GynaeObs Paper March 2008 Part-1 FCPS Part1 Q BANK

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1. Eversion of cervix during pregnancy occur in response to: a) Estrogen* b) Physiological change c) Ca Cervix d) Gonadotropins e) Cervicitis 2. If Carcinoma involves nipple of breast which lymph nodes r likely to involve first? a) Pectoral* b) Apical c) Central d) inernal mammary 3. A Pt. came in OPD With enlarged Ant.Axillary lymph nodes and diagonosed a case of CaBreast , which region is most likely involved? a) Upper Outer Quadrant* b) Lower Inner Quadrant 4. More or less same question as # 3. reapeated again 5. A pt came to you with primary amenorrhoea,webbedneck,short stature diagnosed as Turner syndrome, wht is her karyotype? a) 45XO* b) 46XY c) 47XXY 6. A normal looking Girl came to you with primary amenorrhea,on examination she was having short blind vagina wid normal vulva, scanty pubic n axillary hairs,normalbreasts,absentuterus,her karyotype is? a) 46XY* b) 47XY c) 47XXY 7. Wht is the best way to detect exact gestational age of fetus? a) CRL at 8 wk.* b) Femur length at 28th wk. c) Biparietal diameter at 18th wk. d) Abdominal circumference at.....

8.Sperms life span in female genital tract is ? a) 24 to 48 hrs b) 24 to 72 hrs* 9. Spermatogenesis is controlled by? a) Testosterone b) FSH+ Testosterone* c) LH d) Estrogen 10. Almost same as above 11. In drug receptor relations which one is incorrect? a) Bradycardia --- Propranolol b) Miosis --- Pilocarpine c) Skeletal Muscle Paralysis --- Tubocurarine* d) Bronchodilation --- Salbutamol 12. Which one of them do not pass through Lesser Sciatic Foramen? a)Tendon of obturatorinternus. b)Pudendal Nerve c)InternalPudendal Vessels d)sup. & inf. gluteal vessels* 13. In a motorbike accident neck of fibula fractured and lead to a loss of dorsiflexion n eversion of foot,which nerve is likely to b damaged? a)Common Peroneal* b)Deepperoneal c)SuperficialPeroneal 14. Wht is most likely to b true about pudendal nerve? a) Enter the ischiorectal fossa thru its lateral wall b) Leave the pelvis thru upper part of greater schiatic notch c) Re enter the pelvis thru lesser schiatic notch*

16.Ureter is found at : a) the bifurcation of common iliac artery b) pelvic brim 17. If ovaries are removed frm ovarian fossa, wht is most likely to b damaged? a) Internal iliac b) uterine artery c)Ovarian artery d) External iliac artery 18. To reach the uterus, uterine artery crosses the:

a)Ureter* b)Fallopian Tube c)Ligament of ovary

19. If Ca.Cervix metastasize to Labia majora which one of these is most likely responsible for spread? a) Round lig. Of uterus* b) pubocervical ligament c) pectineal ligament 20)which structure do not participate in forming the walls of inguinal canal? a) Transversalis fascia b) Internal Oblique c) External Oblique d) Conjoint tendon e) Lacunar ligament* 21) If after 1 hr of ceaserian section pt start b bleeding internally which one is most likely damaged? a) Uterine artery* b) Internal iliac a. c) Ovarian artery d) uterine vein 22) If on lying down pt became dyspnoecwht is the cause? a) Retrosternal goiter* b) Multinodular goiter c) 23) If a women at 10th week pregnancy havHb 12;Hct 25 Normocytic Normochromic film but at 32 wk pregnancy her Hb is 10.9 ; Hct 20 with same peripheral film wht is the cause? a) Physiological change* b) Iron deficiency c) Folate Deficiency d) Vit B12 deficiency 24) Ovaries are attached to broad ligament by? a) Mesoovarium* b) Mesosalpinx c) suspensory ligament 25) In females Neck of bladder ends : a) above the urogenital diaphragm* b) below the urogenital diaphragm c) 26) Most common cause of hosp. acquired infection is? a) Indwelling catheters* b) I/V lines

