🏠/MRCOG Part 1 — Study Book/Appendices/Recalls/2021 07 Recall

2021 07 Recall

MRCOG Part 1 Recalls — July 2021

Crowd-sourced recall questions from the MRCOG Part 1 exam.

Recall paper july 2021 1 /Chalamydia cause congenital infection This question was in table box Ophathalmoa neonatorum✅ Neonatorum pneumonia Epidydymis auditis Reiter’s Syndrome 2 /Heparin structure Polysaccharides ✅ 3/. GBS Rx if pancillin allergy Ciprofloxacin Oflaxocin Clindamycin Erytheromycin ✅ Gentamicin 4. fluconazole MOA Explain:

Fluconazole that of other azoles, involves interruption of the conversion of lanosterol to ergosterol via binding to fungal cytochrome P-450 and subsequent disruption of fungal membranes. 5. pt pregnant developed goiter Which nerve injured or copressed Recurrent laryngeal Nerve ✅ Superior laryngeal Vagus Hepatic Pheranic 6. pt has eclampsia cause intracranial hemorrhage cause which artery Meddle cerebral Artery✅ Post cerebral art Vertebral Basalir Art Ant communicating Art Post comunicating Art

  1. molecules for HIV can not enter in host cell ? Glycoprotein Polysaccharides Much polysaccharides Lipoprotein

  2. table box 2nd Arch which structures 2nd pharyngeal arch derivatives The nerve associated with the second pharyngeal arch is the facial nerve (CN VII). It innervates all the muscular derivatives of the 2nd arch – the muscles of facial expression, stapedius, stylohyoid, platysma and the posterior belly of digastric. 

  3. lynch ca has Miss match mutation Which gyn ca has Miss match mutation Endometrial ca Cx ca Ovarian ca✅ Vulval ca

  4. pic laparoscopy cut section arrow mark structure Diagnose ? Uterine Art Ovarian Art Ureter ✅ Int iliac Art

  5. Origin of allantois Intermediate Mesoderm Endoderm✅ Ectoderm

  6. most common structure involve in Endometriosis? Ovary ✅ Uterus Fallopian tube Abdominal cavity
  7. ovary coverd by which epithelium? Cuboidal ✅ Transitional Columnar
  8. pt with hematuria nocturia Cystoscopy done , biopsy show papillary structure which ca involve Transitional ca ✅

Squamous ca 15. Most common vulval ca ? Squamous ca ✅ 16. 54 yrs old , post menopausal bleeding 3 wks back , biopsy done , Endometrial thickness 1.2mm , what will be the chances Of Endometrial ca Endometrial hyperplasia Endometrial polyp Adenocarcinoma 17. 36 yrs old with heavy bleeding Hx of polyp, polypectomy was done , Tvs. Done endometrial thickness 18mm With small echo4x5x3 thickness Rt ovary normal Left ovary hypoechoic 20-30mm What is ur diagnosis? Endometrial hyperplasia

Sub mucous fibroid Endometrial polyp 18. spindle shape cells formation With pulmonary pneumonia with meigs syndrome Cause Fibroma✅ 19. skeleton and cardiac muscles forms and in Which cells size increase Hyperplasia Hypertrophy ✅ 20. In which condition vas deference absent Cystic fibrosis✅ Kallman syndrome Turner syndrome Klinfilter syndrome 21/During forceps delivery which fetal nerve Damaged V

Vll facial N ✅ X Xlll 22. life long Risk in BRCA1 10 %breast 30% ovary 30% breast 30% ovary 50% breast 30% ovary 75% breast 50% ovary ✅ 75% breast 60% ovary  23. Qustions abt cx incompetence In singletons and twin table graph 24. scrotum lymph nodes drain into Inguinal

Superfacial ✅ Ext iliac Int iliac Explain: Scrotum. ... The veins of the scrotum accompany the arteries, eventually draining into the external pudendal vein and subsequently the greater saphenous vein. Lymphatic drainage of the skin of the scrotum is by the external pudendal vessels to the medial superficial inguinal lymph nodes. 25. ureteric bud formed from Mesonephric duct ✅ 26. pic Arrow on Bladder trigone Develop from Mesonephric duct ✅ 27. pic Ant Abdominal wall arterial Supply Inf epigastric art✅ Superfacial epigastric art Superior epigastric art Lat circumflex art Ext ilic art

