🏠/MRCOG Part 1 — Study Book/Appendices/Recalls/2024 07 Recall 2

2024 07 Recall 2

MRCOG Part 1 Recalls — July 2024 (New)

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

MRCOG PART 1 JULY 2024 QS collected by Dr: Maimuna Mohamed PRESENTED AND SOLVED : DR. HAMIDA ABDELKARIM

glumerous filtration rate (GFR) increase during pregnancy a) 0-10 b) 15-20 c) 30-40 d) 50-60 e) 80-90 Answer: C -which structure form lateral boundaries of ischia rectal fossa? a) Gluteal maximum b) Gluteal minimum c) Lavetorani muscle d) Obturator internus Answer: D -mode of action of methotrexate a) Acting as fraudulent nucleotide b) DNA chelating agent c) Inhibit of dihydrofolate reductase d) Inhibit of thymidylate synthesis e) Inhibit of topoisomerase ll Answer: C 1. how many gene are coded for by mitochondria DNA a) 12 b) 19 c) 23 d) 37 e) 58 Answer: D -most common inheritance coagulation disorder in human a) Hemophilia A b) Hemophilia B c) ITP d) Protein C deficiency e) VWD Answer: E

-what is the course of piriform muscle? a) a-lumber surface of sacrum through greater sciatic foramen to greater trochanter b) pelvic surface of sacrum through greater sciatic foramen to greater trochanter c) pelvic surface of sacrum through lesser sciatic foramen to greater trochanter d) pelvic surface of sacrum through lesser sciatic foramen to lesser trochanter e) pelvic surface of sacrum through lesser sciatic foramen toobturator internous fascia ANS B -which DNA is base paring with adenosine? a) a-adenine b) cysteine c) c-guanine d) d-thymine e) e-uracil Answer: D -in placenta how are Amino Acid transport between mother and fetus a) Active transport b) Direct hematogenous c) Facilitated transport d) Passive diffusion e) Receptor mediated endocytosis Answer: A 2. how many telomers are present in chromosome during metaphase a) 2 b) 4 c) 6 d) 8 e) 10 Answer: B

--which human cell lack mitochondria? a) Hepatocyte b) Mature RBCs c) Myocyte d) Nephrons e) Nerve cell Answer: B -bile acid synthesis a) Cholicand chocoholic acid b) Cholic and chenodeoxycholicacid ANS8 - CRISP/CAS 9 used in gene editing, CRISP/CAS 9 a) Enzyme-enzyme b) DNA -enzyme c) DNA – transcription factor d) Enzyme-DNA Answer: C - What gestational age fetal kidney function for urine production? a) 6 b) 12 c) 18 d) 24 e) 30 ANS .B -which lung volume decrease during pregnancy a) FRC b) MV c) PFR d) TV e) VC Answer: A

  • Ratio of T4: T3 in blood: a) 1:7 b) 2:1 c) 3:1 d) 7:1 e) 14:1 Answer: E -Causes of hyperprolactinemia in PCOS? a) Unopposed estrogen b) Opposed estrogen Answer: A -percentage of lactotroph? a) 10-15% b) 20-25 Answer: A
  • release of aldosterone from adrenal cortex a) Angiotensin ll b) Renin c) Angiotensin l Answer: A -level of HBA1c risk for congenital anomalies, advice woman not to get pregnant a) 46 b) 56 c) 66 d) 76 e) 86 Answer: E More than 10% .. 86 mmol

-SARS in COVID is? a) SsRNA b) SsDNA c) DsRNA d) DsDNA Answer: A -Zika virus is ? a) SsRNA b) SsDNA c) DsRNA d) DsDNA Answer: A -inner cell mass formed from? a) Epiblast & hypoblast b) Gastrulation c) Ectoderm, endoderm, and mesoderm d) Undergo cleavage Answer: A -epidural space between a) Arachnoid & pia mater b) Wall of vertebra & dura matter c) Pia & ependyma Answer: B

