2021 01 Recall Corrected
MRCOG Part 1 Recalls — January 2021 (Corrected)
Crowd-sourced recall questions from the MRCOG Part 1 exam.
Recall jan. 2021 1. Transport of drugs across membranes due to A. Low lipid solubility B. Non ionization 2. Chlamydia transmittion from mother to her foetus via : A- LYMPHATIC B- TRANSPLACENTAL C- DIRECT CONTACT 3. Pseudomonas appear on macconey agar : A. pink B. pale Yellow C. colourless 4. Influenza vaccine is : A. Live attenuate B. Subunit C. inactivated 5. Prophlaxis of malaria during pregnancy : A. Choloroquin B. Primaquin C. Mefloquin in 2nd and 3rd trimester 6. Exotoxin Table with multible choices (heat liable,secereted by gram +ve , after cell death ,and other choices) 7. Preg. With flu like symptoms & backache ,baby Delivered with resp. depression,jaundice & hepatosplenomegaly : A. Cmv B. Listeria C. herpes 8. Treatment of vulvovaginal atrophy include : Table of multiple choices you can choose more than 1 (androgen ,dihyrostendion ,estriol,phytoestrogen.progesteron) A. Serous B. endometriod - Damage DNA and inhibit DNA synthesis 9. MOA Of metronidazole - DNA gyrase inhibitor 10. MOA of clindamycin : Inhibit 50s ribosome 11. Most common fallopian tube carcinoma:
- Most common non epithelial vaginal cancer: A. Rhabdomyosarcoma B. Clear cell carcinoma
- Sigmoid colon has ……….mesesntry preartic Ln,IMA
- MRI carbon atom ……HYDROGEN
- SI unit of diathermy power:……..WATT for iodide transport:…..CL OR HCO3
- Minor PPH :…..500:1000 Without shock
- 70 kg ptn,Maximum safest dose of lidocaine: 35withadrenalin 35 with adrenalin 49with adrenalin 49without adrenalin
- Doxazine MOA: Alpha agonist Alpha antagonist
- Ttrimethobrim act on : Metabolic pathway Neuclic acid
- Complement system , initial cascade that end by cell lysis:….c3
- Six differntiantion is due to gene on : Short am of y chromosome Long ARM of y chromosome
- False and tue data : Nominal – interval ……(binary not in options)
- In sexual arousal engorgement of bulb of vestibule is dt: Clitorial brach.
- Most common benign ovarian tumour dermoid cyst
- Structure between para rectal and paravesical :….uterine a.?
- TAP aneathesia , needle will peirce which structures :
- Lower uterinen segment:
- Cutoff of fibronectin level in screen of preterm labour 50ng
- Rate of CMV to be symptomatic baby : 10-15%
- Rate of recurrence of ectopic preg. 18%
- Rate of recurrence of pre eclampsia 16%
- Pendrin protien used in thyroid synthesis , which ion is exchanged
- During HGE , fibrogen level should kept :……… 2:4
Or labial branch of perineal n. 34. In male most of ejaculate come from:…seminal vesicles? 35. N.S OF area over femoral triangle:….genitofemoral n? 36. Percentage of DM type 2 after GDM 40:60% 37. Dose of radiation to breast tissue used in CTPA 20 …40…150 41. 2 nd generation progesterone …..levonorgestrel ms?) 46. Us resolution best in :…..axial 47. Semen analysis all normal except morphology 3% Normal or tetratospermia ? 49. Junction in uterine ms that aid in contraction …gap junction 50. 4ws embryo , germ cell found in :yolk sac ? 51. LH half life ….20 min 52. GNRH secreted in, other than hypothalamus Duodenum/liver /or pancrease? 53. Fetal hemolysis detected by Direct or indirect coombs test 54. Dome shaped ulcers….molluscum cont.? Lymphogranuloma /drug eruption /steven jhonson ?? 56. Non penetrative intercourse , shallow painful genital ulcer..bahcet? 57. LOWER 2/3 of vagina from…sinovaginal bulb? 58. Painless ulcer & enlarged LN & diagnosed by serology..treponema pallidum? 59. False +ve results (syphilis)in ….VDRL? 38. PICTRUE OF trichomonas vaginalis 39. Mechanism of action of fluconazole 40. Lynch oncogen….msh2 or methylation of mhl1? 48. Recurrent implantation failure is due to decrease in :HLA-G 42. Hyperprolactinemia in pcos dt ….unopposed esrogen ? 43. N.s of internal anal sphincter:…? Sympathetic L5, parasympathetic S2, 3, 4 44. Appendix testis derived from….paramesonephric d. 55. Genital ulcer occur in (many options) 45. Structures from mesoderm…..(cns,epidermis.erythrocytes.smooth ms, skeletal
- Hbc ab +ve & pcr –ve PAST INFECTION ?
