1.

Gynaecology/Obstetrics Past Paper March 2008-FCPS Part1

Below are the MCQs of FCPS Part1 Gynaecology/Obstetrics Paper March 2008:
1. Eversion of cervix during pregnancy occur in response to:
a) Estrogen
b) Physiological change
c) Ca Cervix
d) Gonadotropins
e) Cervicitis
2. If Carcinoma involves nipple of breast which lymph nodes r likely
to involve first?
a) Pectoral
b) Apical
c) Central
d) inernal mammary
3. A Pt. came in OPD With enlarged Ant.Axillary lymph nodes and diagonosed a case of CaBreast ,
which region is most likely involved?
a) Upper Outer Quadrant
b) Lower Inner Quadrant
4. More or less same question as # 3. reapeated again
5. A pt came to you with primary amenorrhoea,webbedneck,short stature diagnosed as Turner
syndrome, wht is her karyotype?
a) 45XO
b) 46XY
c) 47XXY
6. A normal looking Girl came to you with primary amenorrhea,on examination she was having
short blind vagina wid normal vulva, scanty pubic n axillary
hairs,normalbreasts,absentuterus,her karyotype is?
a) 46XY
b) 47XY
c) 47XXY
7. Wht is the best way to detect exact gestational age of fetus?
a) CRL at 8 wk.
b) Femur length at 28th wk.
c) Biparietal diameter at 18th wk.
d) Abdominal circumference at.....
8.Sperms life span in female genital tract is ?
a) 24 to 48 hrs
b) 24 to 72 hrs
9. Spermatogenesis is controlled by?
a) Testosterone
b) FSH+ Testosterone
c) LH
d) Estrogen
10. Almost same as above
11. In drug receptor relations which one is incorrect?
a) Bradycardia --- Propranolol
b) Miosis --- Pilocarpine
c) Skeletal Muscle Paralysis --- Tubocurarine
d) Bronchodilation --- Salbutamol

12. Which one of them do not pass through Lesser Sciatic Foramen?
a)Tendon of obturatorinternus.
b)Pudendal Nerve
c)InternalPudendal Vessels
d)sup. & inf. gluteal vessels
13. In a motorbike accident neck of fibula fractured and lead to a loss of dorsiflexion n eversion
of foot,which nerve is likely to b damaged?
a)Common Peroneal
b)Deepperoneal
c)SuperficialPeroneal
14. Wht is most likely to b true about pudendal nerve?
a) Enter the ischiorectal fossa thru its lateral wall
b) Leave the pelvis thru upper part of greater schiatic notch
c) Re enter the pelvis thru lesser schiatic notch
15. If perineal body is cut which muscle likely to b damaged?
a) Bulbospongiosus + superficial Transverse Perieal
b) Deep + Superficial Transverse Perineal
16.Ureter is found at :
a) the bifurcation of common iliac artery
b) pelvic brim
17. If ovaries are removed frm ovarian fossa, wht is most likely to b damaged?
a) Internal iliac
b) uterine artery
c)Ovarian artery
d) External iliac artery
18. To reach the uterus, uterine artery crosses the:
a)Ureter
b)Fallopian Tube
c)Ligament of ovary
19. If Ca.Cervix metastasize to Labia majora which one of these is most likely responsible for
spread?
a) Round lig. Of uterus
b) pubocervical ligament
c) pectineal ligament
20)which structure do not participate in forming the walls of inguinal canal?
a) Transversalis fascia
b) Internal Oblique
c) External Oblique
d) Conjoint tendon
e) Lacunar ligament
21) If after 1 hr of ceaserian section pt start b bleeding internally which one is most likely
damaged?
a) Uterine artery
b) Internal iliac a.
c) Ovarian artery
d) uterine vein
22) If on lying down pt became dyspnoecwht is the cause?
a) Retrosternal goiter
b) Multinodular goiter
c)

23) If a women at 10th week pregnancy havHb 12;Hct 25 Normocytic Normochromic film but at
32 wk pregnancy her Hb is 10.9 ; Hct 20 with same peripheral film wht is the cause?
a) Physiological change
b) Iron deficiency
c) Folate Deficiency
d) Vit B12 deficiency
24) Ovaries are attached to broad ligament by?
a) Mesoovarium
b) Mesosalpinx
c) suspensory ligament
25) In females Neck of bladder ends :
a) above the urogenital diaphragm
b) below the urogenital diaphragm
c)
26) Most common cause of hosp. acquired infection is?
a) Indwelling catheters
b) I/V lines
c)
27) Which method is used 2 kill spores of surgical instruments?
a)dry heat at 160c for 1 hr
b)dry heat at 160 c for 4 hr
c)moist heat at 160c for1hr
d)Gension violet for 4 hrs
28) Which one is not used as insecticidal?
a) Derivatives of salicylic acid
b) Phenol
c) Sodium hypochlorite
d) Soap
29) Most common cause of subacute bacterial endocarditis is:
a) sterptviridans
b) sterptepidermidis
c) staphaureus
30) Food poisoning cause by staph. Is mainly due to:
a) exotoxin
b) endotoxin
c) enterotoxin
31) Now a days the best way to diagnose viral infection is:
a) ELISA
b) by detecting virus from secretion or wound
c) immunofloresence
32) If pthav persistent pyuria all can be the cause except:
a) polycystic kidney disease
b) long standing alkaline urine at room temperature
c) Post Streptoccocus glomerulonephritis
33) wht is the least positive value for widal to diagnose typhoid?
a) 1:80
b) 1:120
c)1:360
34) Two days before ovulation LH surge rises to
a) 1 to 5 fold

