Mini mock test 2-Module part-1

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1) Which of the following clinical features are not suggestive of PID?

A) Lower abdominal pain which is typically bilateral.

B) Deep dyspareunia.

C) Abnormal vaginal bleeding, including post coital, intermenstrual and menorrhagia.

D) Abnormal vaginal or cervical discharge which is o en purulent.

E) Lower abdominal pain which is typically unilateral.

2) Lady in labour 5cm dilated vertex on 0 station cervix fully effaced. After time labour progress with 4-5 uterine contraction/ 10 min without fetal head descent..

A) Forcep delivery

B) C. Section

C) Oxytocin infusion

3) A 32-year-old woman is being continuously monitored during labour using a cardiotocograph (CTG).

She has had one previous caesarean section for breech presentation at term.

She is currently 40 weeks’ gestation and in spontaneous labour. e baseline of the CTG is 115 beats per minute.

Regarding CTG analysis, what is the accepted range for the baseline rate?

A) 80–100 beats per minute

B) 90–120 beats per minute

C) 100–150 beats per minute

D) 110–160 beats per minute

E) 120–180 beats per minute

4) Which hormone is responsible for contraction of myoepithelial cells in lactation?

A) Luteinizing hormone

B) Human placental lactogen

C) Follicle stimulating hormone

D) Thyrotropin-releasing hormone

E) Oxytocin

5) Recognized feature of Sheehan syndrome :

A) Menorrhagia

B) Galactorrhea

C) Insulin resistance

D) Hypothyroidism

E) . Dwarfism

6) Which of the following is recognized cause of hirsutism?

A) anorexia nervosa

B) Cushing syndrome

C) .haemochromatosis

D) .hypothyroidism

E) .sheehan syndrome.

7) you see a 42 year old woman in clinic who mentions she has been sweating and has frequent headaches. In examination you note her blood pressure is 195/105 and pulse rate is 110 . You suspect pheochromocytoma . Which of the following condition is not associated with higher risk of pheochromocytoma??

A) multiple endocrine neoplasia type 1

B) multiple endocrine neoplasia type 2

C) paraganglioma syndromes type 3

D) von hippel -Lindau disease

E) neurofibromatosis type 1

8) Oestrogens are excreted by

A) Metabolism by plasma aromatases

B) Conjugation in the liver and excretion in urine

C) Conjugation in the liver and excretion in bile

D) Conjugation in the liver

E) Direct excretion in urine

9) Which one is a recognized physiological effect of oestrogen?

A) Decreased concentration of sex hormone binding globulin

B) Decreased concentration of thyroxine binding globulin

C) Decreased concentration of cortisol binding globulin

D) Increased insulin resistance

E) Increased concentration of free cortisol

10) .Secondary amenorrhoea is most commonly associated with:

A) sheehan's syndrome

B) premature ovarian failure

C) polycystic ovarian diseases

D) Hyperprolactinaemia

11) A 22-year-old primiparous woman books her pregnancy at 11 weeks’ gestation. Her booking blood tests reveal a haemoglobin level of 10.1 g/dL. Electrophoresis reveals haemoglobin karyotype HbAS.

What is the diagnosis?

A) Beta-thalassaemia major

B) Beta-thalassaemia trait

C) Hereditary spherocytosis

D) Sickle cell anaemia x

E) Sickle cell traitّ

12) Which of the following is a branch of the posterior division of the internal iliac artery?

A) Inferior gluteal artery

B) Internal pudendal artery

C) Obturator artery

D) Superior gluteal artery

E) Uterine artery

13) .Is not a uterine cause of amenorrhea ??

A) .mullerian agensis

B) .asherman syndrome

C) .cervical stenosis

D) .Sheehan syndrome

E) rokitansy syndrome

14) .What is the first stage of development in tanner staging?

A) Development of breast

B) Growth spurt

15) What percentage of testosterone is unbound (free) in men?

