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MRCOG (Part 1) Past Paper with Solutions. likes. MRCOG Exam. MCQs for MRCOG Part 1 multiple choice questions was a logical next step. structure currently used in the exam; that is, a heading with five true or false. Sample single best answer questions to help candidates prepare for the Part 1 MRCOG, the first stage of the RCOG's membership exam.
Alek Hariri. A 27 -year old female developed gestational diabetes mellitus. Stimulates the urinary secretion of calcium. F-a change in pH has an effect on enzyme activity. Internal pudendal artery. Three participate in collagen hydroxylation. Ciprofloxacin mg twice daily and doxycycline mg twice daily for 7 days E.
Day 22 Q4- vertebra form completely? Day 42 PCR Fish test Chromosomal linkage analysis Telomer analysis Sum hereditary crosslinkage chromosomal option dnt remember Screen for some known gene mutation Sweat test Saliva test.
Contains enzymes capable of digesting cells and cellular material c 'Reads' the mRNA and builds protein. A - uterus. E - Bladder. F - Trachea. F - Labia Majora. Her uncle and grandmother also had diabetes mellitus D A mother is concerned regarding her baby who has developed fractures which appear to occur with minimal trauma.
B An year old female underwent caries tooth extraction and developed profuse bleeding. Q1 Synthesis of prostaglandins by? Q2 the first Prostaglandin produces?
Q3 Oxytocin uses this as its intermediate precursor? Round shaped pelvic brim with transverse diameter more than AP Round shaped pelvic brim with AP diameter more than the transverse diameter C Oval shaped pelvic brim with transverse diameter more than AP Oval shaped pelvic brim with AP diameter more than the transverse diameter Heart shaped pelvic brim with transverse diameter more than AP Heart shaped pelvic brim with AP diameter more than the transverse diameter.
Separated recalled items: In the fetal CVS a the heart arises from endoderm b the heart is formed by fusion of endocardial tubes. Most of the statistic questions posted are right. This is a question outside past papers.. All r false Except internal pudendal artery.. T test MRI Weeks type of hpv causing benign wart type of hpv causing cancer cx.
B cell. Options 1. Gynaecoid pelvis. Android pelvis. Adenine monophosphate Guanine monophosphate Cytosine monophosphate duple helix Thymine monophosphate b.
Adenine monophosphate Guanine monophosphate Cytosine monophosphate duple helix Uracil monophosphate c. Adenine monophosphate Guanine monophosphate Cytosine monophosphate single helix. Uracil monophosphate d. Adenine monophosphate Guanine monophosphate Cytosine monophosphate single helix Thymine monophosphate e.
Adenine monophosphate Guanine monophosphate Cytosine monophosphate duple helix Thymine monophosphate f. Diadenine monophosphate Diguanine monophosphate Dicytosine monophosphate duple helix Diuracil monophosphate c.
Adenine monophosphate Guanine monophosphate Cytosine monophosphate duple helix Uracil monophosphate. Adenine monophosphate Guanine monophosphate Cytosine monophosphate single helix Uracil monophosphate d.
Adenine monophosphate Guanine monophosphate Cytosine monophosphate single helix Thymine monophosphate 1. Nucliac acid o HPV. Options Somatotroph, acidophil Somatotroph, basophil lactotroph, acidophil lactotroph, basophil corticotroph, acidophil corticotroph, basophil gonadotroph, acidophil gonadotroph, basophil thyrotroph, acidophil thyrotroph, basophil Q1. Growth hormone Q2. Prolactin number 1: L1,2,3 b. L2,3,4 d. L1,2 e. L3,4,5 1 ilioinguinal nerve.
B cell b. T CD4 cell c. T CD8 cell d. Q1 Synthesis of prostaglandins Q2 the first Prostaglandin produces. Q2 A female presents with acute upper UTI? B Strept C Pseudomonas aeruginosa Q1 most common cause wound infection in hospital Q2 hospital acquired infection.
People preparing for March , please learn the formulas well.
C-lymphatic drainage is to the superficial inguinal nodes False d-the adrenal cortex contains chromaffin cells False the ovary a- is attached to the ant surface of the broad ligament b- lies on the genitofemoral nerve c- lies in the angle between the ureter and the external iliac vessel d- - has visceral afferent fibres from the pelvic splanchnic nerve e- has lymphatic drainage to the superficial inguinal lymph nodes concerning the uterus a- it is formed from the mesonephric duct b- it has a lymphatic drainage in part to the inguinal glands c- the uterine artery passes below the ureter d- the uterine vein communicate with the vesical plexus of veins e-pain sensation from the body of uterus is carried by the pelvic splanchnic nerve about this stem am not sure if it was like that in the exam Obturator artery a- branches from the posterior trunk of the internal iliac artery.
