2021 Gynobst Recall
MRCOG Part 1 Recalls — 2021 (GynObst Compilation)
Crowd-sourced recall questions from the MRCOG Part 1 exam.
18 January 2021 Mrcog p1 paper
1:GnRH release by which abdominal organ
Liver
Stomach
Duodenum
Pancreas
Terminal ilium
2: Origin of the apendix of testis
paramesonephric ( wollfian)
A testicular appendix (alternatively called appendix of testis or appendix testis, and historically also known as hydatid of Morgagni) represents a developmental remnant of the paramesonephric duct (Müllerian duct) which is situated in the upper pole of the testis inside a groove between the testicle and the head of epididymis
3 : looks Origin of faiciparum ligament in the laparoscopic picture....
Ventral mesentry
Umbilical ligament
Broad ligament
Umbilical vein
4: Man with klinefelters... hormones??
Testosterone low}
SHBG dec. }. All findings ✅
Fsh and LH high }
5: Voiding graph??
Normal flow rate of the urine ✅

6 :Partograph image
Action line
Alert line ✅

7: vulval image Clitoris mutilation??
Type 1✅
Type 2
Type3
8: PDA congenital anomaly occurs at DA , at birth time close Ductus Arteriosus so DA occurs btwn in which 2 structures
Pulmonary artery and aorta✅
Pulmonary vein and aorta
Rt strium and left atrium
9: clindamycin MOA

10 :Metronidazole MOA

11:Fluconazole MOA

12:Metaclopromide can cause
Extrapyramidal parameters ✅
13: Micro tubule inhibition
Vincristine ✅
14: post cesarean/section, Ct scan with sepsis
With pain lower abdomen wants to go home ,
Temp⏫
RR⏫
Pulse high ⏫
WBC ⬆️
PCR ⬆️
On iv antibiotic co Amoxiclave
Option:
Exm under Anesthesia and remove Rpocs
Laparotomy
Change iv Antibiotics
Give oral Antibiotics and discharge
15: Qustion Abt semen analysis , all normal morphology 3 % . . Is normal
Morphology normal is 4%
teratospermia
Normal ✅
Ahzospermia
Azoospermia

16: Recurrence of tubal ectopic pregnancy
Hx of salpingectomy , wat is the recurrence rate of ectopic pregnancy?
5%
15/20%✅
30_40%

17: Transmission of chlamydia trichomonas
From mother to fetus
Direct face to face
Metrano placehtal transfer
Breast feed
18: Niserea Gonorrhoea treatment
Ceftrixone with Azitheromycin ✅
Doxycycline
Tetracycline
Ceftriaxon + erythromycin
19:trichomonas Vaginalis
Image
With 4 flagellum ✅
4 ant flagela, 1 post flag

20: What was the vulval infection in the young with non-penetration intercourse and done like eruptions??
Herpes
Molluscum cont
Bachets✅
21: Normal gest age percentile ✅

22; Preterm labour graph for cx

23: ECG image
Hypocalcemia ✅
24; Usg pic with bhcg negative irregular cycle ? With vaginal discharge
Serosal fibroid
, ? Mucinous teratoma
Ectopic pregnancy
Cx ectopic pregnancy
25: Robertsonian translocation are which syndrome. 13 14 15 21 22
Down and patau ✅
Down and turner
Down and Edward
26: Mother has chicken pox .. pneumonia chance ? In Oxford it is 10 percent
.. options were 5 percent
.. 10 to 15 percent ..
30%
5% reference essential ✅
27: Mother has flu like symptoms .. myalgia .. baby bradycardia hepatosplenomegaly... listeria ?
Listeria ✅
28: Most of percentages pt with GDM what is the chances of type 2 DM risk
50%.... actually but not in option
So
20%
30-40% ✅
60- 70%
29: Most common mutation in high grade serous adenoca
.. options were key ???
p53...
ck20 ...
ck7 ..
gata3.
..pax 8..
30: Most common mutation in lynch ???
Msh2? ✅
promotion of methylation of mlh1..