28/. Pt laparoscopy done for ovary Where pain will radiate Umbilicus ✅ Lat groin Lumber region Medial thigh 29. image iliucus muscle Nerve supply Obturator Int pudebdal Femoral Nerve ✅   30. primary Hyperaldosteronism Table box HTN + hypernatremia + hypokalemia 31: Renin secrets from which cells Cell of juksta glomerular✅ Afferent cells

Pulmonary type 1 cell In liver Explain: Renin is an enzyme secreted by the juxtaglomerular cells of the kidney. It interacts with aldosterone in a negative-feedback loop. 32. Ductus venosus join Ivc with umbilical vein✅ Umbilicus with sup vena cava Ant atrium and rt ventricular 33. Image ECG with pt with spasm and numbness Hypocalcemia ✅ 34. Table with Pt has O+ grp what Antibodies thr AB with Danti

  1. serotonin precursor Tryptophan ✅
  2. Pt 37 yrs cx old sudden collapse what wil u do nxt step Left lateral tilt CPR Shake and shout✅
  3. Cryspra DNA plus Enzyme ✅
  4. which structure present on medial side of Ant iliac spine ? Femoral N Genitofemoral Lateral cutaneous Nerve ✅

  5. finastride reduce which harmone 5 Alfa reductase ✅

  6. pelvic cavity Showing arrow is Arcuate line  41:/30 year-old woman with bipolar disorder is 12-week pregnant. She has been taken her lithium every night. Which of the following abnormality may occur if she continues to take lithium? (SEPT 2017) A. Tetralogy of Fallot's B. Dandy walker syndrome C. Ebstein Anomaly ✅ D. Limb reduction deformity E. Transposition of great arteries 42/The antibacterial action of BenzylPenicillin is due to its effect on? a. Cell membrane permeabilty b. Cell wall synthesis ✅ c. Protein synthesis d. DNA synthesise RNA synthesis

  7. pt went for Appendicectomy

Supply by Appendicular artery This artery Branch of a. Ileocolic artery✅ 
b. Sup mesenteric a. c. left colic a. 
d. middle colic a. e. right colic a 44. What is the most common cause of the female urethral caruncle? A. Trauma B. Tumour C. Infection D. Hypoestrogenism✔✅✅ E. Congenital 45. Which of the following is precursor of Serotonin? A. Histidine. B. Glycine. C. Arginine. D. Tyrosin E)Tryptophan ✅ 46. What is the contrast dye used in MRI scans?

A. Iodine
B. Barium
C. Thallium D. Gadolinium ✔ ✅ E. Tecnisium 47/When Choriocarcinoma metastasizes, it has a predominantly spread by which route ? A. Direct invasion
B. Hematogenous✔✅
C. Lymphatic D. Surface implantation E. Transcoelomic 48. What sexually transmitted disease (STD) is caused by Haemophilus ducreyi? A. Chancre B. Chancroid✔✅ C. Granuloma inguinale D. Condyloma acuminatum E. Molluscum contagiosum 49/Which is common malignant tumour in newborn? A. Retinoblastoma
B. Teratoma C. Neurofibroma D. Sarcococcygeal teratoma ✅
E. Granulosa cell tumour 50/Which of the following is contraindication of the use of oxybutynin?

A. Dry mouth ✅
B. Narrow angle glaucoma C. Diabetes mellitus D. Parkinsonism E. Peptic ulcer 51/A neoplasm of the female genital tract occurring in an 18-year-old girl whose mother was treated with diethylstilbestrol during the pregnancy is likely to be a: A. Brenner cell tumor of ovary B. Teratoma of ovary C. Sarcoma botryoides of vagina 
D. Clear cell carcinoma of vagina✅ 
E. Squamous cell carcinoma of vulva 52/Active form of Vit-D is produced in which organ? a. Skin
b. Liver c. Lungs d. Kidney ✔✅ e. Adrenal glands 53. Considering the following pedigree.What is the mode of inheritance?  A. Autosomal dominant B. X-linked dominant 
C. Y-linked dominant 
D. Autosomal recessive E. X-linked recessive ✔