-internal anal sphincter continuous of which muscle a) Circular muscle of rectum b) Longitudinal muscle of external anal sphincter c) Longitudinal muscle of rectum d) Pobu rectalis Answer: A 4. separate of superficial and deep perineal space a) Endopelvic fascia b) Perineal membrane c) Colle's fascia d) Superficial fascia e) urogenital diaphragm Answer: B -androgen secrete from a) Zona reticularis b) Zona glomerulosa c) Zona fasicularis d) Medulla Answer: A -how dose progesterone act as anti-estrogen at cellular level? a) Reduce synthesis of its receptor b) Reduce estrone activity c) Inactivate estrogen receptor d) Methylation of estrogen Answer: A

-when dose the second mitotic division complete? a) At birth b) At fertilization c) At menarche d) At ovulation e) Before ovulation Answer: B 5. structure allow blood flow from RT atrium to LT atrium a) Ductus venous b) Foramen oval c) ductus arteriosus Answer: B - About 700 women were enrolled for the assessment of positive predictive value (PPV) for test preterm labour. 320 women were test positive out of them 80 had preterm labour. 380 were test negative and out of them 20 had preterm labour. What is the positive predictive value of the test? a) 25% b) 33% c) 60% d) 80% e) 95% Answer: A - TRH a) Decapeptide b) Tripeptide c) Polypeptide d) Octapeptide Answer: B Tripeptide then polypeptide

  • 90% of cases with CAH cause by mutation of CYP 21, which chromosome is this gene located ? a) 6 b) 10 c) 14 d) 18 e) 22 ANA.A -postpartum uterus reduce in size by reduction in the length of myometrium fiber , what is these process called? a) Contraction b) Inversion c) Retraction d) Reduction Answer: D
  • Protective layer that surrounding of Graafian follicle a) Theca external b) Theca interna c) Zina pellucida d) Corona radiata Answer: A
  • The rate of growth hormone secretion follows a circadian rhythm. When is the highest peak of growth hormone release? a) Early morning b) After exercise c) Afternoon d) Early sleep e) Deep sleep Answer: D

-The angle that the brim of pelvis makes with horizontal plane? a) 45 degrees b) 60 degrees c) 90 degrees d) 120 degrees Answer: B -structure connecting umbilical vein and inferior vena cava (IVC)? a) Ductus venous b) Foramen oval c) ductus arteriosus Answer: A - Difference between jejunum and ileum. a) Thin walled, longer, long arcades; Thick walled, shorter short arcades b) Thin walled, longer, short arcades; Thick walled, shorter, long arcades c) Thick walled, shorter, long arcades; Thin walled, longer, short arcades Answer: C 6. motor supply for detrusor muscle are derived from? a) Pelvic splanchnic nerve b) Pudendal nerve c) Inferior hypogastric plexus d) Superior hypogastric plexus Answer: A - Placement of cup in ventouse delivery a) Temporal bone b) Frontal bone c) Sagittal suture d) Coronal suture Answer: C

  1. the lateral wall of ischiorectal fossa? a) Levatorani b) Anal sphincter c) Obturator internus d) Obturatorexternus Answer: C -Which phase of cell cycle immediately procede mitosis? a) G1 b) G2 c) S d) M Answer: A -country of birth what type of variable? a) Category b) Nominal c) Ratio d) Interval Answer: A
  2. which nerve other than pudendal nerve arise form sacral plexus a) Sciatic b) GFN c) LL Answer: A

-Appendix of testis originate from? a) Paramesonephricc duct b) Mesonephric duct c) Wollfian duct d) Urogenitalsinus Answer: A - What is the anatomical space of bulbourethral gland? a) Deep pouch b) Superficial pouch c) Ischiorectal fossa d) Deep inguinal space Answer: B - 30. Embryonic origin of trigone of bladder? a) Ureteric bud b) Urogenitalsinus c) Mesonephric duct d) Paramesonephric duct Answer: C - Posterior fontanelle closes by? a) 3 months b) 6 months c) 6 months d) 18 months Answer: A

