Gyn Obs July 07 By Dr Ayesha Bisharat

GYN OBS Questions JULY 2007

Hi just got to know of dis site through cpsp community otherwise would have mailed u questions way back anyways great effore am mailing fcps part 1 obs gynae mar n jul 2007

question no 1:eversion of endocervical epithelium in pregnancy is due to:
a)physiological change
b)chronic cervicitis
c)carcinoma in situ
d)estrogen stimulation
e)epidermadization of epithelium


2:primary oocyte surrounded by a non cellular layer:
a)theca interna
b)theca externa
c)corona radiata
d)cumulus oophurus
e)zona pellucida

question no 3:
simple columnar epithelium is the lining of:
a)epithelium lining the ducts
b)cornea
c)testis
d)uterine tubese)

question no 4:48 years lady has carcinoma cervix that has involved the cervix and has involved the vagina but not its lower third and has not extended onto pelvic walls stage of ca:
a)stage 1ab)stage 1bc)stage 11d)stage 111e)stage 4
question no

5:38 years lady has endometrial ca that has involved upto half the tickness of myometrium and ovaries are normal stage:
a)stage 1a
b)stage 1b
c)stage 1c
d)stage 11
e)stage 111

question no 6:20 yrs old girl has been raped,she has now watery vaginal discharge,has painful red papules n ulcers on vagina and vulva has fever and tender inguinal lymph nodes,causative organism:
a)bacteroides
b)chlamydia
c)herpes simplex
d)gonococcus
e)trichomonas vaginalis

7: a married woman has right sided tubulo ovarian abscess which was removed in a surgery had an iucd placed before,causative organism:
a)chlamydia
b)gardenella
c)tuberculous
d)bacteroides
e)gonococcus

8.the late secretory phase of menstrual cycle is not characterised by:
a)the spongy layer becomes thick
b)corpus luteum secretes estrogen n progesterone
c)the endometrial thickness is doubled
d)endometrial cells have subnuclear vacuolations
e)endometrial glands become tortuous

9.just 2 days before ovulation,LH is increased:
a)2 fold
b)2 to 4 fold
c)2 to 6 fold
d)6 to 8 fold
e)8 to 10 fold

10.menopause is characterised by:
a)atrophy of uterus
b)decrease in ovarian size
c)derease estrogen increased FSH AND LH
d)decreased estrogen increased FSH decreased LH

11.sperms stay active in female genital tract:
a)12 hours
b)12 - 24 hours
c)12 -36 hours
d)24 - 48 hours
e)24 - 72 hours

12.the volume of distribution of a drug is not influenced by:
a)age
b)sex
c)cardiac failure
d)renal failure

13.the bioavailability of a drug determines :
a)efficacy
b)efficency

14.paracetamol:
a)is more potent analgesic than codeine
b)is a weak anti inflammatory agent
c)overdosage can cause nephrotoxicity

question no 15:anticoagulants are contraindicated in:
a)cerebral infarction
b)thrombocytopenia

16.20 yrs lady has endotoxic shock after septic abortion,which of the following investigation is least likely to benefit:
a)clotting time
b)FDPs
c)prothrombin time
d)platelet counte)serial fibrinogen levels

17.30 yrs male has dyspnea on lying down,examination revealed:
a)multinodular goitre
b)retrosternal goitre
c)colloid goitre
d)cold nodule

18:cortisol:
a)increases amino acids n glucose in blood
b)is a glucocorticoid
c)is found in circulation bound to proteins
d)metabolised in liver
e)formed from cholesterol

19.JVP is differentiated from carotid pulse:
a)does not change with abdominal pressure
b)does not change with posture
c)does not change with respiration
d)pulsation varies with respiratione)prominent outward movement

20.a multigravida admitted with labour pains examination revealed os 6 cm dilated,baby cephalic,and head at zero station,the point of reference is:
a)ischial tuberosity
b)pubic arch
c)pubic symphysis
d)ischial spines
e)sacral promontory

21.at LSCS the artery damaged in superficial fat in suprapubic incision:
a)inferior epigaSTRIC artery
b)superior epigastric artery
c)internal iliac artery

22.following is not a tumor marker:
a)acid phosphatase
b)beta hCG
c)alpha fetoproteins
d)CEA
e)placental alkaline phosphatase

23.question o 23:beta hCG:a)it is a polypeptideb)it has action similar to FSHc)it prevents involution of corpus luteumd)e)