c) 27) Which method is used 2 kill spores of surgical instruments? a)dry heat at 160c for 1 hr* b)dry heat at 160 c for 4 hr c)moist heat at 160c for1hr d)Gension violet for 4 hrs 28) Which one is not used as insecticidal? a) Derivatives of salicylic acid b) Phenol c) Sodium hypochlorite d) Soap* 29) Most common cause of subacute bacterial endocarditis is: a) sterptviridans* b) sterptepidermidis c) staphaureus 30) Food poisoning cause by staph. Is mainly due to: a) exotoxin* b) endotoxin c) enterotoxin 31) Now a days the best way to diagnose viral infection is: a) ELISA* b) by detecting virus from secretion or wound c) immunofloresence 32) If pthav persistent pyuria all can be the cause except: a) polycystic kidney disease* b) long standing alkaline urine at room temperature c) Post Streptoccocus glomerulonephritis 33) wht is the least positive value for widal to diagnose typhoid? a) 1:80 b) 1:120* c)1:360 34) Two days before ovulation LH surge rises to a) 1 to 5 fold b) 4 to 6 fold c) 6 to 10 fold 35) villous surrounded by cyto n syncitiotrophoblast is: a) Primary villous* b) secondary villous c) tertiary villous

36)Following is not a proven cause of hirsuitism? a) Androgen b) PCOs c) stevenleventhalsundrome d) 37) CO2 is transported frm blood to alveoli by : a) Facilitated diffusion b) Active transport c) Diffusion* 38) Active transport differsfrm Passive due to: a) depend on osmosis b) require carriers but no energy c) requires energy but no carriers d) require energy by phosphate anhydride bond* 39) Mean Arterial pressure is a) difference b/w systolic and diastolic pressure b) Diastolic + 1/3 pulse pressure* c) 40) Columnar epithelium is found in: a) uterine tubes* b) Thymus c) ovaries 41) Obese are at risk of all except: a) Hyepertension b) Diabetes c) Thyrotoxicosis* d) IHD 42) Following will lead to Respiratory Acidosis? a) emphysema?* b) heavy intake of NaHCO3 c) Vomiting 43) Hormone which causes an increase carbohydrate protein and lipid stores is? a) GH b) insulin* c) cortisol d) Aldosterone e) thyroxine 44) same question

45) insulin secretion is inhibited by: a) glucagon b) secretin c) 46) Acellular layer surrounding an ovum is : a) Zonapellucida* b)Granulosa layer c) Theca interna d) Corona radiate 47) Primordial germ cells arises frm: a) Yolk sac 48) Highest energy containing compound is: a) Starch b) Glucose c)Hexose phosphate d) ATP* 49) Which contain high triglyceride? a) Chylomicron remnants* b) LDL c) VLDL d) HDL e) IDL 50) Which is not a phospholipid? a) Lecithin b) ISolecithin* c) Cephalin d) Plasmalogen 51)Low PO2 Stimulate respiratory centre thru: a) Directly acting on medulla b) stimulating peripheral chemoreceptor* c) acting on central chemoreceptor 52) If Rh -ve mother deliver an O +vefetuswht is the best way to protect subsequent pregnancies? a) Immunoglobulin* 53) wht is the landmark for biscop scoring: a) Ishial Spine* b) Ishial Tuberosity 54) In a women of craniopharyngiomawht is the best opetion to induce ovulation? a) Clomiphen citrate b) Menopausal Gonadotropins

55) If you give L Dopa to the pt of Parkinsonism which hormone will decrease? a) Prolactin* b) FSH,LH c) Testosterone 56) Which hormone convert to its active form at target tissue with the help of 5 reductase? a) Testosterone* b) Estrogen 57) Pt came to you with eosinopenia,polycythemia,lymphocytopenia and raised ACTH level,wht is most likely? a) Cushing disease b) Cushing Syndrome* c) Addisons disease 58)Wht change will not seen in a women having inc.cortsiol level? a) Hypotension* b) Moon face c) Buffalo Torso d) Thin skin e) Hirsuitism 59) Main support of uterus is: a) Cardinal ligament 60) Rational for storage of platelet at room temp. is : a) Optimize the platelet function* b) platelet number do not dec. 61) Women brought to you in ER in shock who had a 10 pint transfusion 10 yrs back due to PPH is most likely having: a) Sheehan syndrome 62) Therapeutic index indicate: a) Bioavailability b) Efficacy c)drug safty* 63) If after 15 days of c-section due to Obstructed Labour pt. developed Urinary incontinence,wht is the most likely cause? a) Vesicovaginal Fistula b) Vesicouterine Fistula* 64) Which one is the supporting ligament of uterus tht is palpable on Per-rectal examination? a) Uterosacral ligament 65) If 35 yr old women developed Generalized Lymhadenopathywht is the most likely cause:

a) Hodgkin Lymphoma* b) Nonhodgkin lymphoma c) Malignant disease d) CML e) ALL 66) If women accidently exposed to radiation 3 to 4 yrs back which organ is most likely effected? a) Cervix b) Fallopian tube c) Ovaries* d) Vagina 67) Wht is the best method to check bone density? a) CT scan spine b) MRI spine c) Calcium Level d) D scan of spine* 68) Which drug do not cause gynaecomasia? a) Digoxin b) Griseofulvin* c) Cimetidine d) Androgen e) Estrogen 69) Pt developed Morning stiffness,Photosensitivity,rash which test will be positive? a) RA b) ANA* b) antimitochondrial 70) Wht is the end product of glucose breakdown ? a) Galactose b) Lactose c) Fructose d) Pyruvate* 71) In a pre eclampticpt which drug is used to lower BP before surgery? a) Hydralazine* b) Amlodipine 72) Amniotic fluid embolism is related to: a) DIC 73) Which hormone is necessary for brain development of fetus? a) GH b) Thyroid* c) Cortisol

74) If feto protein is high wht is most likely? a) Anencephaly* b) Spina bifida Occulta c) Down syndrome 75) T3 , T4 raised in pregnancy due to: a) Inc TBG* b) Inc TSH c) Inc TRH 76) Which one is not a tumor marker? a) HCG b) CEA c) fetoprotein d) Placental Acid phosphatase(PLAP)* e) Alkaline Phosphatase 77) Hysterosalpingography is more accurate than MRI in: a) Adenomyosis b) blocked tubes* 78) TORCH can lead to all EXCEPT: a) Pnuemonia* b) Cataract c) Deafness d) Cardiac anomalies e) Blindness 79) DNA is: a) Double stranded in which two strands are antiparallel to each other* b) all other wrong 80) Which antithyroid drug is given during Pregnancy? a) Propylthiouracil* 81) Tx of raised sugar in pregnancy is : a) Insulin* b) Sulfonylurea 82) Menopause is diagnosed by: a)Raised FSH,RaisedLH,decEstrogen* b)dec FSH n LH 83) Tuboovarianabcess caused by IUCDswht is the most likely causative agent? a) Actinomycosis* b) Streptococcus 84) Which component is low in Cow`s milk as compared to mother`s milk?

a) Lactose* b) Fat c) Calcium d) Protein 85) Excess of Aldosterone will cause: a) Hypokalemia* b) Hyperkalemia 86) Which method is most useful in identifying chromosomal abnormalities? a) Karyotyping* b) U/S c) Bar bodies 87) DIC is related to all EXCEPT: a) Cancer b) Amniotic fluid embolism c) Sepsis d) RPOCs e) answer 88) In C-section insicion is given in subcutaneous fat suprapubically will likely to damage? a) Superior mesenteric artery b) Deep Circumflex iliac artery c) Superior epigastric artery d) inferiorepigastric artery e) Perforating arteries 89) Insulin increase absorbtion of glucose in? a) Hepatocytes b) Mucosa of small intestine c) Renal tubular cells d)skeletal muscle and adipose tissue* 90) Glucose is absorbed in renal tubules through: a) Secondary Active transport* b) Facilitated diffusion c) Diffusion

91) A pregnant women is on Phenytoin,wht is the least likely complication in fetus? a) Bone deformity b) Mental retardation* c) Cleft palate 92) Anticoagulants are indicated in all EXCEPT: a) Thrombocytopenia* b) Cerebral infarction

c) Prolong bed rest d) DVT 93) A mother brought her 8 yr old daughter in OPD with complain of vaginal bleeding,she was taller acc. To her age with well developedbreasts.she was otherwise normal,wht is the cause: a) Ovarian tumor b) Hyperpituitrism* c) Hypothalamic disorder 94) Main function of Extracellular fluid is: a) Transport electrolyte* b) Remove waste products c) Provide nutrition 95) Which investigation is least likely done in a suspected case of DIC? a) Clotting time* b) FDP c) D-Dimer d) Platelet count e) PT 96) Which drug is not used in Dysmenorrhea? a) Ibuprofen b) Mefenamic acid c) Aspirin* d) COX inhibitor