The pelvic splanchnic nerves.. A- Are derived from the posterior rami of the sacral spinal nerves B- Supply afferent fibres C- Unite with branches of the synpathetic pelvic plexus D- Supply the ascending colon with motor fibres E- Supply the uterus with parasympathetic fibres In the anterior abdominal wall A- Rectal muscle is intersected tranversely by three bands B- The posterior rectus sheath below the arcuate line consists of transversalis fascia only C- Above the costal margin the posterior rectus sheath is deficient D- The superior epigastric artery arises from the internal thoracic artery.
E- The inferior epigastric artery arises from the femoral artery The pelvic surface of the sacrum. A- Gives origin to the piriforms muscle B- Gives origin to the levator ani muscle C- Is broader in the male than in the female D- Transmits the dorsal remi of sacral nerves E- Is in contact with the anal canal. The rectum A- Is supplied in part by the inferior rectal artery B- Is innervated by the inferior rectal nerve C- Is lined by stratified squamous epithelium D- Has its lymphatic drainage to the superficial inguinal nodes E- Possesse a complete layer of longitudinal muscle The Spleen A- has a notched posterior border B- lies in front of the costo-diaphragmatic recess C- is in contact with the body of the pancrease D- lies under the cover of the 9th to the 11th ribs E- is innervated from the renal plexus THE VULVA a-internal pudendal nerve b-anterior cutaneous of thigh c-inferior rectal d-illioinguinal e-obturator the pineal gland a-is situated at the anterior end of the third ventricle b-is innervated by parasympathetic nervous system c-produce melatonin d-may be calcified in the adult e-is most active during daylight screening test for following 1- syphilis treponemal antibody test 2- syphilis hemaglutination test 3- syphilis immobilization test 4- HB-electrophorisis 5- mcv.
Adenine monophosphate. Guanine monophosphate Cytosine monophosphate single helix Thymine monophosphate e. Diadenine monophosphate Diguanine monophosphate Dicytosine monophosphate duple helix Diuracil monophosphate f. Diadenine monophosphate Diguanine monophosphate Dicytosine monophosphate duple helix Dithymine monophosphate g.
Q1- what is the root value of pudendal nerve? Q2- what nerve supplies lower part of vagina I think? Q3- why do u give local skin infiltration before episiotomy? Q4- or what is the nerve supply of peranal area.? Q2- conceptus implants completely? Q3- fetal heart pulse seen on ultrasound? Q4- vertebra form completely? Saliva test -A family with one kid presumed to have cystic fibrosis however cftr gene mutation was not detected.
JSuperior cerebellar artery KVertebral artery Complete the diagram of the circle of Willis using the options given: Cortisol C. Glucagon D. Growth hormone E. Insulin F. Oestradiol G. Oxytocin H. Parathyroid hormone I. Prolactin J. Antagonises the effect of parathyroid hormone to. Please choose the most appropriate answer. Select the most likely causative organism for the following infections.
E- Insulin F- leptin G- oestrogen H- progesterone I- relaxin Select the most appropriate hormone for the following statements. PCR Fish test Chromosomal linkage analysis Telomer analysis Sum hereditary crosslinkage chromosomal option dnt remember Screen for some known gene mutation Sweat test Saliva test -A family with one kid presumed to have cystic fibrosis however cftr gene mutation was not detected.
A- alpha thalessemia 4 B- folic acid deficiency 6 C- iron deficiency anemia 8 D- primary syphilis in early untreated period 1. H 2- Drug does not cross the placenta B A. Calcitonin B. Stimulates deposition of cartilage at the ends of bones GH Question 4: Raises blood glucose levels through the breakdown of fat and protein Insulin Question 5: Antagonizes the effect of parathyroid hormone to minimize bone density loss calcitonin.
Question 6: Stimulates the release of milk from the breast Oxytocin Question 7: Stimulates the urinary secretion of calcium calcitonin..? For each question posed below, choose the single most appropriate. J Question 9: K Question G Question E Question VIT A 2- fat soluble vitamin synthesised by large intestinal bacteria.