  1. A 60-year-old with erythematous erosive lichen planus on the vulva. What type of cancer is linked to lichen planus?) A.Squamous cell carcinoma ✅
B. Basal cell carcinoma C. Merkel cell carcinoma D. Malignant melanoma E. Adenocarcinoma 55/Bacterial vaginosis is diagnosed with depletion in numbers of which organism? 
A. Lactobacillus ✔✅ B. Mobiluncus C. Gardnella vaginalis
D. Trichomonas vaginalis E. Trepenoma pallidum.
  2. A 33-year-old woman is admitted with surgical wound infection after emergency caesarean section for suspected fetal compromise. Culture of the wound demonstrates methicillin-resistant Staphylococcus aureus (MRSA). She has no known allergies. Which is the most appropriate treatment? 
A. Cephalosporins 
B. Clindamycin C flucloxacillin D. Clindamycin and vancomycin ✔✅ E. Piperacillin/tazobactam 57: years old women who regularly takes insulin for diabetes. Presents with lethargy and loss of weight , TSH is low & Total T3 high ?

A. Graves' disease✅ B. Hashimotos thoiditis
C. Toxic nodule D. Ketoacidosis
E. Hypothyroidism 58. What is the anatomical space of External uretheral sphincter? A. Superficial perineal pouch. B. Deep perineal pouch.✅
C. Ischiorectal fossa. D. Superficial inguinal space. E. Deep inguinal space 59. To reduce postoperative pain after caesarean section, an obstetrician performs ilioinginal￾iliohypogastric nerve block (IINB) on his 25-year-old patient. What is the nerve root of ilioinguinal and iliohypogastric nerve? 
A. T12 B. T11 C :L1✅ D. L2 E. L3 60. What is the level of dermatome for epidural at umblical region ? A. L1 
B. T12
C. T10 ✔✅

D. L3 E. L4 61/Which class I major histocompatibility complex human leucocyte antigen (HLA) is Not expressed in extravillous trophoblast? Table box in this question 
A. HLA-A + HLA-B✅ B.HLA c C. HLA-C +D 
D. HLA-F 
E. HLA-G 62/The most biologically active form of vitamin D is A. Calcidiol 
B. Ergosterol C.7-dehydrocholesterol D. 1, 25-Dihydroxycholecalciferol (calcitrol)✅  63. You are carrying out analysis of a new test for DVTs and decide to plot a receiver operating characteristic curve. What are the axes of the curve?(MARCH 2016) 
A. Sensitivity versus Specificity B. Specificity versus Sensitivity C. Positive Predictive Value versus Negative Predictive Value D. Sensitivity versus (1-Specificty)✔✅ 
E. (1-Sensitivity) versus Specificity

  1. A 32-year-old female presents with a two month history of breathlessness, tachycardia and menstrual irregularity. Her Investigations revealed: 
SerumhCG negative Serum T4 178 mmol/l Serum TSH0.05 mU/L
Prolactin400 mmol/l 
What is the most likely diagnosis? A. Primary hypothyroidism B. Graves' disease✔✅ 
C. Hashimoto's thyroiditis D. Multi-nodular goiter 65/spirometry qustions and pic Thy asked Residual volume ✅ 

  2. Placement of cup during ventose delivery when the neck is flexed A. sagittal ✔✅ B. Coronal C. Temporal D. Frontal E. Lamdoid

  3. Pregnancy related nausea and vomiting uses PUQE index. What is the Maximum score? A. 5 B.11 C.15✔✅ D.20

  4. Joint which resist horizontal rotation of the pelvis A. Sacroiliac✅ B. Sacrospinous C. Ileolumbar D. Sacrotuberous sacroiliac joints Large diarthrodial joint made up of the sacrum and the two innominates of the pelvis. Each innominate is formed by the fusion of the three bones of the pelvis: the ilium, ischium, and pubic bone. The sacroiliac joints are essential for effective load transfer between the spine and the lower extremities.
  5. Most common dermatitis in pregnancy( not around the umbilicus) A. Atopic Dermatitis B. Pustulae C. Pemphigoid

D. Polymorphic (PUPP)✅ E. Obstetric Cholestasis 70/Most common protozoan causes zoonotic infection(cerebral calcification, retinitis) (NEW) A. Chlamydia B. Plasmodium C. Toxoplasma✔ D. Trichomonas E. Gardia lambia 71/Prostaglandin is A. Autocrine B Paracrine ✔ C. Endocrine D. Eccrine E. Exocrine 72/In ECG, Normal not represents A. Atrial depolarization B. Ventricular depolarization CVentricular repolarization D. Atrial repolarization E Delayed repolarization ✅ 73/prophylaxis dose of Anti D in 2 doses in which Gest age u will prescribe?