Some more Questions (Expect repetition of questions) 1)which hormone is resposible 4 storage of carbohydrate,fats,protein in body? a)cortisol b)growthhor c)thyroxine 2)which hormone is responsible 4 storage of fat CHO n protein in body n called hormone of abundance? a)costisol b)throxine c)grwoth hormone 3)which hormone is needed 4 brain development of fetous during intranatal life? a)growth horm b)thyroid* etc 4)tubo ovarian abcess in a woman using iucd is caued by? a)actinomycosis*

b)streptococi etc 5)which component is low in cow milk as compare 2 mothr milk? a)lactose* b)protien c)calcium d)fat 6)among following which is not antiseptic? a)soap* b)salicylic acid c)sodium hypochlorite d)ethanol 7)4 tx of eclampsia which drug is used? a)hydralazine* b)minoxidil etc 8)which method is used 2 kill spore? a)dry heat at 160c for 1 hr* b)dry heat at 160 c for 4 hr c)moist heat at 160c for1hr 9)excess of aldosteron will cause? a)hypokalemia* b)hyperkalemia etc 10)structure of 2ndry villus unclude? a)mesoderm cytotrophoblast syncytium* b)capillariescytotrophoblast syncytium etc 11)a 45 yrs old lady is post menopausal from last 9 months,which is most likely 2 show onset of menopause? a)anovulatory cycle b)atrophic uterus etc 12)spermatogenesis is supported by? a)FSH n testosterone* b)gonadotrophin etc 13)germinal epithelium of ovary contain? a)cuboidal epithelium*

c)columnar etc 14)columnar epithelium line which structure? a)thymus b)choroid plexus c)uterine tubes* 15)which method is most helpful in identifying chromosomal abnormalities? a)karyotyping* b)u\s etc 16)a normallooking female cam 4 primary amenorrhea on examination she was having short blind vagina wid normal vulva n scanty hair,herwt n ht for age were normal bt absence of uterus,she was othrwise a normal lookinggirl karyotype was xy a)46xy* b)46xx etc 17)DIC is related 2 all of the following except? a)amniotic fluid embolism b)cancer c)gram-ve sepsis d)retained dead fetus e)etc(answer) 18)a women brought 2 hospital after having difficult delivery at home wid bleeding diathesis wat is the cause a)dic* etcetc 19)which of the following is leat likely 2 b effected by actinomycosis a)bone b)brain* c)oral cavity 19)which is not the manifestation of child born wid toxoplasma infection? a)pneumonia* b)cataract c)mental retardation etc 20)a woman having morning stiffness of hand n pericardial effusion which lab finding woud help in dx? a)anti nuclear DNA b)strptolysin c)rheumatic factor* etc

21)which structure pass thro inguinal canal from uterus 2 labium majus in female? a)round ligament* b)broad ligament etc 22)which ligament can b palpated on per rectal examination? a)uterosacral b)broad ligament c)round ligament etc 23)main support of uterus? a)broad ligament b)transverse cervical ligament* etc 24)an incision given supra pubically in a female for LSCS would damage which artery? a)superior epigastric b)inferiorepigastric* etc 25)ovary is attached 2 back of braod ligament by? a)mesovarium* etcetc 26)whichsturcture does not form walls of inguinal canal? a)lacunar* b)external oblique apenerosis c)conjoint etc 27)insulin help in absorption of glucose through? a)musoca of small intestine b)renal tubules c)hepatocytes etc 28)glucose is absorbed in renal tubules thro? a)2ndry active transport* b)facilitated diffusion etc 29)afterlscs(c\section) a woman is bleeding intaperitonealy which artery can b damaged? a)uterine* b)ovarian c)internal iliac etc

30)which organism require selective media 4 its diagnosis? a)vibrio cholera b)e coli* c)campylobacter etc 31)a pregnant woman on phenytoin, which is the least likely complication? a)bone deformity b)mental retardation* c)cleft palate 32)anticoagulant are contraindicated in ptwid? a)thrombocytopenia* etcetc 33)apt showing eosiniphilia,lymphoctytopenia polycythemia his blood levels show increase ACTH level which of following is the cause? a)cushing syndrome b)cushing disease* c)addisons disease etc 34)ca breast will effect which of the breast quadrant mostly? a)upper n outer* b)medial c)inner n medial etc 35)a women having ca breast which group pflypmh nodes is effected? a)anterioraxillay* etc 36)a mother brought her daughter wid vaginal bleeding she is 8 yrs old taller 4 her age wid well develop breast n odr wise normal which coud b the cause? a)constitutional b)hypothalamic etc 37)a man wid full burns in icu develop bleeding diathesis which coud b the cause? a)dic* b)infection etc 38)a women brought 2 ER unconciouswid history of postpartum hemorrhage 10 yrs back which of the following is dx? a)sheehan syndrome* b)lowbp

etc 39) Main functions of extracellular fluid is? a)transport electrolytes* b)removal of waste material etc 40)therapeutic index show a)drug efficacy b)safety*

FCPS Part1 Q BANK

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