Previous exam questions

Discussion in 'MRCOG Forum' started by Guest, Jan 7, 2009.

  1. Guest

    Guest Guest

    March 1997
    • Achondroplasia:
    1. Is the most common lethal chondrodysplasia. (T)
    2. Can be excluded by a normal femur length measured by
    ultrasound at 18 weeks of pregnancy. (F)
    3. Is associated with polyhydramnios. (F)
    4. Is not associated with mental retardation. (T)




    .
    • Phenytoin:
    1. Is best administered by intramuscular injection. (F)
    2. Has a short biological half life. (F)
    3. Is rapidly absorbed from intestinal tract. (F)
    4. Is metabolized by the liver. (T)
    .
    • Neonatal jaundice appearing on the 3rd day and still present at
    2 weeks of age may be due to:
    1. Haemolytic disease of the newborn due to rhesus
    incompatibility. (F)
    2. Galactosaemia. (T)
    3. Phenylketonuria. (T)
    4. Neonatal hyperthyroidism. (F)

    .
    • Analysis of a sample of amniotic fluid obtained by
    amniocentesis assists in the diagnosis of:
    1. Tay - Sachs disease. (T)
    2. Congenital adrenal hyperplasia. (T)
    3. Spina bifida occulta. (F)
    4. Oesophogeal atresia. (F)
    .
    • The following disease are inherited as autosomal recessive
    traits:
    1. Pseudohypertrophic (Duchenne) muscular dystrophy. (F)
    2. Cystic fibrosis. (T)
    3. Haemophilia. (F)
    4. Phenylketonuria. (T)
    5. Congenital spherocytosis. (F)
    .
    • Factors predisposing to maternal pulmonary aspiration of
    gastric contents during labour include:
    1. An increase in gastric motility. (F)
    2. The effect of progesterone on the cardiac sphincter. (T)
    3. Epidural analgesia. (F)
    4. The use of muscle relaxant. (F)

    .
    • Intrahepatic cholestasis in pregnancy is characteristically
    associated with:
    1. Elevated serum concentrations of the direct bilirubin
    fraction. (T)
    2. A positive direct coomb's test in the neonate. (F)
    3. Elevated serum acid phosphatase activity. (F)
    .
    • The following concerning preterm labour are correct:
    1. Maternal administration of steroids is contraindicated in
    cases with prolonged rupture of membranes. (F)
    2. Women with history of subfertility have an increased risk.
    (T)
    3. Babies weighing between 500-1000 grams should be
    delivered by caesarean section. (F)
    .
    • Severe pregnancy induced hypertension is characteristically
    associated with :
    1. A reduced uric acid clearance. (T)
    2. Abnormally high maternal concentrations of serum cortisol.
    (F)
    3. Hypernatraemia. (F)
    .
    • Complications arising during the administration of ritodrine
    are more likely when there is:
    1. Maternal anaemia less than 9g/dl. (T)
    2. Rupture of membranes. (F)
    3. Maternal diabetes. (T)
    .
    • Rubella infection in the first trimester of pregnancy is
    associated with a subsequent increased risk of:
    1. Phocomelia. (T)
    2. IUGR. (T)
    3. Oligohydramnios. (F)
    4. Neonatal purpura. (T)
  2. jeva.

    jeva. Guest

    .prostatic utri is drived from mesonephric duct ,f its a deriv of parameso
    .preovulatory follicle is lined by theca intrna cells true
    .in CBD obstruction serm cholestrol will be dec ??
  3. mohit.