-positvie like hood ratio calculation a) sensitive/1-specificity b) sensitive- specificity c) sensitive+1-specificity d) 1-sensitive/specificity Answer: A -SEM calculation SD/√ N -a couple seeking contraceptive what is failure rate in laparoscopic tubal ligation and vasectomy a) 1/2000 1/2000 b) 1/200 1/2000 c) 1/1000 1/2000 Answer: B -after ovulation, endometrium become a) Luteal b) Secretory c) Proliferation Answer: B -high incidence of cervical cancer at what age a) 20-24 b) 30-34 c) 40-44 d) 50-54 e) 60-64 Answer: E

-most appendant protein in the colostrum a) Casine b) Galactose c) Lactalbumin d) Lactoglobulin e) Lactoferrin Answer: A -which receptor cause bronchodilator, vasodilation increases release of glucagon? a) A2 b) H2 c) D2 d) B2 e) M2 Answer: D -32y old woman on her 1 st pregnancy, had an anomaly scan 20 week GA, the scan report show as result with baby with clenched hand , low set of ear & rocker bottom feet a) gilbert b) Patau c) Edward d) Down e) Turner Answer: C 9. woman had 5 children 1CS ,2 NVD, & 2 forceps delivery , complain of leakage of urine when cough or lift heavyweight ,cause? a) Prolapse b) Weakness of pelvic floor c) Cystocele d) SUI Answer: D Stress incontenance

--which structure attach to iliac tuberosity? a) Coccygeus b) Inguinal ligament c) Iliolumbar ligament d) Sacroiliac ligament Answer: D -What is the SI unit for the activity of radioactivity decay? a) Gray b) Sievert c) Rad d) Roentgen e) Becquerel Answer: E -syndrome with missed xor partial missed x chromosome a) Turner b) Down c) Edward d) Patau Answer: A - Robertson translocation a) 11.12.13.14.15 b) 13.14.15 .21.22 Answer: B

  1. what is grade B recommendation of RCOG a) RCT without meta-analysis b) Expert opinion c) Well controlled study without randomization d) Well design-controlled study with or without randomization Answer: C -HPV associated with cervix cancer a) HPV 6 ,11 b) HPV 16,18 Answer: B -Hyperventilation and panic attack a) Respiratory alkalosis b) Respiratory acidosis c) Metabolic acidosis d) Metabolic alkalosis Answer: A

-major histocompatibility complex class antigen 1 are not expressed by extra villous cytotrophoblast a) HLA-A & HLA-B b) HLA-B & HLA-C c) HLA-C & HLA-D d) HLA-G Answer: A -chicken box, what type of virus? a) Adenovirus b) Herpes virus c) Pox virus d) Polyoma virus Answer: B -mechanism of action apixaban a) Factor V inhibitor b) Factor Xa inhibitor c) Thrombin inhibitor d) Vit K antagonist Answer: B -mode of action metronidazole Covalent binding to microbial DNA - HLA often absent in recurrent implantation failure b) HLA-A & HLA-B c) HLA-B & HLA-C d) HLA-C & HLA-D e) HLA-G Answer: E

-ovarian cancer with endometriosis a) Serous adenocarcinoma b) Endometroid c) Mucinous d) Clear cell carcinoma Answer: D 11. granulosa cell tumor, endometrial pattern a) Luteal b) Secretory c) Proliferation Answer: C

  1. percentage of Brenner cell tumor of ovary are malignant a) 5% b) 10% c) 15% Answer: A -percentage of lyding cell tumor of ovary malignant 5-10% -primary pathology of renal damage in pre-eclampsia Vascular endothelial injury

  2. 90 % of Genito anal wart cause by? a) HPV 6 and 11 b) HPV 16 and 18 c) HPV 16 and 45 d) HPV 18 and 45 e) HPV 31 and 33 Answer: A -ovarian cancer with BRAC a) Clear cell carcinoma b) Serous cyst adenoma Answer: B