VIT K 3- deficiency of this vitamin in childhood causes rickets. VIT D 4- fat soluble vitamin synthesis by the kidney is regulated. VIT D 5- deficiency of this vitamins typicaly occurs in women with hyperemesis gravidarum.
VIT C 7- absorption of this vitamin requires the presence of intrinsic factor. VITB 12 8- deficiency of this vitamin causes megaloblastic anaemia and neurological disorders. B 12 9- fat soluble vitamin produced in the skin by photoactiviation of 7- dehydrocholesterol. VIT D fat soluble vitamin with anti-oxdant effects.
VIT E fat soluble vitamin deficiency associated with raised serum alkaline phosphatase.
Select the micro-organism described in the following cases: For the pregnancies at risk of the following conditions , select the most appropriate prenatat diagnostic investigation from the alternatives a-e. For each complication a-d select the drug i-v most likely to be the cause: For each drug A-B select the appropriate description i-v: A- 5-Fluorouracil 5FU.
B- Cyclophosphamide. Match the following A - E to five of the statements below.. B- oestradiol. C- progesterone. D- the first meitotic division.
I- Testosterone. A- follicle stimulating hormone. Testosterone is produced by the thecal cells and converted to ostradiol by aromatase. Oestradiol is secreted throughout the menstrual cycle initially by granulosa cells in the developing follicle and then by the corpus luteum ,Progesterone is produced by the corpus luteum , changing the endometrium from proliferative to secretory.
The LH surge triggers the final stage of the first meiotic division whilst fertilisation causes the second meiotic division with the extrusion of the polar body by uneven division of the cytoplasm GnRH is secreted by the hypothalamus in a pulsatile manner and stimulates the production and release of LH and FSH in the anterior pitutary gland.
Androgen precursors are secreted by the adrenal but oestradiol is only produced by the overy Ta the sample of patients is a true random sample Tb all practices had an equal chance of selection Tc all patients had an equal chance of selection Fd two siblings could not have been selected Te inferences about all patients in the country may be drawn from the sample A lady is about to deliver and you are about to give her a pudendal block.. Q2- wht nerve supplies lower part of vagina I think?
Q3 why do u give local skin infiltration before episiotomy? Q5- conceptus implants completely? Q6-feable hrt pulse seen on ultrasound? Q7- vertebra form completely? Different numbers were given in options Q8-the number of late maternal deaths due to indirect causes?
Q9-number of maternal deaths due to direct causes? Calculate Numbers needed to treat from a drug trial on osteoporosis: Q frm EMQ book Options. Q which hormone is produced by posterior pituatory? Folic acid Magnesium Calcium Vit b1-B12 given Q which vitamin is required in mcgs at preconception?
Nochange no change Nochange increase Nochange decrease Etc Qon taking a large protein meal?
QA family with one kid presumed to have cystic fibrosis however cftr gene mutation was not detected. Family members willing to give samples. Qyou have Guthrie spot of their son how will u diagnose him for cystic fibrosis? Q families in uk with cystic fibrosis how will u find f? Pcr Fish test Chromosomal linkage analysis Telomer analysis Sum hereditary crosslinkage chromosomal option dnt remember Screen for some known gene mutation Sweat test Saliva test screening test for following Qalpha thalessemia Qfolic acid deficiency Qiron deficiency anemia Q one more i think!
EMQ EMQ receptors for insulin prostaglandins estogen progesteron primary syphilis in early untreated period options syphilis treponemal antibody test syphilis hemaglutination test syphilis immobilization test emq traetment of chlamedia MCQ citric acid cycle fatty acid oxidation????
Folic acid Magnesium Calcium Vit b1-B12 given. Q which vitamin is required in mcgs at preconception? MARCH cystic fibrosis guthic spot test receptors in apoptosis caspa arias stella reaction blood picture in PET and in preg is inflam like 1. EMQ paclitaxel carboplatin side effects 2. EMQ oestrogen progesterone receptor site 4. EMQ on vitamins-xerophthalmia..
MCQ rubella incubation period,specific immunity within 15 days.. EMQ lining epithelium of ureter,..??
EMQ montoux rection.. March Copper IUD mode of action: Copper containing IUDs: F should be changed every year F have a high incidence of actinomycoces colonization than plastic devices T Cause a relative increased in ectopic pregnancy T have been implicated as a cause of fatal infection in pregnancies F do not cause menorrhagia Comments: Inert devices can be left in place until the menopause, but copper devices need renewal every years, depending on the make, because of the gradual absorption of copper.
