Mock Test-3-Module part-1
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1) .Features of DIC are all ,except
2) .In which part of the cell does glycolysis take place?
3) . Cell membrane primarily composed of:
4) What is the main site of iron absorption?
A 63-year-old man in the surgical ward is complaining of numbness over the anterior thigh and medial aspect of his right leg. He is unable to extend his right knee and the knee jerk is reduced. He had undergone a femoral aneurysm repair 3 days ago. Which is the most probable nerve damaged in this case?
6) Which of the following is true concerning 1,25-(OH)2D3 (vitamin D)?
7) Which of the following may reduce anticoagulant action of Warfarin?
Which of the following organs is derived from the ectodermal neural crest cells?
9) What is the nerve root of the ilioinguinal nerve?
10) Which is the right pair?
11) What happens in Horners syndrome?
During an operation, a midline incision was made at an anatomic location 2 cm below the umbilicus. Which of the following lists (in order) the layers of the anterior abdominal wall as they would be incised or separated?
13) One of the following is a pathological change in pregnancy.
14) Co-factor for the free radical scavenging enzyme glutathione peroxidase is
15) Which of the following organs is derived from ectodermal neural crest cells?
16) .Night blindness is caused deficiency of:
A 70 years old lady,presented to her GP with c/o progressive abdominal distension ,shortness of breath & decreased appetite.Also there was h/o weight loss. The GP referred her to the oncology department & ordered Ca-125 levels,which turned out to be 500u/ml.What is the most likely diagnosis in this case?
18) Respiratory system changes in pregnancy are
19) .Which of the following causes Kernicterus?
20) . Which of the following is not a known side effect of Tranexamic acid?
. A 27-year-old woman has a cervical smear result which shows ‘borderline’ changes.Which cells line the ectocervix?
22) . Under aerobic condition all respiratory substance end in :
23) . Regarding haemoglobin which of the following is true?
24) Regarding the blood supply of anterior abdominal wall, which is not true?
25) .If choriocarcinoma metastasizes ,it spreads predominantly by which route?
26) Sympathetic drive to the heart is increased in which of the following conditions?
Whilst examining the abdomen of a 21-year-old female with abdominal pain you notice a well-defined “six-pack”. Which muscle is this?
Which of following vitamin act as antioxidant and its deficiency cause mild hemolytic anemia in newborn
29) Which of the following is true regarding Down syndrome?
30) Each turn of kreb`s cycle produce ATP:
31) Deficiency of following vitamin deficiency cause megaloblastic anemia:
32) XX karyotype is associated with which of the condition?
33) Use of Lithium in pregnancy is associated with which abnormality in the fetus?
34) Which of the following statement is true about evidence-based medicine?
35) .Atosiban is
A 55-year-old woman presents to the clinic enquiring about the use of hormone replacement therapy (HRT). She had a hysterectomy 8 years ago for fibroids. She has no contraindications or other past medical history, except a strong family history of osteoporosis. Her main symptoms are hot flushes and vaginal dryness. What would be your first treatment option?
A 19-year-old woman with a complaint of never having had menses comes to your office. Physical examination shows that she is 1.37 m tall and weighs 94 lb. She lacks breast and pubic hair development. There is webbing of her neck and cubitus valgus. Which of the following would be the simplest, yet most useful, initial test to begin her evaluation?
A 33 year old women with known stage III cervical cancer presents to A&E with lower abdominal and unilateral flank pain. From the following list what is the likely diagnosis?
A 33-year-old lady, who is 38 weeks pregnant, presents to her general practitioner with a 4- week history of pain and paraesthesia over the upper outer aspect of her right thigh. There is no restriction of movements in her hips or knees and her gait is normal. Which is the most likely nerve, which is affected in this case?
40) Which of the following is correct regarding vitamin B12?
For OAB ,a new drug called Mirabegron is used.Which is the single mechanism of action for this drug.
Which of the following substances occur in lower concentration in foetal blood in comparison to the maternal blood?
43) Which of the following regions of nephron does the water leave via diffusion?
A couple presents to your office during the ninth week of pregnancy. Their previous child was diagnosed ith trisomy 18, so they are extremely anxious and would like prenatal diagnosis as early as possible. They have many questions about chorionic villus sampling (CVS). A mother with blood group AB has an AB child. She would like to establish paternity through blood typing. Which blood type excludes a male from being the potential biologic father?
45) Which of the following is not a physiological change in pregnancy?
46) Which of the following is true regarding the human rectum?
A patient develops a neurologic disease that destroys components of S2, S3, S4 bilaterally. What clinical manifestation would you expect the patient to have as a result?
A neoplasm of the female genital tract occurring in an 18 year old girl whose mother was treated with Diethylstilbesterol during pregnancy is likely to be
49) Wound healing by secondary intention takes place
50) Contraindication for the use of Oxybutynin is
A healthy 5 ft 6 in. tall, adult female is most likely to have a pelvic inlet that would be classified as which of the following Caldwell-Moloy types?
52) Increase in number of cells in tissues is called
A patient presents approximately 10 years post-menopausal with complaints of pressure vaginally and the sensation that something is falling out. When told she has a fallen uterus, she wonders if it is due to the damage from her round ligaments since she had a great deal of round ligament pain during her pregnancies. Which of the following ligaments provide the most support to the uterus in terms of preventing prolapse?
54) Which of the following structures pass under the inguinal ligament?