A . 36 wks B.20-24 wk C24-28 D 28-34 wks ✅ 74. Abnormal LFTs, HbsAg -ve, HbeAg -ve, HbeAb +ve, HbsAb 3miu/hr,HbcAb +ve A. Chronic infection ( high infectivity) B. Chronic infection ( low infectivity) ✅ C. Post vaccination D. Immune to Viral Infection E. Acute infection 75. 35 y/o first papsmear , low grade dyskaryosis, next step? A. Colposcopy B. Repeat after 6 months✔ C. HPV testing There was questions abt mild dyskaryosis But forget scenario 76. Which of the following is true for a patient whose pre-transfusion blood type is group O?

A. + AB antigen -ve antibodies B. + A antigen +ve B antibodies C. + B antigen -ve A antibodies D. - AB antigen +ve Anti A and Anti B antibodies ✅ E. + AB antigen and +ve AB antibodies 77. Macrophages develop from Monocytes ✅ 78. Which immunoglobulin secret in mucosa IgA ✅ 79. Except nucleus DNA in which part of cell do Work 80. Primary amenorrhea with absent uterus, vagina ends in a blind pouch, normal breasts and scant pubic hair is seen in with( bilateral hernia . ) ?? A. Klinefelter Syndrome B. Mayer Rokitanski Kusher Hauser Syndrome C. Turner's Syndrome D. Androgen Insensitivity Syndrome ✅ E. Noonan Syndrome

  1. Why ramifentanyl used in patient controlled analgesia? ANSWER: Short acting easily metabolized by serum esterase✅
  2. Diagnose Complete Mole ??  Diagnose Complete mole ?
  3. pic Diagnose the Arrow What is this structure?? Uterine Art CIA EIA IIA Ureter ✅ 
  4. Post lap ligarion as daycare surgery pt was admitted for pain management. Given morphine. After 6 hrs pt cmpls of pain. A cystic swelling present upto umbilicus. Tender with oozing from port sites....

diagnosis? Urine retention ✅ Hemorrhage Infection 84/. Pentamer IgM✅ IgA IgE 85/The vitamin causing pellagra.... Cause Dirrahea dermatitis dementia death niacin, ✅ cobalamin, pyridoxine, thiamine 86. Pic of cervix - - Columonar epithelium✅

  1. The only content of lesser sciatic foramen? Tendon of obturator, pariformis Internal pudental vessels
  2. Tendon of obturator✅
  3. image Which structure differentiates superficial perineal pouch from deep -PP Perineal membrane ✅
  4. CtG picture G2P1 , term , mid wife noticed ctg showing variable deceleration for last 20 minutes rest ctg was reactive normal , p/v exm os 6 cm , Wat wio be the next step -FBS ✅ -type 1 cs Type 2 c/s Oxytocin Augmentation -Cont ctg reasses after 30 min 90: /

Finesterde act on enzyme - 5 alpha reductase✅ Aromatase 11 hydroxylase 91. Qustion abt Odd ratio 92. qustion abt NPV 93. qustions abt sensitivity 94. qustions abt RMI 95. 53 yrs bilateral multiloculated ovarian cyst With CA125 50u Key 50 100 450✅ 96. pedegree chart X linked Recessive 97: qustions abt Achondroplasia Asked abt pedgree?

  1. Most common degeneration in fibroid ??
  2. Hyaline✅ Ischemic Red
  3. Maximum radiation exposure in Hystero contrast salpingography Hysterosalpingogram✅ Lap and dye test
  4. The girls on a hill trek...hyperventilation The acid base balance q: ph 7.47 PCO2 8.2 HCO3 25
  5. Respiratory alkalosis ✅ Resp acidosis Metabooic acidosis
  6. Prev 3 caesarian sections, placenta now invading upto on to the layer of serosa... ?

ans￾pl percreta Pl increta ? Key 102. / Site of vassopressin ADH production is Supra and paraventricular✅ 103. In OR Diathermy burn High density small return plate Low density earthed Low density small return plate 104: ) vit k 1 source Green leafy vegetables ✅ Oil fish Egg Milk 105. DNA work on nucleus its functions in other cell structures Mitochondria Ribosome RER SER Golgi Apparatus

  1. Pt 12 wks pregnant , known case of epileptic pt is on carbamazepine and on lamotrigine. How many percentages fetal congenital Anomalies occurs ?