A) 25‐30%

B) 15‐20%

C) 5‐10%

D) 1‐3%

E) 0.1%

16) Human Chorionic Gonadotrophin (HCG) is structurally similar to which of the following hormones?

A) Thyroid Stimulating Hormone (TSH)

B) Growth Hormone (GH)

C) Prolactin

D) Oxytocin

E) Oestradiol

17) A 30-year-old woman presents to the antenatal clinic with a history of cytomegalovirus

(CMV) infection. Which test would be the most sensitive for diagnosis of congenital

infection in pregnancy?

A) Amniotic fluid PCR

B) Antenatal serology

C) CMV-specific IgG

D) CMV-specific IgM

E) Ultrasound scan of the fetus

18) Patients with the following condition present with primary amenorrhea:

A) Bicornuate uterus

B) Polycystic ovary syndrome

C) Imperforate hymen

D) Sheehan’sSyndrome

E) Anorexia nervosa

19) In Sheehan syndrome, changes that take place include the following EXCEPT :

A) Complete lactation failure

B) Feeling of lethargy

C) Genital atrophy

D) Amenorrhea

E) Increased Basal Metabolic Rate (B.M.R)

20) Prolactin is structurally similar to which of the following hormones?

A) Oestradiol

B) Follicle Stimulating Hormone (FSH)

C) Human Chorionic Gonadotrophin (HCG)

D) Growth Hormone (GH)

E) Anti‐diuretic Hormone (ADH)

21) Which one is not a recognized effect of oestrogen?

A) Stimulates fat deposition in the breasts

B) Stimulates development of the alveoli of the breasts

C) Increases blood supply to the skin

D) Increases deposition of sub-cutaneous fat

E) Stimulates sodium and water retention by the kidneys

22) What's the patters of Inheritance?

A) X liked recessive

B) Autosomal recessive

C) X linked dominant

D) Autosomal Dominant

E) single gene defects

23) A syndrome of amnenorrhea-glactorrhea developing postpartum is :

A) Ahumada del Castillo

B) Ciari-formmel

C) Budd-chiari

D) Sheehan's

E) Simmond

24) which of the following is true of nephrogenic diabetes incipidius ??

A) there is deficiency of arginine vasopressin

B) there is deficiency of anti diuretic harmone (ADH)

C) There is insensitivity to vasopressin

D) there is deficiency of insulin

E) there is insensitivity to insulin

25) Which of the following hormones are stimulated by somatostatin?

A) Growth Hormone (GH)

B) Thyroid‐stimulating hormone (TSH)

C) Prolactin

D) Glucagon

E) None of the above

26) what percentage of pregnancies are affected by hypothyroidism( including subclininocal hypothyroidism)??

A) <0.5 %

B) 1%

C) 2.5 %

D) D)5%

E) E)10%

27) .To perform an elective lower segment caesarean section, the obstetrician

makes a transverse suprapubic incision. Which of the following abdominal wall

layers will not be encountered transected during this incision?

A) Anterior rectus sheath

B) Posterior rectus sheath

C) Rectus abdominis muscle

D) Skin and subcutaneous tissue

E) E. Transversalis fascia and parietal peritoneum

28) MRSA respond to all except

A) Cephalosporins

B) Rifampicin

C) Tetracycline

D) Vancomycin

29) you are asked to review a pt with known adrenal insufficiency. Which of the following causes of adrenal insuffieciency would you not expect hyperpigmentation to be a clinical feature of ??

A) water house friderichsen syndrome

B) adrenal dysgenesis

C) auto immune adrenalitis

D) primary adrenal insufficiency

E) secondary adrenal insufficiency

30) Which one is not a recognized effect of oestrogen?

A) Stimulates proliferation of endometrial glands

B) Increased ciliary activity in the epithelium of the fallopian tube

C) Decreases sensitivity of the myometrium to oxytocin

D) Increased uterine blood flow

E) Induces ferning of cervical mucus

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