24:adrenal medulla will selectively secrete norepinephrine in the condition:a)exerciseb)sleepc)cold exposured)hemorrhagee)

25:cardiac output is decreased in:a)pregnancyb)standing or sitting from lying positionc)exercised)e)

26:cardiac output is decreased in all except:a)sleepb)starvationc)sittingd)e)

27:epinephrine will selectively onstrict muscles in:a)arteriolesb)bronchiolesc)ciliary muscled)pupilse)intestinal walls


28:spores should be disinfected by:a)dry heat at 100cb)dry heat at 60cc)dry heat at 160cd)cidex solutione)moist heat

29:following is not a disinfectant:
a)derivatives of salicylic acid
b)alcohol
c)soap
d)
e)

question no 30: that she had urinary incontinence,due to injury and communication in:
a)ureter n bladder
b)ureter n vagina
c)bladder n cervix
d)bladder n vagina
e)bladder n uterus

question no 31:perineal body is injured,muscle damaged is:
a)bulbospongiosis n superficial perineal muscles
b)superficial n deep perineal muscles
c)external anal sphincter n deep perineal muscles
d)ischiocavernosus n sphincter urethrae
e)sphincter urethrae n deep perineal muscles

32:pudendal nerve:
a)formed from ant primary rami of second third n fourth sacral spinal nerves
b)crosses the ischial spine medial to internal pudendal artery
c)enters the pudendal canal on the lateral side of ischiorectal fossa
d)leaves the pelvis by passing through the upper part of greater sciatic foramen
e)reenters the pelvis through lesser sciatic foramen

33:following does not form wall of inguinal canal:
a)aponeurosis of external oblique
b)internal obliquec)conjoint tendon
d)lacunar ligament
e)fascia transversalis

34:following does not pass through lesser sciatic foramen:
a)inferior gluteal vessels
b)tendon of obturator internus
c)nerve to obturator internus
d)pudendal nervee)internal pudendal artery

35:after LSCS patient had peritoneal hemorrhage she was reopened bleeding most likely from:
a)branch of ovarian artery
b)branch of uterine artery
c)internal iliac artery
d)obturator artery
e)external iliac artery

no 36:left ovarian artery is a branch of:
a)abdominal aorta
b)left renal artery
c)uterine artery
d)left inferior mesenteric arterye)obturator artery

question no 37:patient had laparotomy for ovarian mass mass was burried in ovarian fossa artery likely to be injured is:a)common iliac vesselsb)internal iliac vesselc)external iliac vesseld)ovarian arterye)obturator artery

questoion no 38:insulin stimulates transport of glucose into:
a)renal tubular cells
b)neurons of cerebral cortex
c)skeletal muscled)intestinal cells
e)liver

question no 39:the secretion of following is not increased in pregnancy:
a)cortisol
b)growth hormone
c)thyroid hormone
d)prolactine)PTH

question no 40:a patient had hypophsectomy for pituitary tumor she has amenorrhea for 8 months ovulation induction can be done in her by:
a)clomiphene citrate
b)pulsatile hCG
c)hMG
d)hMG followed by pulsatile hCG

question no 41:following does not occur in pregnancy:
a)increase in fasting blood sugar
b)increase in uric acid level
c)increase in serum urea level
d)decrease in serum albumine)decrease in serum proteinse)decrease in nitrogen levels

question no 42:respiratory acidosis occurs in:
a)emphysema
b)hyperventilation
c)ingestion of excess amount of sodium bicarbonate
d)starvatione) vomiting

question no 43:CO2 is transported from the alveoli of lungs into blood in lungs via:
a)diffusion
b)active transport
c)facilitated diffusion
d)secondary active transporte)osmosis

question no 44:O2-Hb dissociation curve delivering O2 in normal limits will have:
a)PaO2 40mmHg SO2 60%
b)PaO2 68mmHg SO2 78%
c)PaO2 96mmHg SO2 90%
d)PaO2 123mmHg SO2 98%
e)PaO2 256mmHg SO2 99%

question no 45:b-hCG has alpha n beta units,each unit has aminoacids:a)102 alpha 210 betab)100alpha n 160 betac)92 alpha n 156 betad)e)

qyuestion no 46:mothers milk differs from cows milk in that it contains:a)calciumb)lactosec)proteinsd)vitamin D

question no 47:pelvic outlet:
a)can b increased in supine position
b)begins at the level of ischial spines
c)dimensions change by movements of coocyx
d)contracture is more common than mid cavity probleme)

