2020 09 Recall
September 2020 Recall
Crowd-sourced recall questions from the MRCOG Part 1 exam.
- major blood supply to d transverse colon A. ileocolic B. middle colic C. inferior mesenteric D. superior mesenteric Art E. left colic . ,,,,,,, major nerve innervation to d bladder A. hypogastric B. splenchnic C. autonomic Answer explain bladder inervation : 🏁sympathetic via hypogastric N. T12-L2 🏁parasympathetic via pelvic N. S2-S4 🏁Somatic inervation via pudendal N. S2-S4 diagram of d perineum showing nerves. What is D. nerve root A. L1 B. L1,L2 C. S3,4,5 D. S4,5 diagram showing laparoscopy view of d pelvis. A vessel was pointed at stating dt one wouldn't go beyond that during pelvic lymphadenectomy A. inferior epigastric B. umbilical artery (obliterated) C. obturator artery D. pudendal artery the commonest nerve to be injured during gynaecological laparotomy A. obturator B. pudendal C. femoral the lateral boundary of the ischiorectal fossa A. obturator externus B. Obt inter fascia Vitelline duct connects A. foregut and allantois B. foregut and yolk sac C. midgut and allantois D. hindgut and the developing liver and billiary duct arises from A. allantois B. Ventral mesentry C. . choroid plexus develops A. arachnoid and pia matter B. pia and ependyma C. pia and neural tissue . During development of liver and biliary system , hepatic bud invaginate into which structure 1. Septum transversum From right to leftarragement of pulmonary arteryaortasuperior vena cava lowest part of d vagina is derived from A. endoderm B. mesoderm C. ectoderm ureteric bud is derived from A. mesonephric duct B. endoderm C. ectoderm Paroxetine will effect fetuscraniofacialcnscvsgit allantois is derived from A. ectoderm B. endoderm C. BRCA 1 and 2 other than ovarian and breat ca will cause??? pancreaticgitliveretx. Adesonian crises???option were given in tablehyponatremiahyperkalemiaetc . Answer Addison’s disease Hyperkalaemia Hyponatraemia and eosinophilia Tests for diagnosing Addison? 9 am cortisol explanation First we do 9 Am cortisol Then do syncathin If less then 100admit 100 to 500 endocrinologist More then 100 nothing . Premature manupause??? Turnorfragile x syndromedequavian thyroiditis organelle where lipid is synthesized A. lysozyme B. RER C. SER. organelle where enzymes for glycolysis are got A. mitochondria B. nucleus condition dt cozs bilateral absence of bad deferens . Cystic fibrosia. What type of organism is Chlamydia?. Obligate intracellular. What type of Is heparin A. protein B. glycoprotein C. polypeptide . Polysacharide D. phospholipi How much percentage gestational diabetes continues as type two diabetes Less than 5% 10-15% 60-80% . [4:27 AM, 12/28/2020] Hello: Recall 2020 September 1major blood supply to d transverse colon A. ileocolic B. middle colic C. inferior mesenteric D. superior mesenteric Art E. left colic the commonest nerve to be injured during gynaecological laparotomy A. obturator B. pudendal C. femoral the lateral boundary of the ischiorectal fossa A. obturator externus B. Obt fasciaand Obturator intrnus  Vitelline duct connects A. foregut and allantois B. foregut and yolk sac C. midgut and allantois D. hindgut and Mid gut and yolk sac 
the developing liver and billiary duct arises from A. allantois B. C. ventral mesentry choroid plexus develops A. arachnoid and pia matter B. pia and ependyma C. pia and neural tissue  During development of liver and biliary system , hepatic bud invaginate into which structure 1. Septum transversum  lowest part of d vagina is derived from A. endoderm B. mesoderm C. ectoderm From right to leftarragement of pulmonary arteryaortasuperior vena cava Svc , aorta, pulm A from rt to lft  ureteric bud is derived from A. mesonephric duct B. endoderm C. ectoderm Paroxetine will effect fetuscraniofacialcnscvsgit Cvs Paroxetine is SSRI  allantois is derived from A. ectoderm B. endoderm BRCA 1 and 2 other than ovarian and breat ca will cause??? pancreaticgitliveretx Ca pancreas  Adesonian crises???option were given in tablehyponatremiahyperkalemiaetc Addison’s disease Hyperkalaemia Hyponatraemia Esinophilia  Tests for diagnosing Addison? Short synacthen test 9 am Urinary cortisol to diagnose and syncathen to see the site ??? 9am cortisol is the first step of investigation Yes first 9 am cortisoland then syncathin First we do 9 Am cortisol Then do syncathin If less then 100admit 100 to 500 endocrinologist More then 100 nothing Premature manupause??? Turnorfragile x syndromedequavian thyroiditis Turnor organelle where lipid is synthesized A. lysozyme B. RER C. SER   organelle where enzymes for glycolysis are got A. mitochondria B. nucleus Cytosol What type of organism is Chlamydia? Obligate intracellular Gram negative What type of Is heparin A. protein B. glycoprotein C. polypeptide D. phospholipi Polysaccharides How much percentage gestational diabetes continues as type two diabetes Less than 5% 10-15% 60-80% 50%  Urea cycle is where?