    10% 30% 40%'m 60

  2. Psammoma bodies contain calcium✅ Na K Cl 108: Test done from maternal to fetus for gene Cell free Fetal DNA source✅ Cell free RNA Rbc in fetal blood Rbc in maternal blood
  3. DMPA side effec Acne Weight gain Irregular bleeding ✅ Reduced bone mineral density
  4. which layer ablated for mennorrhegia-

functional layer of endometrium - Basal layer ✅ 111. 20 yrs old pt HPV type for high grade cervical lesions...according to pt she is already vaccinated, 6 11 16 ✅ 18 31 Explain . Common high-risk HPV types include HPV 16 and 18. 112. pic Umbilical cord Diagnose Arrow structure Umbilical Vein 

  1. for post natal for lactation , stimulation occurs by which hormones Table box Prolactin oxytocin Prolactin estrogen Oxytocin HPL Prolactin estrogen oxytocin
  2. Gest age which type of variable data ? Interval✅ Nominal Ratio Ordinary
  3. After implantation Spiral artery Invades in hypoblast Syncytotrophoblast External trophoblast Deciduae
  4. pt Has HsV Herpes what local treatment wil apply

Acyclovir ✅ Betnovit Question from past copy paste A 25-year-old woman patient presents with number of small genital blisters. A swab results reveals a diagnosis of genital herpes. Which of the following is the best drug to be used to treat this patient? A. Topical acyclovir✅ B. Topical gabapentin C. Topical tacrolimus D. Topical ultrapotent steroid E. Steroid with antifungal 117. Intraoperative cell salavage blood loss during cesarean section 20%✅ 30% 50% 118/Aspirin MOA

119/Qustion abt type 2 error 120. ECG Supraventricular techycardia Atrial fulter Atrial fibrillation 121. Clindamycin MOA 122. pt hepatic surgery going on Hepatic artery pressed bcz of the bleeding Some maneuver apply , that artery compressed at Hapatic porta ✅ Celiac SMA 122. Ext pudendal art is branch of Femoral art ✅ Obturator Int pudendal Ext iliac art 123. Hepatic art is branch of

Celiac Rt gastric 124. Enzymes of glycolytic pathways present in Mitochondria Cytoplasm 125. Mother on lithium fetal Anomaly Ebstain Anomaly occurs ✅ 126. Benzoyl penicillin MOA 127. which is co factor for DNA synthesis Folic acid Biotin Vit C 128. ferrous to ferric conversations occur by which vit Vit C✅ Vit k Folic acid

  1. Rheumatoid arthritis decrease in pregnancy d/t Th1 Th2
  2. Membranes attack complex C5-C6 C5-c 7 C5-8 C5-9✅? C5-10
  3. pulmonary capillary wedge pressure in pregnancy ?
  4. Testosterone to DHT Enzyme 5A reductase ✅ Aromatase

  5. for genes cheromosomes what 2 word use Alleles

  6. complex or atypical endometrial

  7. post op TAH aftr 26 hrs fever 38c wat is the reason Physiological cytokines release✅ Over iv fluid Antibiotics Allergy
  8. structures leave through lesser sciatic foramen Pudendal art Periformis muscle Obturator internus
  9. 37 wks uti with allergy from pencillin Ceftrixone given already , wBC > 100 ecoli + ve Ceftrixon R Coamoxiclave S Nitroforantoin S Trimethoprim S ✅
  10. Reltrgavir MOA

  11. preterm graph with cervical length in twin and single

  12. Maternal death cause according to MBRRACE 2018 most leading cause Cardiac disease✅ Hemorrhage VTE Sepsis Eclampsia

  13. 65 yrs old with Residual volume is 50 ml 39ml 100ml✅ 500ml
  14. NK cells belongs to Lymphocytes ✅ Macrophages Eiosinphil Basophil
  15. shelf life of whole blood 1 wk 5 wk 7 wk✅

3 days 144. CRISPR -Cas9 Enzymes and DNA ✅ 145. in laparoscopy additional port insert which artery injured Inf epigastric art Sup epigastric art Obturator 146. sympathetic nerve supply of the bladder Hypogastric Pelvic splenchnic n Sympathetic Parasympathetic 147. SEM qustion standerd error mean 148. Qustions abt ABGs Thr was graph Hco3 and ph given  149. In pph first surgical intervention