- Amplification of DNA…PCR
- NORTHERN blooting….RNA
- In statistic , hetrogenicity mean ….DIFFERECE IN OUTCOMES?
- In phenomenon , us cause cell damage & lysis dt Cavitation / or heating
- Gonorrhea in preg. Treatment…ceftriaxone and azithromycin ?
- Hemocystenura dt vitamin deficiency? B1/B12/C/E/B12
- Ptn with drain develop infection ,gram –ve bacilli…PSEUDOMONAS EAROGINOSA
- 2Qs +ve predictive value and –ve predictive value
- Labaroscopic picture and ask the embryological origin. idon,t know what is it. some say its falciparum lig. Or obliterated umblical artery and may be ductus venosus
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Picture like this:
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Calculate perinatal mortality rate:
- 5ws amenorrhea +ve preg. Test, TVUS show 2 sac eccentric location and can,t exclude ectopic ,bhcg done what expected : 1200/2400/4800….??
- Ptn with temp 38,suprapubic pain, us all normal exept fluid in doglous poch…(oral antibiotic / or iv abs ) another options
- 6ws amenorrhoea ,+ve preg.test .us gs 23 mm, -ve FHS Anemryonic preg/ unknown viability??
- LN OF cervix and upper vagina…..?
- Ptn .surgery fer colorectal cancer.swollen over otherwise all normal ,(hysterectomy and bilateral salpingooophrectomy ), picture of ovary : (metastatic tumour/…..)
- Post cs ptn came with suprapubic pain and fever ,take 1.2 g amoxiclave and 3 days after ptn feeling well exept temp. 38 every night .WBCS & CRP high. What will you do next Labarotomy for axploration Iv piperaciilin and tazopactam
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Q about growth chart (normal)
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Urodynamic study
- Q about placentation ( normal)
- Robertosanian translocation may result in : A. Down & Edward B. Down & patuae C. Down ,Edward& patue D. Down and turner
- Hpv in cervical dysplasia A. 11,16 B. 16,18
- Uti in 3rd trimester which antibiotic contraindicated A. Trimethoprim B. nitrofurantoin
- Young female with menorrhaghea since puberty .cbc normal what to do next A. Tsh B. Serum ferritin C. Clotting test
- Aria stella reaction present in :……endometrium
- Postmenopausal bleeding ,granulosa cell tumour .effect on endometrium : (secretory or prolifetrative )
- Lancefeild grouping of streptococci : ans :(antigen on cell wall )
- Maximum level of progesterone at : Term
A. At term B. During labour 89. Stimulus for aldosterone release : A. Renin B. Angiotensin 1 C. Angiotensin 2 90. Precursor fo NO :…… L-arginin 91. Pedigree x-linked recessive 92. Percentage of T3 unbounded… A. 0.1 B. 1 % 93. Transcription require : A. RNA POLYMERASE B. DNA POLYMERASE 94. Electrophoresis A- B-thalassemia major 95. Lithium side sffect……ebstien anomaly 96. Male ptn with congenital absence of vas deference >percentage that he has cystic fibrosis ? 80% or 20 & and oher options 97. Ptn bodyache and malaise all investigations normal except elevated alkaline phosphatase: A. Gall bladder stone B. Vit.D def. 98. Ecg of ptn complain numbness and body ache . little exposure to sun? (hypocalcaemia )