Liver A. return pad technology?? A. small probe with an electric current running through it is used to burn or destroy the tissue. A grounding pad is placed on the body (usually the thigh) before the surgery to protect the person from the harmful effects of the electricity. Monopolar Diagram of ECG in a patient who had been on bendroflumethiazide A. hyperkalemia B. hypokalemia C. hypercalcaemia Second line antiemetic in pregnancy  SSRNa virus Zika
 Listeria in pregnancy management? Ampicillin Ampicillin Amoxicillin Both Amoxicillin or Ampicillin is 1st line. Gentamicin can be used to treat listeria but not in pregnancy Cefuroxime and Cefalexin are both cephalosporins and cephalosporins have no activity against listeria. (Remember "LAME" to note organisms against which cephalosporins do not have activity: Listeria, Atypicals (including Mycoplasma and Chlamydia), MRSA, and enterococci) Co-trimoxazole is 2nd line Listeria infection during pregnancy carries a high risk of miscarriage, stillbirth or fetal sequelae so should be treated Botulinum toxin action 
Chromosomes involved in robertsonian translocation? Multiple combinations given 13 14 15 21 22, most common 13-14 12 13 14 15 22  Female homologue of prostate?Options given Bartholins gland, skenes gland B. paraurethral gland The Skene gland (paraurethral gland) in females, which is located at the lower end of the urethra, is considered homologous to the prostate gland in males and is sometimes referred to as the female prostate. Risk of transmission to baby in vaginal delivery in case of primary herpes infection? options given 1% 21% 31% 41%
The transmission rate is approximately 40% with a primary or initial infection with genital herpes at time of delivery, but is less than 1% with recurrent attacks of infection. How many active TRH copies are produced from its precursor ?? options given 2, 6, 8, 10 Key is 6 TRH is synthesized within parvocellular neurons of the paraventricular nucleus of the hypothalamus.[2] It is translated as a 242-amino acid precursor polypeptide that contains 6 copies of the sequence -Gln-His-Pro-Gly-, flanked by Lys-Arg or Arg-Arg sequences. There was a question on Indication of Anti D in early pregnancy Key ?? Bartholin gland Art supply??