    mohit. Guest

    1.paranchymal cells of liver cn convert fruc into glu false
    2.an ovarian teratoma is usually melignan false
    3.nephroblastoma may b benign false
    4.duplication,anuploidy,polyploidy r structral abberations of chromosome false
    5.translation of dna occur inside nuclus true I am not sure
    6.cong billi is constituant of amnitic fluid from 2nd tri after 20-22 weeks yess so should the answer be yes???//clarify
    7.normal level is 500md/l in blood.what is actual value of both cong and uncon billi
    its lipid soluble ???????///cant find
    8.plasma albumin binds wt triglesrides
    9.metabolic acidosis occur after admin of ammuni chloride yes
    10.within 48hrs of maj surgical operation there is inc in potassium excretion yes
    11.cholestrol is a major constit of hdl yes
    12.it is synth from acetate yes
    13.histamin inhbit pepsin sec false
    14.surfactant is pre in fetal lung in 24w gest no…Not sure
    15.pseudomonas is motile yes
    16.sub cut inj of atropin produces hyonotic effect false
    17.estrogn inc serum conc of albumin false binds maximally to estrogens..so conc in serum should be less
    18.angiotensinogen is a globulin yes alpha 2 globulin
    19.serum conc of all releasing horm of hypoth inc in preg false
    20.halothn prod expulsive mix with air yes
  4. sharn.

    sharn. Guest

    march 2001 paper 2
    1)renal sodium retention favoured by
    -high gfr
    -incresed renin sec
    -haemocontration
    -expansion of plasma vol
    -low renal blood flow

    2)metabolic acidosi caused by
    -accute resp failure

    3)Lglucose
    -identical in biological activity to D glucose

    4)tisue macrophage
    -found in placental villous stroma
    -express hla 1 bt nt hla 2

    5)bld con of folowin lowered in preg
    -transferin

    sep 2001 paper 2
    1)concernin glycolysis
    -glucose to pyruvate pathwayis present in all tisues

    2)in normal man brethin quietly at rest partial presur e of
    -co2 in alveolar air is about 3 times greater than in room air
    -nitrogen is greater in expired air than in inspired air
    -water vapour in alveolar air is less than in room air
    -co2 in bld of pulmonary arteries is greter than in alveolar air
    -o2 is les in pulmonary veins than in alveolar air
  5. Shahjah.

    Shahjah. Guest

    march 2001 paper 1
    1)concernin histological contituent;
    -sacroiliac joint has synovial membrane

    sep 2oo1 paper 1
    1)the femoral ring
    -has femoral sheath lying anterior posterior medial to it

    2)concernin embryological development
    -duct of bartholin gland open above hymen

    3)a normal distribution of values
    -has 75% of its values below upper quartile

    march 2000 paper 2
    1)in adrenal cortex
    -17 alpha hydroxyprogesterone is a brekthru product of coticosterone

    2)estradiol
    -is the most abundant estrogen in late pregnancy

    3)concernin maternal fetal placcental transfer
    -bicarbonate difuse acros placenta more easilt than co2

    4)a reduced arterial pco2
    -occurs at altitude over 2500 m
    3)
  6. fisher.

    fisher. Guest

    march 2000 paper 2
    1)in adrenal cortex
    -17 alpha hydroxyprogesterone is a brekthru product of coticosterone f

    2)estradiol
    -is the most abundant estrogen in late pregnancy t

    3)concernin maternal fetal placcental transfer
    -bicarbonate difuse acros placenta more easilt than co2 f

    4)a reduced arterial pco2
    -occurs at altitude over 2500 m t
  7. fisher.

    fisher. Guest

    Metabolic acidosis:
    With repeated vomiting…
    With ingestion of ammonium chloride…
    With hypokalemia..

    PG stimulates alpha adrenergic receptors
    Pg stimulates the isolated myometrial muscle fibres in vitro

    Cervix !!!!!!!!!!!!!!!
    Microglandular hyperplasia is premalignant.
    Microglandular hyperplasia is caused by COC
    Microglandular hyperplaisia can co exist with CIN
    Cervical polyp is premalignant.
    All types of dysplasia may be present in microscopi examination..