31: pt with ovarian cancer..hx if family aunt sister..ca breast , wat genes for ovary
Key ???
BRCA
HRC
P53
32: 18 wks pregnant with Hx of Previous delivery dvt.. pt was on anticoagulant thromboprophylaxis.. in this pregnancy managmnt
Start LMwH immediately✅
Post natal LMwH for 6 wks
No need for LMwH
33: Prophlyx Malaria
Mafloquine in 2-3 trimester
Chelorquine can give if mild resist to falciparum ✅
Doxycycline if chloroquine resist
34: pt post hysterectomy with
old inferior wall MI ?? Which leads involve in ECG
2,3 , IVF ✅
35: pt with Inf wall MI findings on ECG
St elevation on lead 1-2 AVR
Q wave on lead 2-3 avf ✅
St depression
QR prolong
36: Ultrasound resolution max at focal point or interface ?
Interface
Axial Resolution ✅
37: usg tissue damage by
Cavitation ✅
38: In minor PPH , how much blood loss
500-1000 without shock ✅
39: Warfarin embryopathy..
dandy Walker ..
microcephaly ..
nasal hypoplasia.. ✅
agenesis of corpus callousness
40: Power of electrocautery sI unit
Watt ✅
41: iodine transport..in thyroid by ??
Cl✅
K
No
Po
42: pt with numbness and muscular spasm on hands , pt ECG.. findings
hypocalcaemia..✅
Hypokalemia
Hypernatremia
43: CTPA and breast dose??
20Gy✅
50Gy
100Gy
150Gy
44: Pseudomonas on Mac Conkey ...agar colour developed
Pink
Green
Pale yellow ✅

45: Lancifield cell antigen on cell wall
46: Int iliac art branch abscent ??
Pudendal
Obturator
Med rectal Art✅
Uterine art

47: pt had hx of colon ca and surgery was done , Picture of ovary pt had surgery for posthysterctomy and salpengectomy??
Metastasis ovary ✅
Ovarian infarction
48: pt with malaise , bodyache
High alkaline phosphatase?
Othr lft normal
Acute fatty liver
HBV
Vit deficiency ✅
49: male ejeculation occur due to
Prostrate or seminale
Seminale vesicle ⁉️✅
Epididymis
50: Phagocystic cell...
Macrophages ✅
RER
Golgi apprt
51: pG, pregnant 37 wks pregnant
Known alcoholic fatty liver disease .. gall bladder disease .....
Bile acids 50 or same question ?
IOL✅
Steriod cream
Delivery at 41 wks
Delivery at 40 wks
52/Sperm / day release
3 million ✅
3 billion
300000
53: second generation of the progesterone
Levonorgestrel ✅
Desogestril
Desogave
54: Ongoing pph fibrinogen should be maintained above ..fibrinogen level ?
2-4ul✅
55: Case of hepatitis c
Post AB
Negative pcr
IgG -ve
IgM -ve
56: G2p1, LMP 6wk ..back , by TVS gestational
Mean sac by scan 23 mm , no fetal pole visualize,
non viable pregnancy??
Early pregnancy
Unknow viability ✅
Missed abortion
Anembryonic pregnancy
57: 5 weeks pregnant .. on tvs embryo pole 2mm ( not a sac ) something maybe intrauterine .. can’t rule out ectopic.. HCg level?
options
680
4800 ?✅

58: 3 qustions on pedegree
About X linked dominant
And Autosomal Recessive
C linked Recessive

59: Heamolytic anemia test for baby
Indirect coomb test
Serum ferritin
Cbc
Direct coomb test✅
60: Commonest uterine sarcoma
Leiomyosarcoma✅
Uterine Leiomyosarcoma. Uterine leiomyosarcoma (LMS) is a smooth muscle tumor that arises from the muscular part of the uterus. Leiomyoma, or fibroid, is a very common benign smooth muscle tumor of the uterus. A LMS may develop in approximately one to five out of every 1,000 women with fibroids.
61: Most common vaginal tumor ca
Embryonic Rhabdomyosarcoma ⁉️✅
Alveoli sarcoma
Leiomyosarcoma
Teratoma
Lymphoma
62: Common Tumor of fallopian tube
Basal cell ca
Serous✅
Mucinous
Adenocarcinoma
63: FFN ??
Pt with PROM
FNN level