  3. 71y woman with unilateral simple cyst 3mm,CA 125 = 25 , calculate RMI a) 0 b) 25 c) 75 d) 150 e) 225 Answer: A -schiller Duval bodies found in? a) Choriocarcinoma b) Yolksac tumor c) Dysgernoma d) Teratoma E. Endometrial sinus tumor Answer: E -patient with small vaginal bleeding, no pain, her period irregular, ultrasound show intrauterine gestational sac with fetal pole, CRL 6 mm , no fetal heart rate a) Admission, mifepristone b) Arrange an evacuation of retain product of concept c) Arrange laparoscopy d) Check serum BHCG e) Repeat the scan 7-10 Answer: D

  4. A Women with 150cm height and 90 kgs weight, BMI = 40 What is her category of BMI? a) Normal b) Overweight c) Obesity Class I d) Obesity Class II e) Obesity Class III Answer: E

  5. A 65 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 Answer: B

  6. most common type of episiotomy performed in the United kingdom (UK)? a) Mediolateral episiotomy b) Median episiotomy c) Paramedian episiotomy d) Lateral episiotomy e) J-shaped episiotomy Answer: A
  7. Common Fallopian tube malignancy: a) Serous b) Transitional c) Clear cell Ca d) Endometroid Ca Answer: A -risk of miscarriages in amniocentesis a) 1% b) 5% c) 10% Answer: A

  8. elevated LDH value a) Dysgerminoma b) Brenner cell tumor c) Immature teratoma d) Endodermal sinus tumor Answer: A

  9. normal T score a) Above -1 b) Below -1 c) Above -2.5 d) Below -2.5 e) -1 to -2.5 Answer: A -sparkling effect of coagulation of large area Fulguration

  10. carboprost is a) PGE 1 b) PGE 2 c) PGF a2a Answer: C
  11. natural killer are delivered from what type of cell a) Lymphocyte b) Monocyte c) Basophil d) Monocyte Answer: A

-lactationalmastitis caused by a) Staph aureus b) Group b streptococcus c) Lactobacilli d) E. Coli Answer: A -time period of infectious of chicken box a) 2 days before rash and 2 days after crust disappears b) 2 days before rash until the crust appear. c) 10-14 day after appearance of rash. d) 24 hours after rash appear e) When lesion is crusted. Answer: B - Bicornuate uterus is due to which of the following? Abnormal fusion of the paramesonephric duct - Botulinum toxin injection to treat overactive bladder because of its nhibit the release of acetylcholine in motor neurons in NT junction - A women got infection in first trimester rash and joint pain later on ultrasound showed only fetal ascites with no other structural defect: a) Parvovirus B19 b) Varicella c) Toxoplasmosis d) Cytomegalovirus Answer: D

-senario about male taking finasteride, which enzyme inhibit by finasteride? a) 3bhd b) 5 a reductase c) 17 b hydroxylase d) 21 hydroxylases e) Aromatase Answer: B 18. mode of action of atosiban? a) Progesterone agonist b) Progesterone antagonist c) Oxytocin antagonist d) Oxytocin agonist Answer: C

  1. woman died from RTA at 38 week of gestation, maternal death classification a) Coincident maternal death b) Direct maternal death c) Indirect maternal death d) Perinatal death Answer: B
  2. pregnant woman died 2 week post-partum form asthma , maternal death classification a) Coincident maternal death b) Direct maternal death c) Indirect maternal death d) Perinatal death Answer: C -most common causes of delay puberty in male? a) Idiopathic constitutional delay b) Gonad genesis with normal karyotype c) Kallman d) Klinefelter e) Orchitis Answer: A

  3. most common causes of hyperthyroidism? a) Graves’ disease b) Hashimoto Answer: A

  4. genotype of partial mole form a) 46xx b) 69xxy Answer: B

  5. dunchin muscular dystrophy? a) Autosomal dominant b) Autosomal recessive c) X-linked recessive d) X linked dominant Answer: C

  6. biological active of metabolitevit D 1, 25-Dihydroxycholecalciferol vit D (calcitriol)