b) 4 to 6 fold
c) 6 to 10 fold
35) villous surrounded by cyto n syncitiotrophoblast is:
a) Primary villous
b) secondary villous
c) tertiary villous
36)Following is not a proven cause of hirsuitism?
a) Androgen
b) PCOs
c) stevenleventhalsundrome
d)
37) CO2 is transported frm blood to alveoli by :
a) Facilitated diffusion
b) Active transport
c) Diffusion
38) Active transport differsfrm Passive due to:
a) depend on osmosis
b) require carriers but no energy
c) requires energy but no carriers
d) require energy by phosphate anhydride bond
39) Mean Arterial pressure is
a) difference b/w systolic and diastolic pressure
b) Diastolic + 1/3 pulse pressure
c)
40) Columnar epithelium is found in:
a) uterine tubes
b) Thymus
c) ovaries
41) Obese are at risk of all except:
a) Hyepertension
b) Diabetes
c) Thyrotoxicosis
d) IHD
42) Following will lead to Respiratory Acidosis?
a) emphysema?
b) heavy intake of NaHCO3
c) Vomiting
43) Hormone which causes an increase carbohydrate protein and lipid stores is?
a) GH
b) insulin
c) cortisol
d) Aldosterone
e) thyroxine
44) same question
45) insulin secretion is inhibited by:
a) glucagon
b) secretin
c)
46) Acellular layer surrounding an ovum is :
a) Zonapellucida

b)Granulosa layer
c) Theca interna
d) Corona radiate
47) Primordial germ cells arises frm:
a) Yolk sac
48) Highest energy containing compound is:
a) Starch
b) Glucose
c)Hexose phosphate
d) ATP
49) Which contain high triglyceride?
a) Chylomicron remnants
b) LDL
c) VLDL
d) HDL
e) IDL
50) Which is not a phospholipid?
a) Lecithin
b) ISolecithin
c) Cephalin
d) Plasmalogen
51)Low PO2 Stimulate respiratory centre thru:
a) Directly acting on medulla
b) stimulating peripheral chemoreceptor
c) acting on central chemoreceptor
52) If Rh -ve mother deliver an O +vefetuswht is the best way to protect subsequent
pregnancies?
a) Immunoglobulin
53) wht is the landmark for biscop scoring:
a) Ishial Spine
b) Ishial Tuberosity
54) In a women of craniopharyngiomawht is the best opetion to induce ovulation?
a) Clomiphen citrate
b) Menopausal Gonadotropins
55) If you give L Dopa to the pt of Parkinsonism which hormone will decrease?
a) Prolactin
b) FSH,LH
c) Testosterone
56) Which hormone convert to its active form at target tissue with the help of 5 reductase?
a) Testosterone
b) Estrogen
57) Pt came to you with eosinopenia,polycythemia,lymphocytopenia and raised ACTH level,wht is
most likely?
a) Cushing disease
b) Cushing Syndrome
c) Addisons disease
58)Wht change will not seen in a women having inc.cortsiol level?
a) Hypotension
b) Moon face
c) Buffalo Torso

d) Thin skin
e) Hirsuitism
59) Main support of uterus is:
a) Cardinal ligament
60) Rational for storage of platelet at room temp. is :
a) Optimize the platelet function
b) platelet number do not dec.
61) Women brought to you in ER in shock who had a 10 pint transfusion 10 yrs back due to PPH
is most likely having:
a) Sheehan syndrome
62) Therapeutic index indicate:
a) Bioavailability
b) Efficacy
c)
63) If after 15 days of c-section due to Obstructed Labour pt. developed Urinary
incontinence,wht is the most likely cause?
a) Vesicovaginal Fistula
b) Vesicouterine Fistula
64) Which one is the supporting ligament of uterus tht is palpable on Per-rectal examination?
a) Uterosacral ligament
65) If 35 yr old women developed Generalized Lymhadenopathywht is the most likely cause:
a) Hodgkin Lymphoma
b) Nonhodgkin lymphoma
c) Malignant disease
d) CML
e) ALL
66) If women accidently exposed to radiation 3 to 4 yrs back which organ is most likely effected?
a) Cervix
b) Fallopian tube
c) Ovaries
d) Vagina
67) Wht is the best method to check bone density?
a) CT scan spine
b) MRI spine
c) Calcium Level
d) D scan of spine
68) Which drug do not cause gynaecomasia?
a) Digoxin
b) Griseofulvin
c) Cimetidine
d) Androgen
e) Estrogen
69) Pt developed Morning stiffness,Photosensitivity,rash which test will be positive?
a) RA
b) ANA
b) antimitochondrial
70) Wht is the end product of glucose breakdown ?
a) Galactose
b) Lactose
c) Fructose