- Fmg figure type of multilation: (type 1) 100-Preg.with history of DVT in previous preg. A. LMWH B. LMWH POST delivery C. No need 101-Heat stable in pcr …..taq polymerse 102-Gasrulation from ….primitive sreak 103-Cuput medusa…. Umbilical vein 104-Amount of sperm production per day 30000 300,000 300 milion 105-Antiemetic with extrapyramidal :….metochlopramide? 106-Ptn admitted dt nausea and vomiting which vit. Needed in addition to her treatment( B6 /B12/FOLIC ACID …?) 107-Picture of tall man (klinfelter) ask about laboratory results: (LOW TESTOSTERON AND high SHBG ,FSH & LH ) 108-37WS Preg. Itching in palms: investigations high bile acids 50: INDUCTION OF LABOUR Or START URODEOXYCHOLIC Aacid and follow up at 40 ws IgM –VE IGG –VE 112-Mismatch repair associated with which tuomour: A. Clear cell carcinoma? 113-Role of G-6-PHASPHATASE : A. Production odf NADHP IN RBCs
- 3QS about ABGs
- One q calculate NNT
- About VZV
B. Phosphorylation of glucose 114. MOST common endometrial sarcoma A. Uterine leiomyosarcom B. Endometrial stromal sarcoma C. adenosarcoma 115. karyotype of male Edward…..47 xy 116-peptide transport ……..active or passive diffusion 117-free fatty scid transport ….passive diffusion 118-demarcation of indirect and direct inguinal hernia A. lacunar ligament B. round ligament C. inferior epigastric vessels 119-scenario about shoulder dystocia management ….mcroberts maneuver 120-hiv virus replication depend on which enzyme…reverse trancriptase? 121. krebs cycle occure in ……mitochondria 122. complement synthesis ….liver 123-Which Study design describe comparison between Shoulder dystocia and neonatal birth weight ? A. Prospective Cohort B. Retrospective cohort C. Case control D. Cross sectional E. RCT 124-106. Inflammatory hormone nt affected by NSAIDS a. leukotriens B. bradykinin C. cytokine
126-Sample size 30, variance 25 and standard error of mean 3 What is the data set's Standard deviation? A. 2 B. 5 C. 8 125. Interquartile range calculation for Data: 2,3,4,5,6,6,6,7,7,8 ,9 Ans 3 127. rate of atypical hyperplasia to become malignant 12% in 10years and 28% in 20years
- A post-menopausal pt with urinary frequency and dysuria, topical estrogen given. It improves her symptoms by acting on A. bladder mucosa B. bladder trigone. C. lower vagina D. upper vagina E. External genitalia 132-Lower part of vagina is derived from: 1-endoderm 2-urogenital sinus
- CD4 PART of :…. T-cell?
- which of the following cell types lyses cells that have been infected with virus: A-CD4+T cells B-CD8+T cells
- lymphocyte production occur in: A. Bone marrow B. Lymph node
- cells has arole in phagocytosis and account 2:5%of wbcs: A. Easinophils B. Basophils C. Neutrophils D. Mast cells
- gastrulation from…… primitive sreak
- most comman change in fibroid …..hyalin deg.
- transport of glucose to featus ……facilitated diffusiinl
- ductus arteriosus between…….pulmonary a.& aorta
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cell not affected by radiotherapy ….cerebral cortex
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which hormone responsible fer epiphyseal fusion: A. GH B. ESTRADIOL
- Closure of neural groove complete at which embryological age : A. 20 B. 25 C. 30 D. 36