  7. receptor binding progesterone? Nuclear transcription factor receptor -senario of woman 2ry amenorrhea with high FSH.LH & TSH , repeated again FSH & LH still high b) PCO c) POI d) Kallman e) Sheehan f) Hypothyroidism Answer: B -scenario about calculation PPV , about TVUS 44 of case was +ve,36 TP ,9 FP ,28 of cases -ve 2FN & 26 TN a) 0.75 b) 0.80 c) 0.85 d) 0.9 e) 0.90 Answer: B case to calculate odd ratio a) 0.5 b) 2 c) 4 d) 10 Answer: C -attach to anterior superior iliac supine? a) Inguinal ligament b) Coccyes ligament c) Obturatour internous d) Sacroiliac e) Sacrotubercous Answer: A 50 50 20 80

  8. Lady with generalized fatigue. Non-pregnant. Done LFT ALP 230 (raised). ALT, GGT, Alb, Bili within normal range: b) Epstein Barr Virus infection c) Non-alcoholic fatty liver d) Hepatitis e) Gallstone f) Vit D deficiency Answer: F

  9. contraceptive for 28 y epileptic woman, taking carbamazepine ,choice of contraceptive? a) DMPA b) High COCP c) Levonorgestrel (Mirena) d) Implant e) POP Answer: C -senario of pregnant woman, LMP 6week ago , urine pregnancy test +ve , TVS show intrauterine sac , MSD 23 mm, no visible fetal pole a) Pregnancy unknown viability b) Missed pregnancy c) Anembryonic pregnancy Answer: A

  10. woman has just returned to the UK following missionary work in the northern part of South America. She is delighted to be pregnant and presents for booking at 12 wks of gestation. After counselingshe agrees to have routine blood investigations including screening for syphilis. The results are returned as following:Venereal Disease Research Lab. (VDRL) test: reactive agglutination (TP-PA): Non-reactive Fluorescent Traponemal Ab absorption (FTA-Abs): Non-reactive What is the most likely interpretation for theses result? a) Consistent with traponemal infection at sometime b) Diagnostic of latent syphilis c) Indicative of early syphilis d) Likely biological false positive/ no further action required e) Suggests a past treated infection Answer: D

  11. US lysis or other cell damage a) cavitation b) Reflection c) Scatter d) Heating e) Absorption Answer: A

  12. drug causes deafness a) Carbimazole b) Phenobarbital c) Phenytoin d) Methyldopa e) Streptomycin Answer: E

  13. red degeneration of fibroid cause by Ischemia of fibroid

  14. The Keilhauer test identify? a) Degree of Feto maternal hemorrhage b) Rh of fetus c) Rh of mother d) Fetal hemolysis Answer: A

  15. 2 nd generation of progesteron Levonorgestrel
  16. Female came to ER with inferior MI, she is multi drug abuser what have a rule in MI? b) Heroin c) Cocaine d) benzodiazepines e) amphetamine f) Missing one option Answer: B -cell lysis type in HIV a) CD4+T cell b) CD8+T cell Answer: A

  17. scenario of mother delivered stillbirth, drug for suppression of lactation? a) Cabergoline b) Metoclopramide c) Methyldopa d) Cyclized Answer: A

  18. in ultrasound direction of blood flow toward transudate a) Blue b) Green c) Orange d) Red e) Yellow Answer: D

  19. magnesium excretion Excreted unchanged by kidney
  20. non-ergot lactational suppression a) Quinaglodine b) Cbergoline Answer: A
  21. scenario, Hb = 11 , MCV = 65 专 , Ferritin= 97 , CRP= 78 Deficiency of which vitamin a) B12 deficiency b) Folate deficiency c) Iron deficiency d) Lead poisoning e) Hypothyroidism Answer: C