From which of the following is the nerve supply to the vulva derived?
. A couple are both known to carry the trait for a haemoglobinopathy. They decline any invasive testing when they conceive their first pregnancy.At an anomaly scan at 20 weeks’ gestation the fetus is found to have severe hydrops. In utero death occurs at 22 weeks' gestation.What is the most likely cause of the fetal demise?
A 17-year-old woman presents to the sexual health clinic with vulval ulceration and difficulty in passing urine. She is sexually active and has had unprotected intercourse with her new boyfriend. She takes the combined oral contraceptive pill. What is the most likely diagnosis?
58) Renal changes in pregnancy are all except
59) Which of the following clotting factors remain unchanged in normal pregnancy?
60) Mechanism of action of clomiphene citrate is
61) Which of the following organs does not respond to oestrogens?
62) In an ECG which lead reflects the inferior wall of heart ?
63) The enzyme in red blood cells which buffers blood CO2 is?
64) Type of collagen found in basement membranes is
65) Which of the following statement is true regarding human chromosomes?
66) Which of the following is true about the smooth muscle cells?
The anatomy of the spinal cord and dural space is important when giving regional spinal anesthesia.At what approximate spinal level do the dural space and the spinal cord, respectively, end?
68) Which of the following occurs during the isometric ventricular contraction?
69) Deficiency of following vitamin deficiency cause dermatitis enteritis :
70) Why is oxytocin not used orally?
The part of the pelvis lying above the linea ter-minalis has little effect on a woman’s ability to deliver a baby vaginally. What is the name of this portion of the pelvis?
72) . Which tissue is not capable of regeneration?
73) Mechanism of action of Ulipristal acetate.
A 72-year-old woman undergoes a total abdominal hysterectomy. She has chronic obstructive pulmonary disease. Postoperatively, she is difficult to extubate and has a prolonged stay on the intensive care unit. Which of the following is the most important direct stimulus to respiration?
75) Normal clotting of blood requires
During delivery of a first twin, a very tight nuchal cord is reduced from the baby’s neck by clamping and dividing it. After this, the second twin (as yet unborn) develops severe fetal distress. Of the following, what is the most likely mechanism for the distress in the second twin?
77) Which of the following is a branch of the femoral artery?
78) Which artery supplies the structures derived from the foregut of the embryo?
79) How is MAP calculated ?
A 32-year-old primiparous woman suffers a massive antepartum haemorrhage and undergoes an emergency caesarean section. During the caesarean section she suffers a massive obstetric haemorrhage requiring transfusion of blood and clotting factors. As a result of these events, she develops disseminated intravascular coagulopathy. Which of the following laboratory results would be expected in this condition?
81) The mineral which has synergistic action with vitamin E is
82) Which antihypertensive causes depression in post natal period?
83) Which of the following is not true regarding 1,25(OH)2 vitamin D?
A 26 year old patient sustains a 3b perineal tear following delivery of her 1st baby. Following repair she asks you about her prognosis. What is the chance she will be asymptomatic in 12 months time?
You review a 28 year old patient in the fertility clinic. She has a diagnosis of PCOS. She has been trying to conceive for 2 years. Her BMI is 26 kg/m2. She is a non‐smoker. She has been taking Clomiphene and metformin for the past 6 months. What is the next most appropriate treatment?
. A 39-year-old multiparous woman is 13 weeks pregnant. She has serum screening as part of the combined test.Analysis shows an elevated level of α-fetoprotein and a normal level of pregnancy-associated plasma protein A.What diagnosis are the screening results suggestive of?
87) What is the uterine corpus mainly composed of?
When performing a hysterectomy, the surgeon should be aware that at its closest position to the cervix, the ureter is normally separated from the cervix by which of the following distances?
89) In order to take part in Kreb`s cycle pyruvate must be converted into:
. A nulliparous woman presents with spontaneous rupture of membranes at 41 weeks of gestation. At 18:00h, her cervical dilatation is 3 cm. A further vaginal examination at 22:00h reveals that her cervical dilatation is still 3 cm. At 02:10h, the fetus is in the occipitoposterior position and uterine activity is present. What is the most appropriate action?
Poor wound healing, impaired spermatogenesis, diarrhoea, dermatitis, alopecia are the features of which mineral deficiency
91)
You are counseling a 16-year-old G1P0 girl and her 16-year-old boyfriend. Two weeks ago they received a quad screen result with a 1:50 risk for Down syndrome. She has noninformative family history and medical history. You begin counseling by explaining that the number of chromosomes in a fetus is how many?
93) . Which of the following is the site of production of the hormone insulin?
94) Which of the following is the leading cause of Down Syndrome?
A 26-year-old female presents with right iliac fossa pain and is taken to theatre for an appendectomy. An incision is made through the skin and onto muscle with fibres passing inferiorly in an oblique direction. Which muscle is cut in this scenario?
96) Which of the following is the best description of the pelvic diaphragm?
97) Presence of vaginal septa is not associated with which of the following?
a team wishes to audit their departmental results on the use of anticoagulation in patients with obstetric thromboembolic disease. What is the most appropriate next step to be taken up by the team who is undertaking audit in this case?
99) Deficiency of following vitamin deficiency cause paraesthesia:
A 32-year-old woman undergoes an emergency caesarean section for failure to progress at 9 cm cervical dilatation. Which of the following correctly describes the pelvic shape which has an anteroposterior diameter of the inlet, greater than the transverse diameter?
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