d) Pyruvate
71) In a pre eclampticpt which drug is used to lower BP before surgery?
a) Hydralazine
b) Amlodipine
72) Amniotic fluid embolism is related to:
a) DIC
73) Which hormone is necessary for brain development of fetus?
a) GH
b) Thyroid
c) Cortisol
74) If feto protein is high wht is most likely?
a) Anencephaly
b) Spina bifida Occulta
c) Down syndrome
75) T3 , T4 raised in pregnancy due to:
a) Inc TBG
b) Inc TSH
c) Inc TRH
76) Which one is not a tumor marker?
a) HCG
b) CEA
c) fetoprotein
d) Placental Acid phosphatase(PLAP)
e) Alkaline Phosphatase
77) Hysterosalpingography is more accurate than MRI in:
a) Adenomyosis
b) blocked tubes
78) TORCH can lead to all EXCEPT:
a) Pnuemonia
b) Cataract
c) Deafness
d) Cardiac anomalies
e) Blindness
79) DNA is:
a) Double stranded in which two strands are antiparallel to each other
b) all other wrong
80) Which antithyroid drug is given during Pregnancy?
a) Propylthiouracil
81) Tx of raised sugar in pregnancy is :
a) Insulin
b) Sulfonylurea
82) Menopause is diagnosed by:
a)Raised FSH,RaisedLH,decEstrogen
b)dec FSH n LH
83) Tuboovarianabcess caused by IUCDswht is the most likely causative agent?
a) Actinomycosis
b) Streptococcus
84) Which component is low in Cow`s milk as compared to mother`s milk?

a) Lactose
b) Fat
c) Calcium
d) Protein
85) Excess of Aldosterone will cause:
a) Hypokalemia
b) Hyperkalemia
86) Which method is most useful in identifying chromosomal abnormalities?
a) Karyotyping
b) U/S
c) Bar bodies
87) DIC is related to all EXCEPT:
a) Cancer
b) Amniotic fluid embolism
c) Sepsis
d) RPOCs
e) answer
88) In C-section insicion is given in subcutaneous fat suprapubically will likely to damage?
a) Superior mesenteric artery
b) Deep Circumflex iliac artery
c) Superior epigastric artery
d) inferiorepigastric artery
e) Perforating arteries
89) Insulin increase absorbtion of glucose in?
a) Hepatocytes
b) Mucosa of small intestine
c) Renal tubular cells
90) Glucose is absorbed in renal tubules through:
a) Secondary Active transport
b) Facilitated diffusion
c) Diffusion
91) A pregnant women is on Phenytoin,wht is the least likely complication in fetus?
a) Bone deformity
b) Mental retardation
c) Cleft palate
92) Anticoagulants are indicated in all EXCEPT:
a) Thrombocytopenia
b) Cerebral infarction
c) Prolong bed rest
d) DVT
93) A mother brought her 8 yr old daughter in OPD with complain of vaginal bleeding,she was
taller acc. To her age with well developedbreasts.she was otherwise normal,wht is the cause:
a) Ovarian tumor
b) Hyperpituitrism
c) Hypothalamic disorder
94) Main function of Extracellular fluid is:
a) Transport electrolyte
b) Remove waste products
c) Provide nutrition
95) Which investigation is least likely done in a suspected case of DIC?

a) Clotting time
b) FDP
c) D-Dimer
d) Platelet count
e) PT
96) Which drug is not used in Dysmenorrhea?
a) Ibuprofen
b) Mefenamic acid
c) Aspirin
d) COX inhibitor
Some more Questions
(Expect repetition of questions)
1)which hormone is resposible 4 storage of carbohydrate,fats,protein in body?
a)cortisol
b)growthhor
c)thyroxine
2)which hormone is responsible 4 storage of fat CHO n protein in body n called hormone of
abundance?
a)costisol
b)throxine
c)grwoth hormone
3)which hormone is needed 4 brain development of fetous during intranatal life?
a)growth horm
b)thyroid
etc
4)tubo ovarian abcess in a woman using iucd is caued by?
a)actinomycosis
b)streptococi
etc
5)which component is low in cow milk as compare 2 mothr milk?
a)lactose
b)protien
c)calcium
d)fat
6)among following which is not antiseptic?
a)soap
b)salicylic acid
c)sodium hypochlorite
d)ethanol
7)4 tx of eclampsia which drug is used?
a)hydralazine
b)minoxidil
etc
8)which method is used 2 kill spore?
a)dry heat at 160c for 1 hr
b)dry heat at 160 c for 4 hr
c)moist heat at 160c for1hr
9)excess of aldosteron will cause?
a)hypokalemia
b)hyperkalemia