    The following are characters of hypoxic cell death:
    Apoptosis…true
    Phagocytosis…false
    Pyknosis…false
    Poikilocytosis…false
    Release of phospholipids…true


    1.HNPCC syndrome.- is endometrial ca associated with it?
    2.HCG IS DETECTABLE WITHIN 48 HRS OF FERTILISATION
    3.THF IS PRECURSOR OF FOLIC ACID
    4.hpl reaches the same concentration in fetal and maternal blood at term
  8. Kula.

    Kula. Guest

    1.BILE NORMALLY CONATAI HI CONC OF FREE BILLI
    2.in CBD obstruction serm cholestrol will be dec
    3.obturator nerve innervates obt intrnus muscle
    4.preovulatory follicle is lined by theca intrna cells
    5.pelvic splanshnic nerves inervates cervix nd ut.
    6.fetal testis r intrabdominal 12w afr conception
    7.prostatic utri is drived from mesonephric duct
  9. vina.

    vina. Guest

    Examples of ?continuous variables are
    Bld glucose
    Haemoglobin
    Gender
    Height
    Blood pressure
  10. saym.

    saym. Guest

    8.With regard to the chi-squared test:

    a. it is used to test the difference between frequencies t
    b. it is used as an alternative to the t-test to determine the
    difference between two means f

    c. the number of degrees of freedom is the number of
    independent comparisons. ?

    d. the greater the value of the chi-squared test, the less likely it
    is to be significant f

    e. the null hypothesis is not required t
  11. saym.

    saym. Guest

    9.The prevalence rate of a disease has the following features:
    a. it is dependent on the incidence of the disease
    b. it is dependent on the duration of illness

    c. it measures all the current cases in the community

    d. it can be estimated from a cross-sectional study

    e. it can be used to determine the health needs of a community
    10.An aetiological factor must satisfy the following before one can say that it
    is causally related to a disease:

    a. exposure to the factor must precede the development of the
    disease
    b. elimination of the factor decreases the risk of the disease

    c. the factor is found more frequently among the diseased than
    non-diseased

    d. the factor is not found among persons without the disease

    e. the factor is found in all cases with the disease
    11.A recently discovered treatment for retinoblastoma significantly
    extends the lifespan of the patient, but does not prevent the disease
    or lead to its cure. Given this scenario, which of the following
    statements about retinoblastoma is (are) true?
    a. its incidence will increase.
    b. its prevalence will increase.

    c. its incidence will decrease.

    d. its prevalence will decrease.

    e. both the incidence and prevalence will increase
    12.A random selection of 1200 adults agree to participate in a study of
    the possible effects of drug X. They are followed prospectively for a
    period of five years to see if there is an association between the
    incidence of cataract and the use of drug X. This type of study is a:

    a. case-control study.
    b. randomized controlled clinical trial.

    c. cross-sectional study.

    d. cohort study.

    e. cross-over study.

    13.'Validity' as applied in statistics refers to:

    a. expresses the degree to which two things are related.
    b. implies that the results of a test can be reproduced.

    c. describes how well a study measures what it purports
    to measure.

    d. measures the strength of relationship between cause
    and effect.

    e. indicates the probability of obtaining a given result by
    chance alone.

    14.For the data series: 2, 1, 6, 4, 2

    a. the mode is 4
    b. the median is 3

    c. the standard deviation is 4

    d. the mean is 3

    e. the mean is always identical to the median
  12. saym.

    saym. Guest

    statistical analysis of any group of numerical observation-
    a.the mean is always less than the mode.F
    b.the median value always lies to the midpoint of range.T .its false bz the range of no may contain even as well as odd numbers.
    c.SD always >SEM -??
    d.SEM is independant of the total no.of the observation.F
    e.there r same no of observation greater and less than the median value.f
  13. saym.

    saym. Guest

    Transferrin
    a)is one third saturated with iron
    b)is increased in pregnancy
    c)binds to 10mg of iron per gram
    d)levels in the neonate are low
    e)is actively transported
  14. saym.