Copper IUCDs produce local. Pelvic infection with actinomyces organisms is most likely with a plastic device that has been in situ for some years.
While the rate of intrauterine pregnancy is reduced, that of ectopics is not. Hence, there is a relative increase in ectopic pregnancy after IUCD insertion. If an IUCD is left in place there is a slight risk of intrauterine infection, preterm labour and antepartum haemorrhage, but most pregnancies are uncomplicated and the device is delivered with the placenta. Increased menstrual loss may be caused by increased fibrinolytic activity which occurs round the IUCD. The progestogen intrauterine system IUS reduces menstrual flow and often dysmenorrhoea.
A It involves ionizing radiation False B Has no recognised side effects on the foetus True C The pregnant mother should be turned to her left side during scanning True D Tissue with high hydrogen concentrations are difficult to distinguish False E Blood vessels appear white on scanning False Comments: Water is a molecule composed of hydrogen and oxygen atoms.
The nuclei of the hydrogen atoms are able to act as microscopic compass needles.
When the body is exposed to a strong magnetic field, the nuclei of the hydrogen atoms are directed into order - stand "to attention". When submitted to pulses of radio waves, the energy content of the nuclei changes. After the pulse, a resonance wave is emitted when the nuclei return to their previous state.
The small differences in the oscillations of the nuclei are detected. By advanced computer processing, it is possible to build up a three-dimensional image that reflects the chemical structure of the tissue, including differences in the water content and in movements of the water molecules.
This results in a very detailed image of tissues and organs in the investigated area of the body. In this manner, pathological changes can be documented. F Copper IUD mode of action: T sperm motility? T microthrombi? T intervent ovary movement MRI: F I think it will be very small USG: F doppler to detect fetal heart movement T facial hair increased by: F testerone?
T spirolactone F I think it is used for treating hirsutism Mycobacteria? T strict?? Von Giek l disease. Genes on sex chromosomes are responsible for the inheritance of A.
Hurler syndrome. Good medical control of blood definition reduce the risk of this condition in his children d. His new born child is likely to require an urgent blood transfusion e. B-Include acetone c-are water soluble -d- are synthesised in skeletal muscles e-can be utilised during starvation IRON IONS a-diffuse passively into erythropoitic cellsb-bind to transferinc-are taken up by hepatocytesd- are necessary for cytochrome synthesise-are absorbed predominantly by the ileum --the conjugation of billirubin.
A-Apoptosis -B-endocytosis C-Pyknosis -D-Poikilocytosis E-koliosytosis prostagladinsa-lipooxygenase pathway b-thromboxane causes vasoconstriction c-increased in the myometruim d-? Mycobacteruim a- are alchochol acid fast b-does not form spores c-d-a facultative anaerobes d-responsible for leprosy e-pathogenic inhumans all strains the germination of tetanus spores in a wound is inhibited by a-tissue trauma b-oxygen c-inject of toxoid d-injection of antitoxin e-removal of devitalised tissue Aldosterone a-reduces Na resorption in PCT b-reduces Na absorption in descen loop of henle c-Increase Na absortion in DCT Increase K loss from the tubule e increases Na absortion in collecting tubules the following r conclusive evidence of pregnancy in uterine cureetings????
A-Pulstile B-Increase body temp 1 degree after 15 min scanning.. Cell cycle -prophase I and II. MARCH The germination of tetanus spores in a wound is inhibited by a tissue trauma b oxygen c injection of anti-toxin d injection of toxoid e removal of devitalised tissue The following values fall within the normal range for the adult female bladder a residual volume of ml b voiding capacity of ml c bladder capacity of ml d intravesical pressure rise of less than 10cm H2O during early filling e maximum urine flow rate of 60ml per second.
In the small intestine, the following substances are absorbed by active processes a water b sodium c vitamin K d amino acids e chloride White cell migration from blood vessels in areas of inflammation involves a cell migration occurring between endothelial cells b a passive loss of fluid blood elements c cell migration independent of endothelial cell motion d initial emigration of polymorphonuclear neutrophils e more polymorphs that monocytes after 2 days Antibodies!!
Human placental lactogen. Exotoxins a are derived from gram-negative bacteria b have specific action c are more toxic than endotoxins d are neutralised by their homologous antitoxin e can be converted to toxoid Candida albicans a is gram positive b is an anaerobic organism c is associated with diabetes mellitus d is motile e is inhibited by oral tetracycline therapy.