Fibronectine level ?
64: Uterine contraction sensation of pain
Dermatome
T10
T12 ✅
L1
L2
Thr was no option T11
Labor pain is referred to the dermatomes T(11) and T(12) in the early stage of labor. It spreads to the neighboring dermatomes T(10) and L(1) and eventually involves the dermatomes S(2-4) during the second stage of labor and delivery.
65: Recurrant eclamsia percent??
12%
15-20%✅
30-40%
10%
50%
66: One question for sensitivity..
⁉️ key 30.. or 25
3/ 3+7 ?
67:pt 70kg weight ur going to give lidocaine
Wat is the dose
35 ml 1% lidocaine with Adrenaline
35ml 1% lidocaine without Adrenaline
40ml 1% lidocaine with Adrenaline
49ml1% lidocaine ✅with adrenaline
70ml 1 % lidocaine with Adrenaline
68: Percentage of lymphocytes
10-15
20 to 40✅
60-70
Eosinophils 2 to 5 percent
69: Cd4 cells .. t helper cells
Cd8 T helper cell
70: HIV infectivity reverse transcriptase
71: for NAAT or PCR
Wat u will add
Taq polymerase ✅
72: Renal functional unit from
metanephros
Mesonephric
Urogenital sinus
Pro nephrons
73: Hypotension in spinal
.. pregangluonic autonomic blockade ? ✅
74: Maximum ejaculate from
seminal vesicals
Epididymis
Testes
75: Chicken pox igg IGm negative scenario .. not infected previously or something ?
76: Severe nausea vomiting
Vit B1deficiency
Vit B12
Vit B6
Vit C
77: PTH Main action
Decrease calcium excretion ✅
Inc calcium absorption
Dec phosphate excretion
Inc phosphate absorption
78: Calcitonin release from
thyroid C cells ✅
Thymus
PTH
Kidney
79: Obstetric cholestatis scenario no rash severe pruritis 38weeks gest with bile acid 42 or something .. immediate induction
80: pt has recurrent Abortion
Which IHC express
HLA-G ??✅
HlA E
HLA B
81: During pregnancy pt wants to do Amniocentesis to rule out Karyotype study Wat % of Abortion
1%✅
5%
10%
15%
82: Atypical hyperplasia
less 5%
Question i forget
83: Maximum glucose transformed at
pct ✅
Collecting duct
Loop of henle
Thick ascending limb
84:Ductus arteriosus pressent between
pulm artey aorta ✅
85: Complement synthesised in liver
86:Complement that initiates the cascade leading to lysis or something ?
C3✅
C5
C7
C8
87:Inflammatory mediators nt affected by pgs..
Aldosterone
bradykinin
Cytokine✅⁉️
Cortisole
88: Progesterone peak level max
at term ?✅
At delivery
Frst trimester
2 trimester
89: Main enzymes of kerbs cycle in
Mitochondria✅
Golgi Apparatus
SER
RER
90: pt 36 wks pregnant with UTI
E coli +ve , which Antibiotic u wil not advise at 3 trimester
nitrofurantoin not to be given at third trimester ✅
Trimethoprim
Co amox
Amoxicillin
91: Warfarin precursor
prothrombin ✅
Thrombin
Factor 5
Factor 8
92: ovarian Mismatch repair genes in
clear cell carcinoma ✅
Serous
Fibroma
Mucinous
93:Cells acting against virus cd8⁉️
94: CMV symptomatic at birth
10 to 15 percent⁉️
20-30
30-40
50-70✅⁉️
95: Hpv high risk causing dysplasia ..
16 18✅
32
40

96:Direct branch supplying ascending aorta
right colic✅
SMA
Middle colic art
IMA
97: Laparoscopy port insertion of vessel below bifurcation of aorta ? Which structure damage
Right iliac vein ..
left common iliac vein ..
origin of ivc
Sup hypogastric plexus ⁉️
Lft iliac vein
98: Interquartile range .. 2,3,4,5,6,6,6,7,7,8,9..
7 minus 4 .. 3 is wat I chose
6
5
3
4
7
99: Panic attack ... breathlessness
ph 7.47
Pco2 3.9
Hco3 23
Respiratory alkalosis ✅
Resp Acidosis
Metabolic Acidosis
100: pregnant, 8!wks with nusea vomiting
Ph 7.36
Pco2 4.06
Hco3 18
Normal ✅
Resp Alkalosis
Resp acidosis
Compensation Resp acidosis
101: Vit b12 absorbed by
intrinsic factor✅
102: Power unit
watt ✅
103: statistics qustion abt
Standard deviation
SD..5 ✅
104: Homocysteine elevated in folic acid deficiency
Which vit deficiency can cause Homocysteine increase
Thr was no option abt folic acid
Vit C
Vit B12
Vit B1
Vit B6
105: statistics
False negative rate
FALSE -vec 33? ⁉️
106: Absolute risk reduction
. 50 %pain relief <50 %
New drug. 50 50
100
Placebo
100 20 80
107: Internal anal sphincter contraction by which nerve supply by ?
108: Bulb vestibule blood engorged during sexual arousal by which