    saym. Guest

    lignocain is used in combination with adrenaline for ring block
    The rectum
    a) usually commences at the level of S3
    b) has a mesentery in its proximal third
    c) drains lymph to the pre-aortic nodes
    d) has a parasympathetic nerve supply derived entirely form the S3 spinal segment
    e) is about 25cm in length
    During menstruation, endometrial haemostasis depends upon
    a) a platelet and fibrin plug formation after the first 20 hours of bleeding
    b) oestrogen mediated vasoconstriction
    c) prostaglandin mediated spiral vessel constriction
    d) production of plasminogen activating factor by the glandular epithelial cells
    Copper IUD mode of action:
    ?T sperm motility
    ?T microthrombi
    ?T intervent ovary movement

    stored blood which is to be used for transfusion—
    a-kept at -4 degree f
    b-must be used in 1 week – f
    c-is tested for compliment content before transfusion -- f
    d-may be used for platelet replacement – f
    e-contains an acid anticoagulant – t

    inear regression:
    a-starts from the origin
    b-passes thru the mean-
    c-values vary
    d-ranking is done???

    following test r used to compare 2 drugs a and b
    a-student t test
    b-meta analysis
    c-wiloxone paired test
    withney u paired test
  15. saym.

    saym. Guest

    d)levels in the neonate are low ??? yes t
    following test r used to compare 2 drugs a and b
    a-student t test f
    b-meta analysis f
    c-wiloxone paired test t
    withney u paired test t
    The rectum
    a) usually commences at the level of S3 ..t
    b) has a mesentery in its proximal third .....t
    c) drains lymph to the pre-aortic nodes ...f
    d) has a parasympathetic nerve supply derived entirely form the S3 spinal segment f
    e) is about 25cm in length f
  16. saym.

    saym. Guest

    During menstruation, endometrial haemostasis depends upon
    a) a platelet and fibrin plug formation after the first 20 hours of bleeding ....t
    b) oestrogen mediated vasoconstriction ...f
    c) prostaglandin mediated spiral vessel constriction ...t
    d) production of plasminogen activating factor by the glandular epithelial cells ...f
  17. saym.

    saym. Guest

    Copper IUD mode of action:
    T sperm motility ...f
    T microthrombi ..t
    T intervent ovary movement ...f
  18. saym.

    saym. Guest

    facial hair increased by:
    oestrogen..f
    testerone...t
    spirolactone...f

    stored blood which is to be used for transfusion—
    a-kept at -4 degree f
    b-must be used in 1 week – f
    c-is tested for compliment content before transfusion -- f?
    d-may be used for platelet replacement – f
    e-contains an acid anticoagulant –
  19. saym.

    saym. Guest

    prostaglandin

    half life...????????????????

    predominantly produced by UG system ...f
    - is a kind of lukotriene ..f
    - is phospholipid ..f?
    following incr in injury

    ) FIBRINOGEN t
    2) HEPATOGLOGIN t
    3) FERRITIN..f
  20. saym.

    saym. Guest

    by transvaginal u/s yolk sac apear in which week....5-6 weeks and trans abdominal,7-8 weeks
    Enzyme activity is modified by
    Allosteric esters ?F
    Binding to plasma prot T
    Proteolytic cleaving of inactive precursors F
    Gene transcription t

    incidence of n gonorrhoea resistance to penicillin is 1% ...........?
    incidence of n gonorrhoea resistance to 3 rd gen ceph 5%
  21. kula.

    kula. Guest

    Genetics
    South blot detects DNA ...t
    DNA is exact copy of RNA ....f opposite z true
    DNA is transcribed by RNA polymerase t
    Ribosomes contain RNA t
    Transcription occurs at any direction along the chain t
    DNA replication is called transformation f
    DNA has transcription restriction enzyme f?
    Histones do not contain DNa...f
  22. senaz.

    senaz. Guest

    Histones do not contain DNa...f :T
    Histones dont containDNA. DNA is wound around histone.

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