question no 48:patient has endocrine disorder has metabolic alkalosis and hypokalemia,he has excess of:a)ACTHb)aldosteronec)cortisold)estrogene)progesterone

question no 49:hormone that stores carbohydrates, lipids n proteins in cells is also known as hormone of abundance:a)growth hormoneb)cortisolc)thyroid hormoned)estrogene)progesterone

question no 50:hyperglycemia is caused by:a)insulinb)glucagonc)estrogend)progesteronee)growth hormone

question no 51:ketoacidosis is caused by:
a)increased production of glucose
b)decreased production of glucpoose
c)decreased utilisation of carbohydrate in body
d)insulin excess

question no 52:insulin secretion is stopped by:a)glucagonb)decreased k levelsc)somatostatind)e)

question no 53:hormone that stores carbohydrates,lipids n proteins in body is:a)growth hormoneb)thyroid hormonec)cortisold)insuline)PTH

question no 54:8 yrold girl has vaginal bleeding she is taller than her age and examination revealed an abdominal mas arising from pelvis she is suffering from:
a)constitutional; symptoms
b)hypothalamic tumors
c)hypothalamic mass
d)granulosa cell tumor
e)adrenal gland tumor

question no 55:least positive titre for widal test isa)1:80b)1:160c)1:260d)1:320e)1:156


question no 56:all of the following can b stored at 4c except:a)shigellab)vibrio cholerac)d)e)

question no 57:vaccine is available for all except:a)EBVb)typhusc)pneumococcusd)e)

question no 58:patient has presented with fever n generalised lymphadenopathy, bone marrow exam normal,weight loss positive,he is suffering from:a)metastatic carcinomab)hogkins lymphomac)non hogkins lymphomad)CMLe)

question no 59:patien is taking glucocorticoids for 10 days,she wont suffer from:a)moon faceb)hypotensionc)thin skind)e)

question no 60:gestational age can best be estimated from:a)abdominal circumference at 36 wksb)biparietal dia at 28 wksc)crown rump length at 8 wksd)femur length at 32 wkse)

question no 61:turners syndrome,most definitive diagnostic test:a)presence of barr bodyb)chromosomal analysis

question no 62:14 yrs girl has primary amenorrhea,normal breast development,secondary sexual characteristics normal,short blind ending vagina,slight pubic hair,usg revealed absent uterus,underlying cause:
a)congenital adrenal hyperplasia
b)chromosomal defect
c)failure f development of genital tubercle
d)defect of paramesonephric duct

question no 63:the lumen of uterine cavity is obliterated by fusion of:
a)decidua basalis n spongy layer
b)decidua basalis n decidua capsularis
c)decidua capsularis n decidua parietalis
d)decidua parietalis n decidua basalise)

question no 64:a woman has been exposed to radiation in young life,now she has visited a gynaecologist after some years,organ most likely to b affected:a)fallopian tubesb)cervixc)ovaryd)endometriume)vagina

question no 65:repeated blood transfusions (AB n Rh compatible) in an individual will lead to:a)haemochromatosis of liverb)hypocalcemiac)haemoglobinuriad)transfusion reactione)

question no 66: Rh incompatibility occurs in a mother if she has:a)Rh negative fetusb)Rh positive fetusc)d)e)

question no 67:the best way to prevent Rh isoimmunisation in a woman who has given birth to Rh positive fetus:a)blood transfusionb)platelet transfusionc)serumd)Rh immunoglobulinse)

question no 68:a person brought in er had burns,he was admitted later on he developed fever and bleeding diathesis,he is suffering from:a)DICb)hepatorenal failurec)hepatic failure of prothrombin productiond)renal failuree)

question no 69:following is not a cause of DIC:a)pre eclamsiab)amniotic fluid embolismc)cervical carcinomad)abruptio placentaee)PPH

question no 70:following is not a cause of DIC:a)abruptio placentaeb)burnsc)malignant tumorsd)e)

question no 71:multigravida P9+0 delivered a boy in a village 2 hours later she started bleeding profusely had oozing from gums she was brought to hospital her labs showed hb 6 TLC 15000/ul platelets 30000/ul she is suffering from:a)DICb)PPHc)clotting disorderd)bleeding diathesise)ITP