-senarion of pregnant woman ,18 year, her blood work up shows HCV AB +ve / HCV PCR -ve What does it signify? CHRONIC INFECTION 35. scenario of pregnant woman exposed to chicken box VZS IgG +ve / IgM –ve Immune to varicella infection -senario about pregnant woman HBsAg +ve / anti Hbs -ve / anti Hbc IgG +ve / anti hbc IgM -VE a) Vaccinated b) Susceptible c) Chronic carrier d) Acute HBV Answer: C 36. side effect of POP a) DVT b) HTN c) Migraine d) Erratic bleeding e) Ectopic Answer: D 37. mode of action COC a) Inhibition of ovulation b) Inhibit implantation c) Interfere with viability of ovum & sperm d) Local inflammation reaction with uterine cavity e) Thickening of cervical mucosa Answer: A -best association with fetal warfarin Nasal hypoplasia

  1. iodine uptake into thyroid cell, co transport into thyroid follicular cell with iodine a) sodium b) magnesium c) chloride d) potassium e) Calcium Answer: A
  2. 32-week pregnant woman GBS +ve >1000 in urine, with dysuria, management a) treat UTI and give IPA during labour b) treat UTI, do urine culture, if cultre -ve , no need of IPA c) IPA in labor d) Treat UTI, and consider IPA Answer: D -- paralytic ileus, electrolyte disturbance a) Hypokalemia b) Hyperkalemia c) Hypocalcemia d) Hypercalcemia Answer: A
  3. head in pelvic floor, type of operational delivery a) Inlet forceps b) Outlet forceps c) Low forceps d) high forceps e) cs delivery Answer: B testosterone SHBG FSH LH A 专 个 个 个 b
  4. scenario of Klinefelter table

. -Neisseria gonorrhoeae? a) Gram-negative aerobic cocci b) Gram-negative aerobic bacilli c) Gram-positive anaerobic cocci d) Gram-positive aerobic bacilli e) Gram-negative anaerobic bacilli Answer: A 41. treatment of HSV Acyclovir -senario of pregnant woman ultrasound show fetal ascites a) CMV b) Rubella c) Parvovirus Answer: C 42. scenario of pregnant woman has flu-like symptom, delivered baby with jaundice, hepatosplenomegaly, and bradycardia (no CMV in option) a) Listeria b) Varicella c) Herpes Answer: A -which anglaises should not give to breastfeeding mother a) Tramadol b) Naproxen c) Morphine Answer: A

  1. structure that penetrate hepatic diverticulum Septum transversum
  2. when should prophylactic LMWH should stop before reginal anesthesia a) 12 h b) 24 h c) 48 h Answer: A

  3. question about steroid synthesis DHEX .. X ..testosterone androstenedione

  4. RNA a) Northern blot b) Southern blot Answer: A

  5. maternal antibodies protect fetal gut a) IgA b) IgG c) lgM Answer: A

  6. Bendroflumethiazide ECG change a) Hypokalemia b) Hyperkalemia c) Hypocalcemia d) Hypercalcemia Answer: A -chanchroid Haemophilus ducreyi -number of Carbone in estrogen androgen and aldosterone 18,19,21 -buffer in urine a) Phosphate b) Chloride c) Sodium d) Potasium Answer: A

  7. history of heavy bleeding specimen after hysterectomy Endometrial poly

  8. scenario Mature teratoma -Hx of heavy menstrual bleeding, dysmenorrhea specimen after hysterectomy Show, what is your diagnosis adenomyosis
  9. Table to choose the correct answer Related to the pic P量c舌晒r2总

-Arrow pointed to the ovary and question was it afferent to a) T10 b) T12 c) L2 49. type of inherited a) Autosomal dominant b) Autosomal recessive c) X-linked recessive d) X linked dominant Answer: C

QS collected by Dr: Maimuna Mohamed PRESENTED AND SOLVED : DR. HAMIDA ABDELKARIM good lucky everyone الله يوفقنا جميعا ⑧p r a y f o r m e ⑧ - Identify the structure a) Corpus luteum b) Corpus albicans c) Graafian follicular Answer: A 1 Complete mole -identify the structure a- Amniotic cavity b- Chorionic cavity Answer: A

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