Ballon tamponade✅ Blynch brace suture Uterine art ligation Hysterectomy 150. pic for location of Epidural Anesthesia Betwn vertebrae and archoniod matter ✅ 151: / lichen planus increase the risk of Squamous cell ca if the vulva ✅ 152. which gland duct open in labia minora Table box Skenes duct Vestibule Bartholin gland Clitoral vedtibula 153. Sacrospinous fixation which artery injured ? Pudendal art ✅ Sup gluteal art

Obturator art Femoral art Inf rectal art 154.  155.  156.  157. Levonorgestrel IUS secretion in 24 hrs 20ug✅ 52ug 50ug 35ug 158. prolactine secret from lactotrophes How many lactotrophes in ant pituitary 20%✅ 30%

40% 159. oxytocin not given orally bcz Disturb Gastric epithelium and secretion destroyed by gastric juice 160.  Thr was table box Ph increase all othr decrease 161:/.  Bhcg increasing 400 to 700 aftr 48 hrs Key was normal pregnancy ✅ 162. pt twin pregnancy 11 wks Both alive Normal pregnancy DCDA, with sever nusea vomiting Loss 2 kg weight Low TFT Treat hyperemesis and repeat blood test aftr 1 wk ✅ Termination of pregnancy Terminate 1 fetus and continue 2 fetus pregnancy

  1. Bile acid level harm for baby during pregnancy needs to deliver the baby ? 20 30 40✅ 50
  2. what is Abortion % in 30 yrs old primigravida 10% 30% 20% 165/. Which muscle not pass perineal body Ischocovernous ✅ Bulbospongiosis Ext voluntry urethra Ext anal sphincter

  3.  Arrow thy asked sup perineal colles fascia ✅ 

  4. for synthesis of DNA which vit is required Folic acid✅ Vit c Vit k VitB6

  5. Amplitude down ward in usg with reflect Scattering , Amplitude Allucination
  6. GFR peak at what gest age ? 30 34 32 36
  7. Adult fetal Hb A when synthesized 30 wk 36 wk At birth Postnatal day 7
  8. ACE inhibitors anomaly most common which organ

Cvs Cns Kidney ✅renal agenesis 172. Debigartan anticoagulant Factor v inhib Factor xa inhib Thrombin inhib✅ Vit k antagonist 173. Recurrence rate of Ectopic pregnancy 10-20✅ 20-30 40 50 174. lynch syndrome Include which ca Ovarian ca Endometrial ca Cx ca 175. qustion abt obesity

P value given Risk factor 80% 20% 40% 40% 80% 176. pt after Anesthesia went in Hypotension What is the cause ? 177. What is the term used for the anticancer agent methotrexate? plant alkaloid Antimetabolite✅ Alkylating agent Chain cutting agent Intercalating agent 178. Hydralizine MOA Its direct action on Relax the smooth muscle ✅ 179. pt with cervical ca What Rx for radiotherapy Type of radiotherapy inside vagina

  • Brachytherapy✅
  • qustion abt syphilis IgG+ve vdrl +ve and tpha neg..So false positive was the answer✅ Copy paste qustion from recall 34-year-old woman has just returned to the UK following missionary work in the northern parts of South America. She is delighted to be pregnant and presents for booking at 12 weeks of gestation. After counseling she agrees to have routine blood investigations including screening for syphilis. The results are returned as follows: Venereal Disease Research Laboratory (VDRL) test REACTIVE Treponema pallidum particle agglutination (TP-PA) test NON-REACTIVEF Fluorescent treponemal antibody absorption (FTA-Abs) test NON-REACTIVE What is the most likely appropriate interpretation of these results? A. Consistent with treponemal infection at sometime B.Diagnostic of latent syphilis C. Indicative of early primary syphilis D. Likely biological false positive✅ E. Suggests a past treated infection

181:/ Nijerian pt went in labour Midwife wants to give episiotomy She noticed complt abscent clitorus , labia minora , majora normal , Type of genital mutilation after clitorectomy clitoris excised..Labia normal..No cauterisation.. type 1✅ Type 2 Type 3 182. A women aged --45yrs with right adnexal cyst with torsion like symptoms diagnosis? A.cystadenocarcinoma B.dermoid cyst ✅ C.peritoneal pseudocyst D.fimbrial cyst Same Question copy paste from recalls Which of the following ovarian tumor is most prone to undergo torsion during pregnancy? A. Serous cystadenoma B. Mucinous cystadenoma C. Dermoid cyst✅ D. Theca lutein cyst E. Corpus luteium cyst