B. Measuring from 1.5-2 cm on average, each Bartholin gland is oval in shape and resides just inferior and lateral to the bulbocavernosus muscle. Innervation is received from a small branch of the perineal nerve, ( ilioingunal N L1 ) while arterial blood supply is received from a small branch of the artery on the bulbocavernosus muscle.( external pudendal Art ) Reduced response to cell mediated immunity in pregnancy occurs due to reduction of which of these? Options had both th1 th2, In pregnancy TH1 is low and TH2 is high And cell mediated immunity is high that's why SLE worsens in pregnancy What is the upper limit of post void urine in a 65 yr old 50 ml 75ml 100ml 150ml volume < 50 mL is normal; < 100 mL is usually acceptable in patients > 65 but abnormal in younger patients. Other tests (eg, urinalysis, blood tests, ultrasonography, urodynamic testing, cystoscopy, cystography) are done based on clinical findings. The postvoid residual volume less than 50 mL is considered normal, and the volumes greater than 100 mL is generally considered abnormal (17,44). Volumes of greater than 100 mL but less than 200 mL should be repeated and correlated clinically. Nevirapine MOA is a non-nucleoside reverse transcriptase inhibitor (NNRTI) of HIV-1. Nevirapine binds directly to reverse transcriptase (RT) and blocks the RNA-dependent and DNA-dependent DNA polymerase activities by causing a disruption of the enzyme's catalytic site Lactotropes origin in Ant pituitary how many %??
 Lactotrophs 20% Lactoteophs 15 to 20 perc of pit cells Prolactin Somatotrophs 50 perc if pit cells GH GnRh Gnrh produced from preoptic nucei of hypothalamus Neural crest origin 18 yr old, on OCPS with 30 mcg estrogen missed pill on day 12, today day 13, presents to emerg department Insert IUCD Lng Take missed pill and continue rest pack Ulipristal acetate Wait for UPT Which hormone is present in granulosa cells n not in theca cells? options 3 beta hydroxysteroid dehydrogenase, 17 apha hydroxylase, aromatase
Testosteron to DHEA BY WHICH enzyme  Scenario of numbness and parasthesia in pat with chrons dis and hex of gastric operation which vit deficiency Vit B12 Which hormone produced by the fetus helps in increasing pulmonary surfactant? options 11 deoxy corticosterone, cortisol, androstenedione Scenario of numbness and parasthesia in pat with chrons dis and hex of gastric operation which vit deficiency Vit B 12 🏁 HPL plateaus after wat gestational age?? 35 wks 
 GTT values at 28wks, fasting 5.7 2hrs-7.9 Normal GDM Type 1 DM Type 2DM Imparied glucose tolerance Explain: Diagnose gestational diabetes if the woman has either: A. fasting plasma glucose level of 5.6 mmol/litre or above OR a2 hour plasma glucose level of 7.8 mmol/litre or above You should be aware of the new lower limit of fasting glucose (fasting glucose limit used to be 7.0 mmol/litre. NICE changed this in 2015) The risk of neonatal herpes in normal vaginal delivery with mother have herpes lesions Primary herpes 41 perc Recurrent 1 to 3 perc Lower vagina what's the embryonic origin Urogenital sinus Ans for Forest plot qs? For detection receptor of estrogen in enometrial sample use : Southern plot Northern polt Western Post NVD she breast feed easly what physiological event happen during preg to make her able to breast feed Ductal dilatation post natal Stromal hypertrophy Stromal hyperplasia during pregnancy Ans for Forest plot qs? For detection receptor of estrogen in enometrial sample use : Southern plot Northern polt Western immunohistochemistry Type os estrogen receptor is protein Estrogen hormone is a steroid hormone Immunohistochemistry
  MRI dye use godulium Usg frequency 3-55-7 Ultrasound dark color Anechoic Chest x ray natural back ground risk ?? 2/3dsys Cx epithelium image identification Internal is columnar Ext squamous aria stella Due to progesterone effect on Endometeium Changes in endometrium Female uretheral chancre ? Hypoestroginism Causeative organism of H, duceryi Chancaroid Malignant tumor of new born Neuroblastoma Carcinosarcoma H/P description? Epith and mesenchymal tissues
 31 A Post menopausal bleeding with granulosa cell tumor wat effect comes on endometrium ?? Proliferative hyperplasia Coons syndrome electrolyte distrub?? Hyperkalemia Hyponatremia hypotension Brunner cell S electrophoresis pic Hx of Anemia with h/o Bowel resection Anemia type ? Thy said which type of anemia occurs its pernicious anemia Lack of intrising factor Cardiac out put in 2 stage of labour 40% Reminant of obli umbilical art Medial umbilical lig Mutilation type ?? There are 4 main types of FGM: type 1 (clitoridectomy) – removing part or all of the clitoris. type 2 (excision) – removing part or all of the clitoris and the inner labia (the lips that surround the vagina), with or without removal of the labia majora (the larger outer lips)  Vit c with which biochemical procedure? Amplification of dna Pcr Sacrospinous fixation artery Pudendal art Hb A form which wk Obstructed cholestasis managemnt  Urea cycle site ?liver Glycolysis enzyme where present?cytosol Glycolytic enzymes in sarcoplasmic reticulim Cytosol and mitochondrial matrix of hepatocyte - urea cycle Liver billary system development?
