonorrhoea
92. Patient came out to be chlamydia positive .She is 12 weeks pregnant.what is the management
plan?
Immunology
A- lymphocyte
B- neutrophil
C Monocytes
Answer: monocytes
A) crosses placenta, activates complement pathway, makes up 7p percent of pool, binds to fc, froms
antibody complexes
C3a
C3b
Answer C3b
96.. Which of the following is the main immunoglobulin in mucosa
A. IgA
B. IgD
C. IgE
D. IgG
E. IgM
97. Which antigen-presenting cells (APCs) are mainly found in the cervix?
A. Plasma cells
B. Hofbauer cells
C. Langerhans cells
D. B cells
E. T cells
Factor 5 and 8a