  1. Which of the following forms the lateral wall of the ischio-rectal fossa? A. Anal canal B. Levator ani muscle C. Coccygeus muscle D. Obturator internus ✅ E. Obturator externus
  2. Heamatopiotic function start at which gest age 4wk 6 wk 12 wk 185/. A 22-year-old primiparous woman books her pregnancy at 11 weeks’ gestation. Her booking blood tests reveal a haemoglobin level of 10.1 g/dL. Electrophoresis reveals haemoglobin karyotype HbAS. A.A2S present What is the diagnosis? A. Beta-thalassaemia major B. Beta-thalassaemia trait C. Hereditary spherocytosis D. Sickle cell anaemia E. Sickle cell trait✅?
  3. qustion was abt DNA test which technique wil use for DNA PCR ✅

Question was like this but thr was changing Which of the following laboratory techniques is used to amplify very small amounts of DNA? A. Western blotting B. Northern blotting C. Polymerase chain reaction✅ D. Eastern blotting E. G-banding 187. Not sure but i think this question came in exm 32-year old woman complains of amenorrhea since delivery of a baby 15 months ago. The delivery was complicated by excessive hemorrhage that required transfusion of 2.5 liters of blood. Few days later she complained of failure to produce any breast milk. The most likely cause for this is damage to which of the following endocrine glands? A. Hypothalamus B. Anterior pituitary✅ C. Posterior pituitary D. Thyroid E. Adrenal cortex 188. scenarios was like this

large prospective study is designed to assess the association between postmenopausal hormone replacement therapy (HRT) and the risk of dementia, Alzheimer type. The investigators report a statistical power of 90% and p value of 0.05. What is the chance of committing type II error in this study? A. 5% B. 10% C. 15% D. 50% E. 90% Question came on type ll error 189. scenarios was like this but i think it was same or thy change the readings In a study of 100 women presenting with symptoms of preterm labour, a cervicovaginal fetal fibronectin (fFN ) test was assessed in predicting spontaneous preterm birth. The following results were obtained: Preterm birth present fFN test positive 5 Preterm birth absent 20 fFN test negative 15 What is the Negative predictive value (NPV) of this test? A. 70% B. 80%

C. 85% D. 90% E. 92% 190. Remifentanil is an ideal controlled analgesia for management of labour pain because A. It is a strong μ receptor antagonist B. It has a long duration of action C. It is rapidly metabolized by tissue estrases✅ D. Multiple smaller doses over time decrease the incidence of side effects E. It cannot cross the placenta 191. Qustion abt Diathermy Low frequency High frequency ✅ Ground plate Secure surgeon 192/. A 65-year-old woman has a sudden onset loss of speech and hemiparesis. On arrival in hospital her symptoms and neurological examination is suggestive of a cerebrovascular incident. Subsequent imaging supports the diagnosis of an ischaemic stroke, affecting her left cerebral hemisphere. Which of the following forms of tissue necrosis is associated with her loss of function? A. Caseous necrosis

B. Coagulative necrosis C. Colliquative necrosis✅ D. Fat necrosis E. Gangrenous necrosis 193/A 40-year-old woman who had a laparoscopic tubal ligation 6 hours previously complains of abdominal pain, not relieved with analgesics. On examination a tender cystic mass felt under umbilicus with oozing pus from one of the port sites. Blood test results and are as follows: Haemoglobin 11 g/dl Total white cell count 17.0 x 109/l Platelets 145 x 1012/l What is the most likely diagnosis? A. Urinary retention✅ B. Major Vessel injury C. Bladder injury D. Ureteric injury E. Port Site infection 194. Which structure connect with ductus shunts ? Umbilical vein to umbilical IVC ✅ In the fetus, the ductus venosus (Arantius' duct after Julius Caesar Aranzi[1]) shunts a portion of umbilical vein blood flow directly to the inferior vena cava.[2] Thus, it allows oxygenated blood from the placenta to bypass the liver

  1. fetus with abdominal anomaly Liver and intestinal parts not covering with Amnion Wat is diagnose Omphalocele Gastroshasis ✅ Mickel diverticulom
  2. thr is no Effects of ultrasound on 12 wks gest age ? Question was like this but complt question i forgot Effects on soft tissue Effects on cranium Effects on skin Few questions keys r not correct , kindly recheck and solve it , Regards Dr Eman Khursheed Needs dua
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