Nerve supply ?
Cartisol branch of perineal nerve
Labial branch of per N ✅
Parasympathetic
Sympathetic
Pelvic Splenchnic N
109: Trimethoprim M of action??
Antimetabolite
Antifolate inhibitor ✅
110: methotraxate antidote
Folinic acid ✅
111: Q abt megaloblastic anemia which test
Serum ferritin
Serum vit b12✅
112: Tap block layers through which needles pass through for a patient after c section at suprapubic level for pain relief ..
Epidermis
Superfacial transverse fascia with
Transverse abdominals muscle and internal oblique muscle ✅
peritoneum,tranv fascia..trans abdominal?
113: treatment of atropic vaginitis
Lower vagina
Urethera
Upper vagina
Bladder trigone ✅
114: Post laproscopic vaginal hysterectomy ... 26 hrs later pyrexia .. cause ..
uti..
ureteric injury ..
fecal contamination due to bowel injury ??? Some option like cytokines release physiological post surgery
AB allergy
115: Pcos hyperprolactinemia due to ... unopposed high estrogen✅
116:shoulder dystocia chances BP injury
2.3_16%✅
117: pt has tachycardia
Calf muscle legswelling , ECG and X ray ,ABGs normal , first we do next step
ctpa
Duplex USG✅
V/Q scan
Stocking

118: Grame -ve post operative..sudomonas aregenosa ؟؟
I forget this question
119: Peptides cross placenta by
active transport ✅⏫

120: Fatty acids by
passive transport ✅
121: Hormones for vulvovaginal atrophy
⁉️ DHEA ,
androstenedione,
estriol ,
Progesterone
122: Structure giving symmetry at site of gastrulation neural groove close on 4 wk
.. primitive streak✅
Neurulation
123: pt has catheter for long duration Antibiotics for
All
Diabetic ✅
Obese
Elderly
124:

Paracarine ✅
125: Cx and upper 2/3 vaginal lymphatic supply
Aortic ,common ,ext , iliac int iliac ✅
External
Iliac
External , iliac, sacral rectal
126: Lower two third vagina derived from
urogenital sinus✅
Mesonephric duct
127; Sholuder dystocia
Retrospective study ✅
128: True and false are Data
nominal ✅⁉️
Ordinal
Interval
Ratio
129: Primordial germ cells at 4th week of embryonic age are present at ?
Yolk sac ..
celomic cavity ...
mesentery of midgut..
genital ridge in posterior wall
130: close neural tube groove on day
30,
35 ,
20
50
131: Atom used in MRI ,
hydrogen
Carbon
132: absence of vas deferens..cystic fibrosis mutation chances
80%✅
70%
30%
15%
133: Half life of LH ?
20 minutes ✅
12 hrs
24hrs
36hrs

134: Inflammotaroy mediator not affected by nsaids??
135: lymphocytes origin from
Bone marrow ✅
Liver
Thymus ?
136: Nerve supplying area over femoral triangle
Genitofemoral
137: Superior hypogastric plexus, just below aorta bifurcation
With verres needle injury..
commonest vascular injury..✅

138:

This time thy gave extra 20 postnatsly i think deliver at 28 wks
139; Sex determining gene on
short arm of Y chromosome✅
Long arm of Y chromosome
Short arm x cheromosomes
Long arm x cheromosomes
140: Caput medusi by
Umbilical artery
umbilical vein ✅
141: G6pdh function
Nadph convert fructose
Change in RBCs