Transferrin a is one third saturated with iron b is increased in pregnancy c binds to 10mg of iron per gram d levels in the neonate are low e is actively transported In Crohns disease there is a non casesous granuloma formation b formation of deep fissures c formation of crypt abscesses d the presence of mucosal polyps e a recognised association with occurence in the vulva The rectum a usually commences at the level of S3 b has a mesentery in its proximal third c drains lymph to the pre-aortic nodes d has a parasympathetic nerve supply derived entirely form the S3 spinal segment e is about 25cm in length The female urethra!!
Endometriotic deposits a only occur in the pelvis b consist of deposits of endometrial stromal tissue without glands c do not occur in postmenopausal women d are hormone sensitive Amyloidosis a Can be inherited b Is associated with bronchiectasis c Is a cause of cardiomyopathy Phenylketonuria a can only be diagnosed in the adult b is diagnosed by high levels of phenylpyruvate in the urine c treatment is with diet restriction DUB Dysfunctional uterine bleeding a is common at the extremes of life b may be caused by coagulation disorders Chylomicrons a are not normally present in the fasting state b after hydrolysis of lipoproteins, mainly consist of phospholipid Other questions that I cannot remember in such detail were about: T c cell migration independent of endothelial cell motion T d initial emigration of polymorphonuclear neutrophils F e more polymorphs that monocytes after 2 days Which are formed from intramembranous ossification?
T Temporal , occipital, parietal F. Sphenoid, Ethmoid Antibodies!! Ta are soluble proteins -- Ab are glycoprotein. Are they soluble? T1-Enterobacter species F2-Streptococcus species F3-Escherichia coli T4-Pseudomonas aeruginosa F5-Staphyloccus pyogenes The inferior vena cava Ta is formed at the level of the fifth lumbar vertebra Fb commences posterior to the right external iliac artery Fc receives the left ovarian vein.
Td receives the right ovarian vein Te pierces the central tendon of the diaphragm In the normal human pelvis Ta the promontory of the sacrum is in the upper anterior border of the first sacral vertebra Fb the anterior surface of the sacrum has five paired foramina Fc the joint between the two pubic bones is a synovial joint [b: Fb explosive mixtures with air Tc liver damage if given repeatedly Td myometrial relaxation Fe bronchial irritation The therapeutic effect of the first drug is enhanced by the second drug Fa phenytoin: Ta nikethamide Tb hypoxia Tc doxapram Fd phenobarbitone Fe salbutamol Tetrahydrofolic acid Ta is involved in purine synthesis Fb is a precursor of folic acid Fc is a coenzyme in amino acid synthesis Fd catalyses the conversion of glucose to glucosephosphate Te activity is inhibited by Methotrexate Mitochondrial DNA Ta is located in the nucleus Fb inheritance is patrilineal Fc is present in two copies per cell Fd mutation causes cystic fibrosis Te is involved in the control of oxidative phosphorylation The following conditions may lead to hydronephrosis?
Fa mercury poisoning Tb cervical carcinoma Tc renal calculi? Te lactic acid production is increased The anal canal Ta has an upper part which is innervated by the inferior hypogastric plexus Fb has a lower part which is supplied by the superior rectal artery Fc drains lymph to the superficial inguinal nodes from its upper part Fd has its internal sphincter innervated by the inferior rectal nerve Te has a superficial part of its external sphincter attached to the coccyx.
Human placental lactogen? Human chorionic gonadotrophin!! Ta is a glycoprotein? Fa is normally present in the plasma in lower concentration than conjugated bilirubin? Tb circulates in the plasma bound to albumin Fc is not excreted in the urine Fd does not cross the blood-brain barrier? Te crosses the placenta The following are capable of cellular regeneration: Fa secrete seminal fluid Tb are stimulated by luteinising hormone Tc are active in intrauterine life Fd secrete fructose?
Fe produce androstenedione. Angiotensin II!! Fc is closely controlled by plasma protein concentration Td is regulated by arginine vasopressin Te regulates the sensation of thirst In the statistical analysis of any group of numerical observations Fa the mean is always less than the mode Tb the median value always lies at the mid-point of the range Tc standard deviation is always greater than the standard error of the mean Fd the standard error of the mean is independent of the total number of observations.