question no 72:27 year old female had profuse vaginal bleeding 2 hrs after delivery her labs showed hb 6 TLC 15000/ul plt 30000/ul peripheral blood film showed burr bodies,she is suffering from:
a)DIC
b)PPH
c)ITP
d)von willebrand disease

question no 73:vit k directly influences d reaction:a)conversion of fibrinogen to fibrinb)prothrombin to thrombinc)activation of factor 7d)formation of fibrinogen

question no 74:intrinsic n extrinsic pathways converge upon:a)activation of factor 7ab)activation of factor 5ac)factor 12ad)prothrombine)tissue factor

question no 75:bacteria that grow at 42c:a)vibrio cholerab)gonococcusc)shigellad)Ecolie)salmonella

question no 76:following is not true about endocarditis:a)blood cultures for causative organisms r usually negativeb)is caused by streptococcus group of bacteriac)is more common in elderly groupd)valvular involvemente)

question no 77:cause f subacute bacterial endocarditis:a)H.influenzaeb)Ecolic)streptococcus viridansd)e)

question no 78:interferon:a)binds to DNAbbinds to RNAc)is a protein derivatived)inhibits protein synthesis n their phosphorylation

question no 79:highest energy compound:a)ATPb)glucosec)hexose phosphated)starche)glycogen

question no 80:the end product of carbohydrate metabolism:a)fructoseb)glucosec)galactosed)starche)pyruvate

question no 81:L-dopa taken by a patient will decrease :a)estrogenb)progesteronec)prolactind)cortisole)

question no 82:isoniazid:a)cant b administered with rifampicinb)is contraindicated in nephropathyc)pyridoxine is used prophylactically to prevent its neurotoxic effectsd)e)

question no 83:hepatitis b following is not true:a)has an incubation period less than that of hep ab)caused by sexual contactc)caused by DNA virusd)e)

question no 85:actinomyces does not cause disease in:a)boneb)lungc)brain

question no 86:disseminated coccidiodomyces following is not true:a)infection will not provide life time immunityb)c)d)e)

question no 87:middle aged man crossing the road stumbled n hit by a car he fell down had injury to neck of fibula of his left leg was taken to hosp examination revealed that he is unable to dorsiflex and evert his left foot the injury is to:
a)common peronel nerve
b)tibialis post
c)superficial peroneal nerve
d)deep peroneal nervee)

question no 88:ECF:a)provides nutrients to cellsb)provides glucose to cellsc)bathes the cellsd)takes away electrolytese)takes away wastes

question no 89:spermatogenesis is stimulated by:a)FSHb)testosteronec)LHd)FSH n testosteronee)

question no 90:patient brought in shock in er successful fluid replacement will b indicated by:a)decrease in tachcardiab)increase in bpc)increase in urine outputd)e)

question no 91:cardoiac cycle:a)60% of ventricular filling occurs in diastoleb)end diastolic left ventricular vol is 100 mlc)ejection fraction is 75%d)the notch of d pulse is due to atrial systolee)

question no 92:a man has a pulse rate of 72/min impulse originates in:a)AV nodeb)SA nodec)left bundle branchd)purkinje fibrese)

question no 93:muscles r derived from:a)mesodermb)ectodermc)endoderm

question no 94:in our country d cause of cell inujury is:a)alcoholb)hypoxiac)ischemiad)ionising radiatione)malnutrition

question no 95:in our country cause of fatty liver is:a)alcoholismb)amoebiasisc)due to hep b n cd)increase intake of fatsdecreased protein utilisation

question no 97:in d female d neck of urinary bladder is located :a)in front of rectumb)below d urogenital diaphramc)in d urogenital diaphramd)above d urogenital diaphrame)behind symphsis pubis

question no 98:the highest content of triglycerides is in:a)chylomicron remnantsb)HDLc)LDLd)
IDLe)VLDL

question no 99:following is not a phospholipid:a)cephalinb)lysolecithinc)lecithind)plasminogene)sphingolipid

question no 100:a human being can survive without:a)calciumb)proteinsc)carbohydratesd)lipidse)

question no 101:patient has pyuria but has negative urine culture for organisms this happens in all conditions except:
a)acute post streptococcal glomerulonephritis
b)polycystic kidneys
c)urine stored at room temp for long
d)alkaline urinee)vesical calculus

question no 102:broad ligament a double layered fold of peritoneum ,ovary is attached to it by:
a)mesoovarium
b)suspensory ligament of ovary
c)round ligament of ovary
d)cardinal ligament