142: Sigmoid has
mesentry , inf mesentry artery and preaortic and inf mesentric nodes✅
143: Ovarian serous carcinoma immunohistochemistry✅
144: Family hx of breast ca and pt has ovarian mass wat is gene mutation?
BRCA
P53
145: Indirect Inguinal hernia divide by
Round ligaments
Inf epigastric artery✅
146: Pain less ulcer of vulva by
treponema pallidum ✅
147: Granulosites with weak phagocyte quality and some percentage ??
148: Chorioamnionitis transfer by
heamatomogical✅
Lymphocytes
Trancelomic
149: Ctg speed ?
1 cm/ mint✅
3cm/mint
10cm/mint
5/cmmint
150: Para vesical and infra rectal structure divide by
uterine artery✅

151: lady is alright , pregnancy test negative on u/s uterus and adnexa normal and collection in pouch of douglas ???
Case looks Endometriosis?
PID ?
Options forget
Usg
Laparoscopy
Antibiotic ✅⁉️
MRI
152: Testosterone to dht by which enzyme
5 alpha reductase ✅
Aromatase
153: VDRL question
For syphilis
False negative ✅
154: VZV pt don’t know immunised or no
Bzv igG and M not detected?
155: Pt 18 wks present test done HCV
IgG negative
156: Extoxin are
heatllabile and antigenic gram positive and gram negative
Gram negative aerogenosa?
157: Free t3 percentage .. percent
1%✅
158: Cause of hyperprolactinemia??
159: Resting ovarian follicles maturation
.. 300 days✅
160: Doxazosin MOA??
Alpha adrenergic antagonist ✅
161: Achondroplasia⁉️
AR
Offspring involve
1/4
2/4
162: Enzyme used in DNA amplication??
PCR ✅
Northern
Southern
163: Young girl hx of DUB
Cbc done
Nxt step
Clotting analysis ✅
164: Test for NAAT use
taq polymerase✅
165: In Ammonia production by which enzyme
Glutamase ✅
166: What about NNT??
5
3
33
75
81
167: In uric acid
Xanthine oxidase
168: On Edward Karyotype
47xy✅
47xx+18
46xx
46xy
169: Btween anatomical and histological os ?
During cesarean section
Anatomical and histologically seprt uterus corni and int cx os
Paravesical membrane and cx int os
More blood supply at cx int os
Or less blood supply lower segment elestic
170: Clear cell CA ovary..what rises??
calcium ✅
Mg
K
Na
171:Type of influenza for immunization
Killed
Live att
Subunit
Toxin
Inactive ✅
172:in 2019 Direct cause of death

Cardiac indirect cause
VTE ✅
Sepsis
Hemorrhage
173:

174: Second generation of progesterone?!
Levonorgestrel ✅
175: Post menupause
FSH
AMH
LH
Estrodiol
176:Transcription
RNA polymerase ✅
177: prolactin secreting..
adenoma✅
178:Epiphyseal closed at puberty by
Estrogen
Estriol
Estradiol✅
179: Pict of metastatic ovary
180:post menopausal with DUB with
granulosa cell.tumor Endometrial chsnges like
Proliferative✅
Secretary
181: for gene which bound use in DNA
G band ✅
C band
D band
182: in uteine contacraction which channel effect for get question
Gap junction✅
Channel open
ATPs
183: Normal placental site
Pic of placenta difrnt location n types
It was normal localized placenta ✅
184: Origin of tissues from mesoderm ..
cns epidermis rbc smooth muscle skeletal muscle

185: which structure can not effected aftr MRI
Neuronal tissue
Cardiac muscle
Thymus
Liver
186: Lithium can cause
Ebstain Anomaly ✅
187: Prolactin inhibited by
.. dopamine✅
188: Immeminet eclampsia with High BP , urine protein +ve , wat othr symptom occurs
Epigastric pain
Headache
Dec fetal movement
Hyper-reflexes clonus ✅
189: Hpl peaks at 35 weeks...anything like this??
Give glucose nutrient from metrno to fetus
By HPL ✅
Thyroid
GH
199:

200 Maintain Corpus lutum
BHCG ✅
Progesterone
201: Most common fibroid
Hyaline degeneration✅
202: pass from Placenta...
Non ionized✅
Hydrophilic
Large lipid soluble
203:sacroiliac joint fixation by which nerve value root
S234 pudendal N ✅
204: Area Stella...
Endometrium changes in uterus by progesterone ✅
205: 143_omega 3
alpha linolenic acid✅
206: about meta analysis
207:
Appendix of testes
208: Most common benign ovarian Tumor serous cyst