Transferrin Ta is one third saturated with iron c binds to 10mg of iron per gram d levels in the neonate are low e is actively transported Increased in pregnancy t. In Crohns disease there is? Ta non casesous granuloma formation Tb formation of deep fissures Tc formation of crypt abscesses Td the presence of mucosal polyps e a recognised association with occurence in the vulva The rectum Ta usually commences at the level of S3 Fb has a mesentery in its proximal third [b: The best available diagnostic test is HIV viral load assay Mode of delivery by LSCS decreases the transmission to baby BF is safe The following tumours arise in the ovary: Fa nephroblastoma Tb cystadenoma Tc granulosa cell tumour Fd neuroblastoma Te teratoma Early blood borne dissemination is a characteristic feature of: Ta pulmonary infarction Tb fibrinous pleurisy.
Tc are a a major component of the diet Fd give a higher energy yield compared to fats Head mesenchyme gives rise to the following skull bones a Parietal b Mandible c Maxillary d Frontal e Ethmoid Pre-implantation genetic diagnosis.
Ta can be used to identify single gene defects Fb is used in ICSI only Fc testing for trisomy 21 should be offered in a case of ovum donation with a 45 year old recipient and 23 year old donor Fd is routinely used in IVF in selection of embryos? Fd Vibrio cholera Endometriotic deposits Fa only occur in the pelvis?
Tb consist of deposits of endometrial stromal tissue without glands? Fc do not occur in postmenopausal women? The amyloid deposits in familial amyloidosis are composed of the protein transthyretin, or TTR, which is made in the liver. Phenylketonuria Fa can only be diagnosed in the adult Tb is diagnosed by high levels of phenylpyruvate in the urine?
Tc treatment is with diet restriction? Tinherited disorder Fcause by defficiency of phenyl alanine defficiency of phenylalanine hydroxylase Fdietry restriction of tyrosine helpful restriction of phenylalanine? Fdiagnosed by measuring phenyl ketone level in urine DUB Dysfunctional uterine bleeding Ta is common at the extremes of life Tb may be caused by coagulation disorders.
Tall ketogenic? Tcan produce energy dont remember exact wording [b: Canot be catabolised for energy. Tmostly harmful in wks gestation Txrays r ionizing radiation Tcontraindicated in pregnancy [b: Radiation effect more in hypoxic tissue..
F r absorbed form intestinal luminal cells to ? F phenobarbitone T Contraindicated in breast feeding: T phenophthalien F norethisterone F chloramphenicol T sulphonamides Tsudden death Tfibrinous plurisy. Frt ventricular hypertrohy Thaemoptysis following rise in leuteal phase Tbasal body temp Tprogesterone. T1-Potassium ions into the neurons F2-Water into the proximal renal tubular cell --F? Na absorption is active in renal tubules. Monoglycerides, cholesterol and free fatty acids are absorbed by passive diffusion across the duodenal and jejunal mucosa while the bile salts remain in the lumen and are absorbed in the terminal ileum.
Tnot occurs after menopause[b: Match the disease with their respective causative org Bone marrow suppression myco bacterium avium Red cell aplasia parvovirus. The foll are pre malignant CIN 3 Vulval lichen sclerosis Endometrioses Fibro epithelial polyp Atypical endometrial hyperplasia Bacterial vaginosis Microscopic finding clue cells pH less than 4.
Are soluble proteins Formed before 12 wks in fetus ABO antigens are present in fetus Foll Hb chains are present in intrauterine life Alpha 2 beta2 Alpha 2 gamma 2 Gamma 4 Alpha 2 epsilon 2 Zeta 2 epsilon2 Pulm embolism Spiral CT scan is indicated in suspected cases DVT always causes pulm embolism X ray angiography is diagnostic Spiral CT involves dignoses based on the perfusion copared to air in lungs ECG is reliable for diagnosis MRI Involves administerind of radio contrast agents Protons give better imaging Damage to fetus is due to tissue heating Xray Contraindicated in pregnancy Low rays are used for breast imaging Conventional USG Increased freq gives higher resolution Increased freq gives better attenuation TVS uses higher freq compared to conventional USG Doppler USG measures movement Gives accurate measurement of bld flow in fetal vessels Doppler effect based on blood flow within vessels.