etc
10)structure of 2ndry villus unclude?
a)mesoderm cytotrophoblast syncytium
b)capillariescytotrophoblast syncytium
etc
11)a 45 yrs old lady is post menopausal from last 9 months,which is most likely 2 show onset of
menopause?
a)anovulatory cycle
b)atrophic uterus
etc
12)spermatogenesis is supported by?
a)FSH n testosteron
b)gonadotrophin
etc
13)germinal epithelium of ovary contain?
a)cuboidal epithelium
c)columnar
etc
14)columnar epithelium line which structure?
a)thymus
b)choroid plexus
c)uterine tubes
15)which method is most helpful in identifying chromosomal abnormalities?
a)karyotyping
b)u\s
etc
16)a normallooking female cam 4 primary amenorrhea on examination she was having short
blind vagina wid normal vulva n scanty hair,herwt n ht for age were normal bt absence of
uterus,she was othrwise a normal lookinggirl karyotype was xy
a)46xy
b)46xx
etc
17)DIC is related 2 all of the following except?
a)amniotic fluid embolism
b)cancer
c)gram-ve sepsis
d)retained dead fetus
e)etc(answer)
18)a women brought 2 hospital after having difficult delivery at home wid bleeding diathesis
wat is the cause
a)dic
etcetc
19)which of the following is leat likely 2 b effected by actinomycosis
a)bone
b)brain
c)oral cavity
19)which is not the manifestation of child born wid toxoplasma infection?
a)pneumonia
b)cataract
c)mental retardation
etc

20)a woman having morning stiffness of hand n pericardial effusion which lab finding woud help
in dx?
a)anti nuclear DNA
b)strptolysin
c)rheumatic factor
etc
21)which structure pass thro inguinal canal from uterus 2 labium majus in female?
a)round ligament
b)broad ligament
etc
22)which ligament can b palpated on per rectal examination?
a)uterosacral
b)broad ligament
c)round ligament
etc
23)main support of uterus?
a)broad ligament
b)transverse cervical ligament
etc
24)an incision given supra pubically in a female for LSCS would damage which artery?
a)superior epigastric
b)inferiorepigastric
etc
25)ovary is attached 2 back of braod ligament by?
a)mesovarium
etcetc
26)whichsturcture does not form walls of inguinal canal?
a)lacunar
b)external oblique apenerosis
c)conjoint
etc
27)insulin help in absorption of glucose through?
a)musoca of small intestine
b)renal tubules
c)hepatocytes
etc
28)glucose is absorbed in renal tubules thro?
a)2ndry active transport
b)facilitated diffusion
etc
29)afterlscs(c\section) a woman is bleeding intaperitonealy which artery can b damaged?
a)uterine
b)ovarian
c)internal iliac
etc
30)which organism require selective media 4 its diagnosis?
a)vibrio cholera
b)e coli
c)campylobacter
etc

31)a pregnant woman on phenytoin, which is the least likely complication?

a)bone deformity
b)mental retardation
c)cleft palate
32)anticoagulant are contraindicated in ptwid?
a)thrombocytopenia
etcetc
33)apt showing eosiniphilia,lymphoctytopenia polycythemia his blood levels show increase ACTH
level which of following is the cause?
a)cushing syndrome
b)sudhing disease
c)addisons disease
etc
34)ca breast will effect which of the breast quadrant mostly?
a)upper n outer
b)medial
c)inner n medial
etc
35)a women having ca breast which group pflypmh nodes is effected?
a)anterioraxillay
etc
36)a mother brought her daughter wid vaginal bleeding she is 8 yrs old taller 4 her age wid well
develop breast n odr wise normal which coud b the cause?
a)constitutional
b)hypothalamic
etc
37)a man wid full burns in icu develop bleeding diathesis which coud b the cause?
a)dic
b)infection
etc
38)a women brought 2 ER unconciouswid history of postpartum hemorrhage 10 yrs back which
of the following is dx?
a)sheehan syndrome
b)lowbp
etc
39) Main functions of extracellular fluid is?
a)transport electrolytes
b)removal of waste material
etc
40)therapeutic index show
a)drug efficacy
b)safety
Which,then,of your sustainer's powers can you disavow ? (Ar-Rahman 55:1-13)
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