Ventral mesentry Radiotherapy of vagina Brachytherapy Anti D indication in frst trimester? Surgical termination 1Surgical termination 2ectopic 3Heavy vaginal bleeding 4Severe pain 5.all In all indicated Ans is all Labotalol moa Selective alpha 1 and Non selective beta blocker .
Site of factor VIII production? Liver sinusidal and Endothelium Acute inflammation persist how many days ? 14 days Aminoglycoside grp effect on which nerve ? Cranial n8 Cell lysis done by ?? Lysosomes  52 ug p/ day Gdm cause type 2 dm risk 50% This figure is from NICE guideline on Long acting reversible contraceptives Which Cell involve in PID ?? Estrogen produced by placenta ??
Estriol O2 and co2 poisoning through placenta?? Passive diffusion Recall 2020 September 1major blood supply to d transverse colon A. ileocolic B. middle colic C. inferior mesenteric D. superior mesenteric Art E. left colic the commonest nerve to be injured during gynaecological laparotomy A. obturator B. pudendal C. femoral the lateral boundary of the ischiorectal fossa A. obturator externus B. Obt fasciaand Obturator intrnus 
Vitelline duct connects A. foregut and allantois B. foregut and yolk sac C. midgut and allantois D. hindgut and Mid gut and yolk sac  the developing liver and billiary duct arises from A. allantois B. C. ventral mesentry choroid plexus develops A. arachnoid and pia matter B. pia and ependyma C. pia and neural tissue 
During development of liver and biliary system , hepatic bud invaginate into which structure 1. Septum transversum  lowest part of d vagina is derived from A. endoderm B. mesoderm C. ectoderm From right to leftarragement of pulmonary arteryaortasuperior vena cava Svc , aorta, pulm A from rt to lft  ureteric bud is derived from A. mesonephric duct B. endoderm C. ectoderm Paroxetine will effect fetuscraniofacialcnscvsgit Cvs Paroxetine is SSRI  allantois is derived from A. ectoderm B. endoderm BRCA 1 and 2 other than ovarian and breat ca will cause??? pancreaticgitliveretx Ca pancreas  Adesonian crises???option were given in tablehyponatremiahyperkalemiaetc Addison’s disease Hyperkalaemia Hyponatraemia Esinophilia 
Tests for diagnosing Addison? Short synacthen test 9 am Urinary cortisol to diagnose and syncathen to see the site ??? 9am cortisol is the first step of investigation Yes first 9 am cortisoland then syncathin First we do 9 Am cortisol Then do syncathin If less then 100admit 100 to 500 endocrinologist More then 100 nothing Premature manupause??? Turnorfragile x syndromedequavian thyroiditis Turnor organelle where lipid is synthesized A. lysozyme B. RER C. SER   organelle where enzymes for glycolysis are got A. mitochondria B. nucleus Cytosol What type of organism is Chlamydia? Obligate intracellular Gram negative What type of Is heparin A. protein B. glycoprotein C. polypeptide D. phospholipi Polysaccharides How much percentage gestational diabetes continues as type two diabetes Less than 5% 10-15% 60-80% 50%  Urea cycle is where? Liver A. return pad technology?? A. small probe with an electric current running through it is used to burn or destroy the tissue. A grounding pad is placed on the body (usually the thigh) before the surgery to protect the person from the harmful effects of the electricity. Monopolar Diagram of ECG in a patient who had been on bendroflumethiazide A. hyperkalemia B. hypokalemia C. hypercalcaemia Second line antiemetic in pregnancy  SSRNa virus Zika  Listeria in pregnancy management? Ampicillin Ampicillin Amoxicillin Both Amoxicillin or Ampicillin is 1st line. Gentamicin can be used to treat listeria but not in pregnancy Cefuroxime and Cefalexin are both cephalosporins and cephalosporins have no activity against listeria. (Remember "LAME" to note organisms against which cephalosporins do not have activity: Listeria, Atypicals (including Mycoplasma and Chlamydia), MRSA, and enterococci) Co-trimoxazole is 2nd line Listeria infection during pregnancy carries a high risk of miscarriage, stillbirth or fetal sequelae so should be treated Botulinum toxin action  Chromosomes involved in robertsonian translocation? Multiple combinations given 13 14 15 21 22, most common 13-14 12 13 14 15 22  Female homologue of prostate?Options given Bartholins gland, skenes gland B. paraurethral gland The Skene gland (paraurethral gland) in females, which is located at the lower end of the urethra, is considered homologous to the prostate gland in males and is sometimes referred to as the female prostate. Risk of transmission to baby in vaginal delivery in case of primary herpes infection? options given 1% 21% 31% 41% The transmission rate is approximately 40% with a primary or initial infection with genital herpes at time of delivery, but is less than 1% with recurrent attacks of infection. How many active TRH copies are produced from its precursor ?? options given 2, 6, 8, 10 Key is 6 TRH is synthesized within parvocellular neurons of the paraventricular nucleus of the hypothalamus.[2] It is translated as a 242-amino acid precursor polypeptide that contains 6 copies of the sequence -Gln-His-Pro-Gly-, flanked by Lys-Arg or Arg-Arg sequences. There was a question on Indication of Anti D in early pregnancy Key ?? Bartholin gland Art supply?? B. Measuring from 1.5-2 cm on average, each Bartholin gland is oval in shape and resides just inferior and lateral to the bulbocavernosus muscle. Innervation is received from a small branch of the perineal nerve, ( ilioingunal N L1 ) while arterial blood supply is received from a small branch of the artery on the bulbocavernosus muscle.( external pudendal Art ) Reduced response to cell mediated immunity in pregnancy occurs due to reduction of which of these?
Options had both th1 th2, In pregnancy TH1 is low and TH2 is high And cell mediated immunity is high that's why SLE worsens in pregnancy What is the upper limit of post void urine in a 65 yr old 50 ml 75ml 100ml 150ml volume < 50 mL is normal; < 100 mL is usually acceptable in patients > 65 but abnormal in younger patients. Other tests (eg, urinalysis, blood tests, ultrasonography, urodynamic testing, cystoscopy, cystography) are done based on clinical findings.
The postvoid residual volume less than 50 mL is considered normal, and the volumes greater than 100 mL is generally considered abnormal (17,44). Volumes of greater than 100 mL but less than 200 mL should be repeated and correlated clinically. Nevirapine MOA is a non-nucleoside reverse transcriptase inhibitor (NNRTI) of HIV-1. Nevirapine binds directly to reverse transcriptase (RT) and blocks the RNA-dependent and DNA-dependent DNA polymerase activities by causing a disruption of the enzyme's catalytic site Lactotropes origin in Ant pituitary how many %??  Lactotrophs 20% Lactoteophs 15 to 20 perc of pit cells Prolactin Somatotrophs 50 perc if pit cells GH GnRh Gnrh produced from preoptic nucei of hypothalamus Neural crest origin 18 yr old, on OCPS with 30 mcg estrogen missed pill on day 12, today day 13, presents to emerg department Insert IUCD Lng Take missed pill and continue rest pack Ulipristal acetate Wait for UPT Which hormone is present in granulosa cells n not in theca cells? options 3 beta hydroxysteroid dehydrogenase, 17 apha hydroxylase, aromatase Testosteron to DHEA BY WHICH enzyme  Scenario of numbness and parasthesia in pat with chrons dis and hex of gastric operation which vit deficiency Vit B12 Which hormone produced by the fetus helps in increasing pulmonary surfactant?
options 11 deoxy corticosterone, cortisol, androstenedione Scenario of numbness and parasthesia in pat with chrons dis and hex of gastric operation which vit deficiency Vit B 12 🏁 HPL plateaus after wat gestational age?? 35 wks   GTT values at 28wks, fasting 5.7 2hrs-7.9 Normal GDM Type 1 DM Type 2DM Imparied glucose tolerance Explain: Diagnose gestational diabetes if the woman has either: A. fasting plasma glucose level of 5.6 mmol/litre or above OR a2 hour plasma glucose level of 7.8 mmol/litre or above You should be aware of the new lower limit of fasting glucose (fasting glucose limit used to be 7.0 mmol/litre. NICE changed this in 2015) The risk of neonatal herpes in normal vaginal delivery with mother have herpes lesions Primary herpes 41 perc Recurrent 1 to 3 perc Lower vagina what's the embryonic origin Urogenital sinus Ans for Forest plot qs? For detection receptor of estrogen in enometrial sample use : Southern plot Northern polt Western Post NVD she breast feed easly what physiological event happen during preg to make her able to breast feed Ductal dilatation post natal Stromal hypertrophy Stromal hyperplasia during pregnancy Ans for Forest plot qs? For detection receptor of estrogen in enometrial sample use : Southern plot Northern polt Western immunohistochemistry Type os estrogen receptor is protein Estrogen hormone is a steroid hormone Immunohistochemistry   MRI dye use godulium Usg frequency 3-55-7 Ultrasound dark color Anechoic Chest x ray natural back ground risk ?? 2/3dsys Cx epithelium image identification Internal is columnar Ext squamous aria stella Due to progesterone effect on Endometeium Changes in endometrium Female uretheral chancre ? Hypoestroginism Causeative organism of H, duceryi Chancaroid Malignant tumor of new born Neuroblastoma Carcinosarcoma H/P description? Epith and mesenchymal tissues  31 A Post menopausal bleeding with granulosa cell tumor wat effect comes on endometrium ?? Proliferative hyperplasia Coons syndrome electrolyte distrub?? Hyperkalemia Hyponatremia hypotension Brunner cell S electrophoresis pic Hx of Anemia with h/o Bowel resection Anemia type ? Thy said which type of anemia occurs its pernicious anemia Lack of intrising factor Cardiac out put in 2 stage of labour 40% Reminant of obli umbilical art Medial umbilical lig Mutilation type ??
There are 4 main types of FGM: type 1 (clitoridectomy) – removing part or all of the clitoris. type 2 (excision) – removing part or all of the clitoris and the inner labia (the lips that surround the vagina), with or without removal of the labia majora (the larger outer lips)  Vit c with which biochemical procedure? Amplification of dna Pcr Sacrospinous fixation artery Pudendal art Hb A form which wk Obstructed cholestasis managemnt 
Urea cycle site ?liver Glycolysis enzyme where present?cytosol Glycolytic enzymes in sarcoplasmic reticulim Cytosol and mitochondrial matrix of hepatocyte - urea cycle Liver billary system development? Ventral mesentry Radiotherapy of vagina Brachytherapy Anti D indication in frst trimester? Surgical termination 1Surgical termination 2ectopic 3Heavy vaginal bleeding 4Severe pain 5.all In all indicated Ans is all Labotalol moa Selective alpha 1 and Non selective beta blocker . Site of factor VIII production? Liver sinusidal and Endothelium Acute inflammation persist how many days ? 14 days Aminoglycoside grp effect on which nerve ? Cranial n8 Cell lysis done by ?? Lysosomes 
52 ug p/ day Gdm cause type 2 dm risk 50% This figure is from NICE guideline on Long acting reversible contraceptives Which Cell involve in PID ?? Estrogen produced by placenta ?? Estriol O2 and co2 poisoning through placenta?? Passive diffusion NEED PRAYERS GOOD BLESS YOU ALL DR,ROZINA JIBRAN BUNDLES OF THANKS DR. EMMAN KHURSHID