UG sinus Divides the cloaca coronally Urachus connects bladder to umbilicus Corpus luteum Is major source of relaxin Contains endothelial cells. Sigmoid colon Attached to pelvic wall T Lies lateral to psoas major F Ends at S Rectum Starts at S T No appendices epiploae T Middle rectal artery is the major artery suuplying it T pallidum Spiral shape T Causes yaws in children T Stained with silver impregnation HIV seroconversion Illness occurs witin wks T BF is safe Percutaneous mode of infection H simplex T Rabies Epstein barr virus Hep A mode of infection is through Blood transfusion F Shared needles F Faeco oral route T Insect bites F Air borne F Match the disease with their respective causative org Bone marrow suppression myco bacterium avium Red cell aplasia parvovirus.
The foll are pre malignant CIN T Vulval lichen sclerosis F Fibro epithelial polyp Atypical endometrial hyperplasia?? Bacterial vaginosis Microscopic finding clue cells T pH less than 4. F sensitive to clindamycin T Reticulate body is the infectious form Transferrin Increased in pregnancy T One third saturated with Fe T Binds to 10 mg of iron per gm??? Levels in neonate are low Antibodies Are soluble proteins Formed before 12 wks in fetus ABO antigens are present in fetus Foll Hb chains are present in intrauterine life Alpha 2 beta Gamma F Alpha 2 epsilon F Zeta 2 epsilon Pulm embolism Spiral CT scan is indicated in suspected cases F DVT always causes pulm embolism F X ray angiography is diagnostic T Spiral CT involves dignoses based on the perfusion copared to air in lungs F ECG is reliable for diagnosis MRI Involves administerind of radio contrast agents Protons give better imaging?????
Damage to fetus is due to tissue heating Xray Contraindicated in pregnancy F Low rays are used for breast imaging???? T Gives accurate measurement of bld flow in fetal vessels T Doppler effect based on blood flow within vessels Calcification occurs in Renal calculi T Hyaline degeneration of fibroid T Secondary bone deposits in prostratic CA Foll originate from endothelial cells Nitric oxide T Protein C F Fibronectin T Plasminogen activator Thyroid micro gms are trapped daily T increases in size in pregnancy T colloid is stored outside epithelial cells T TBG is increased n pregnancy T formed from acetyl CoA T ormed during starvation In toxicity Rx IV calcium sulphate Tissue biopsy is required for diagnosis Incidence is decreased in renal transplant patients?????
GH Stmulated by glucose infusion Increased in sleep Obliterated umb art.. Vagina Derived from mullerian ducts T Seperated from anal canal by anal body Ext urethral sphincter innervated by pudendal nv Afferent innervation of glans of clitoris is by ilioinguinal nv Inf hypogastric pelvic plexus Supplies pain fibres to body of ut T Continues as vesical plexus T Lies at base of braod lig T.
Ring inversion of Y chromosome found the foll will be done Maternal chromosome is tested F Paternal chromosome is tested T Scan to look for male genitalia T Anomaly scan and amniocentesis done for fetus?
Oral absorption of drug depends More availablibility in ionised form than non ionised F Amniotic fluid Hypotonic compared to fetal plasma? T Absored in lungs? Insulin Binding to tyrosine receptor kinase increases activity T Causes glucose transporter movement to plasma membrane T Increases glycogen synthetase activity T Increases fat deposition T Increase glucose utilisation by CNS?
Arrange ultrasound of renal tract C. Commence 7-day course of oral antibiotics D. Give intramuscular steroids to promote fetal lung maturity E. Make referral for physicians to review Answer: A Question 3 Where in the body is angiotensin I converted to angiotensin II under the influence of angiontensin-converting enzyme? Adrenal cortex B. Blood vessel wall C. Kidney D. Liver E. Lung Answer: E Question 4 Which chromosome contains the gene that codes for the alpha globin chain a constituent component of haemoglobin?
Chromosome 5 B.
Chromosome 11 C. Chromosome 16 D. Chromosome 18 E. Chromosome 21 Answer: Greater than 15 beats per minute Answer: C Question 6 A woman presents with a short history of vaginal spotting and cramping abdominal pain after 7 weeks of amenorrhoea. What is the most likely diagnosis? Complete miscarriage B. Incomplete miscarriage C. Inevitable miscarriage D. Septic miscarriage E.
Threatened miscarriage Answer: E Question 7 In a trial where the null hypothesis is false i. Confidence interval error B. External validity error C. P value error D. Type I error E. Type II error Answer: E Question 8 You receive the following result from a pregnant woman at 20 weeks who complained of vaginal discharge: