Mock Test-3-Module part-1

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1) Which of the following is true regarding the human rectum?

A) Drains lymph to the pre-aortic nodes.

B) Has mesentery in the posterior third.

C) . Is covered anteriorly by peritoneum along its whole length.

D) . Has a blood supply from the terminal branches of the superior mesenteric artery.

E) Has appendices epiploicae.

2) Which of the following is true concerning 1,25-(OH)2D3 (vitamin D)?

A) .Facilitates calcium and phosphate reabsorption from bone

B) Is more active than 24,25-(OH)2 vitamin D

C) Levels are low during lactation

D) Reduces the absorption of calcium and phosphate from the gut

E) Stimulates the excretion of calcium and phosphate into renal tubules

3) Which of the following is the leading cause of Down Syndrome?

A) Nondisjunction maternal gamete

B) Nondisjunction paternal gamete

C) Mitotic Nondisjunction after conception

D) Robertsonian Translocation

E) Ring Chromosome

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?

A) android

B) platypelloid

C) anthropoid

D) gynecoid

E) triangular

5) The enzyme in red blood cells which buffers blood CO2 is?

A) Cytochrome –b5 reductase

B) 5-nucleotidase

C) Glucose -6-phosphate dehydrogenase

D) Carbonic anhydrase

E) Pyruvate kinase

6) Which of the following organs does not respond to oestrogens?

A) Breasts

B) Cervical glands

C) Fallopian tube

D) Vaginal epithelium

E) . None of the above

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?

A) broad ligaments

B) round ligaments

C) utero-ovarian ligaments

D) cardinal ligaments

E) arcuate ligament

8) . Which tissue is not capable of regeneration?

A) Epidermis

B) .Bone marrow

C) .Myocardium

D) .Liver

E) skin

9) Co-factor for the free radical scavenging enzyme glutathione peroxidase is

A) . Zinc

B) Iron

C) Selenium

D) Molybdenum

E) Copper.

10)

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?

A) 10%

B) 30%

C) 50%

D) 70%

E) 90%

11) Which of the following occurs during the isometric ventricular contraction?

A) . The entry and exit valves of the ventricle are closed

B) . Pressure in the aorta rises

C) . Pressure in the atria falls

D) . Left coronary blood flow rises

E) The rate of rise in pressure is greater in the right than in the left ventricle

12) Type of collagen found in basement membranes is

A) .Type 1

B) Type 2

C) Type 3

D) Type 4

E) Type 5

13)

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) . Gonadotrophins

B) Pulsatile GnRH

C) Dopamine agonist

D) . IVF

E) Continue current treatment for further 6 months

14)

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?

A) Decreased activated partial thromboplastin time

B) Increased factor VII levels

C) Increased fibrinogen

D) Increased soluble fibrin

E) Thrombocytopenia

15) Which of the following is a branch of the femoral artery?

A) Peroneal artery

B) The ascending genicular artery

C) The deep epigastric artery

D) Medial circumflex iliac artery

E) Superficial circumflex iliac artery

16)

For OAB ,a new drug called Mirabegron is used.Which is the single mechanism of action for
this drug.

A) .SSRI

B) .SNRI

C) .selective B3 adrenergic agonist

D) .selective B1 agonist

E) .Selective B2 agonist

17)

From which of the following is the nerve supply to
the vulva derived?

A) Genitofemoral nerve

B) . Ilioinguinal nerve

C) Pudendal nerve

D) All the above

E) None of the above

18) Deficiency of following vitamin deficiency cause paraesthesia:

A) B2

B) B3

C) Pantothenic acid

D) K

E) B1

19) Deficiency of following vitamin deficiency cause dermatitis enteritis :

A) B2

B) B3

C) Pantothenic acid

D) Biotin

E) B1

20) Presence of vaginal septa is not associated with which of the following?

A) Dysmenorrhoea

B) Dyspareunia

C) Obstructed labour

D) Uterine abnormalities

E) Easy removal in most of the cases

21) Which of the following statement is true about evidence-based medicine?

A) Combines clinical expertise and external evidence

B) Does not involve health economic assessment

C) . Is restricted to randomised placebo-controlled trials

D) . Is used to cut down waiting lists

E) . Tries to rely on subjective measurements of disease outcomes

22) . Under aerobic condition all respiratory substance end in :

A) Glycolysis

B) Glyconeogenisis

C) Citric acid cycle

D) Pentose pathway

E) Fatty acid oxidation

23)

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?

A) Candida albicans

B) Herpes simplex virus

C) Herpes varicella virus

D) Human papillomavirus

E) Syphilis

24) .Night blindness is caused deficiency of:

A) A

B) D

C) E

D) K

E) B1

25) Wound healing by secondary intention takes place

A) When there is irreparable skin loss

B) .When the wound becomes infected

C) When the wound does not break apart

D) .When the wound edges are brought together

E) .All of the above

26)

. A 27-year-old woman has a cervical smear result which shows ‘borderline’
changes.Which cells line the ectocervix?

A) Ciliated cells

B) Columnar epithelium

C) Cuboidal epithelium

D) Smooth muscle cells

E) Stratified squamous epithelium

27) Which is the right pair?

A) .α-feto protein – choriocarcinoma

B) .β-HCG –yolk sac tumour

C) CEA- thyroid follicular cells

D) Ca-125—epithelial ovarian carcinoma

E) .calcitonin- colonic cvarcinoma

28) How is MAP calculated ?

A) 1/3 diastolic BP + 2/3 systolic BP

B) 2/3 diastolic BP + Systolic BP

C) Diastolic BP + systolic BP

D) Diastolic BP + 1/3 pulse pressure

E) Systolic +1/3 pulse pressure

29) Sympathetic drive to the heart is increased in which of the following conditions?

A) . In exercise

B) . In excitement

C) . In hypotension

D) . None of the above

E) All of the above

30)

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?

A) Lateral cutaneous nerve of thigh

B) Femoral nerve

C) Common peroneal nerve

D) Sciatic nerve

E) Tibial nerve

31) .Features of DIC are all ,except

A) .Reduced platelets

B) Reduced fibrinogen

C) .Increased FDPs

D) Increased PT & APTT

E) Increased fibrinogen

32)

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?

A) Internal oblique

B) External oblique

C) Rectus abdominis

D) . Transversus abdominis

E) Pyramidalis

33)

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?

A) T10, T8

B) L2, T10

C) L5, T12

D) S2, L2

E) S5, S2

34) .In which part of the cell does glycolysis take place?

A) Cytoplasm

B) . Mitochondrial matrix

C) Mitochondrial cristae

D) Rough endoplasmic reticulum

E) Smooth endoplasmic reticulum

35) The mineral which has synergistic action with vitamin E is

A) Calcium

B) Magnesium

C) Manganese

D) Sulphur

E) Selenium.

36)

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?

A) 0.5 mm

B) 1.2 mm

C) 12 mm

D) 3 cm

E) 5 cm

37)

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?

A) 23

B) 46

C) 48

D) 47 for a female fetus

E) 21 for Down syndrome

38) Which antihypertensive causes depression in post natal period?

A) .labetalol

B) .hydrallazine

C) .lisinopril

D) nifedipine

E) .Methyldopa

39) Which of the following statement is true regarding human chromosomes?

A) Banding with quinicrine fluorescent stain can be used to identify X chromosome

B) Banding can be used to determine polymorphism in populations

C) Telocentric chromosomes have a centrally placed centromere

D) Terminal fragments called ‘satellites’ are present in the metacentric chromosomes

E) Telocentric chromosomes are present in human

40) Which of the following is true regarding Down syndrome?

A) Shows X-linked pattern of inheritance

B) . There may be mild to moderate mental retardation

C) Is characterised by the presence of muscle hypertonia

D) . Larger than normal space between the second and third toe

E) The commonest type of congenital heart defect which may be present is coarctation of aorta

41) .Atosiban is

A) .progesterone agonist

B) .progesterone antagonist

C) .used to stimulate uterine contractions

D) .oxytocin antagonist

E) oxytocin agonist

42)

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) Renal stones

B) Ischaemia secondary to Uterine artery obstruction

C) UTI

D) Urethral obstruction

E) Ureteric Obstruction

43) Which of the following may reduce anticoagulant action of Warfarin?

A) aspirin

B) .diazepam

C) .ranitidine

D) ciprofloxacin

E) oral contraceptive pills

44) In an ECG which lead reflects the inferior wall of heart ?

A) V1,V2

B) . V3,V4

C) . aVR

D) 1,aVL

E) II,III,aVF

45)

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) serum estrogen level

B) prolactin

C) thyroid index

D) serum follicle-stimulating hormone (FSH) and luteinizing hormone (LH)

E) a cardiogram

46) Which of the following is correct regarding vitamin B12?

A) .Is a fat-soluble vitamin

B) Absorption takes place throughout the small intestine

C) Is essential for the metabolism of folic acid in the human

D) Deficiency leads to microcytic anaemia

E) Deficiency is common in non-vegetarians

47) Which of the following structures pass under the inguinal ligament?

A) . The long saphenous vein

B) . The superficial femoral artery

C) The superficial epigastric vein

D) The genital branch of the genitofemoral nerve

E) . The femoral branch of the genitofemoral nerve

48)

. 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?

A) Down’s syndrome

B) Edwards’ syndrome

C) Multiple pregnancy

D) Neural tube defect

E) Normal pregnancy

49) Why is oxytocin not used orally?

A) .will be destroyed by gastric juice.

B) causes strong uterine contractions

C) .metabolised by liver enzymes

D) causes gastric irritation

E) action is delayed

50) Each turn of kreb`s cycle produce ATP:

A) 12

B) 14

C) 10

D) 6

E) 1

51) Regarding the blood supply of anterior abdominal wall, which is not true?

A) Cutaneous branches from superior and inferior epigastric arteries supply the flanks.

B) Cutaneous branches from the superior and inferior epigastric arteries supply the area near the midline.

C) Branches from the intercostal and lumbar arteries supply the flanks

D) All the above

E) None of the above

52) Which of the following clotting factors remain unchanged in normal pregnancy?

A) Factor vii

B) Factors xi & xiii

C) .Factors ii,v & ix

D) .Factors vii,viii,x & xi

E) Factors vii,x,xi & xiii

53)

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) A selective estrogen receptor modulator

B) Combined sequential HRT

C) Estrogen-only HRT

D) Oral calcium therapy only

E) Selective serotonin reuptake inhibitor

54) Contraindication for the use of Oxybutynin is

A) .Bronchial Asthana

B) .Diabetes Mellitus

C) .Narrow angle glaucoma

D) .Parkinsonism

E) .Peptic ulcer

55) Renal changes in pregnancy are all except

A) Right ureter is more dilated than left ureter

B) 30% of women develop asymptomatic bacteruria

C) Kidney size increases by 1.5 cm

D) Sigmoid colon is responsible for dextrorotation of uterus

E) There is decreased risk of urinary tract infection in pregnancy.

56) What is the uterine corpus mainly composed of?

A) fibrous tissue

B) estrogen receptors

C) smooth muscle

D) elastic tissue

E) endometrium

57)

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

A) Brenner cell tumour of ovary

B) . Teratome of ovary

C) . Sarcoma Botryoides of vagina

D) Clear cell carcinoma of vagina

E) Squamous cell carcinoma of vulva

58)

. 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) Alpha-thalassaemia with deletion of 4α-globin genes

B) Beta-thalassaemia major

C) Glucose-6-dehydrogenase deficiency

D) Haemoglobin H disease

E) Sickle cell disease

59) What is the main site of iron absorption?

A) . Stomach

B) . Rectum

C) . Upper small intestine

D) Lower small intestine

E) Colon

60) .Which of the following causes Kernicterus?

A) . Sulfonamides

B) .methotrexate

C) .erythromycin

D) .penicillin

E) .gentamicin

61) .If choriocarcinoma metastasizes ,it spreads predominantly by which route?

A) .Direct invasion

B) .Hematogenous

C) .Lymphatic

D) Surface implantation

E) transcoelomic

62) XX karyotype is associated with which of the condition?

A) Testicular feminisation syndrome

B) Klinefelter’s syndrome

C) Muscular dystrophy

D) Constitutional hirsutism

E) None of the above

63) Which of the following is not a physiological change in pregnancy?

A) Increase in plasma volume by 50%

B) .. Increase in red cell mass by 30%

C) Increase in coaugulation factors.

D) decrease in platelets by 10%

E) Decrease in MCV

64) What is the nerve root of the ilioinguinal nerve?

A) T12 and L1

B) L1

C) L1 and L2

D) L2

E) L2 and L3

65) Which of the following is not true regarding 1,25(OH)2 vitamin D?

A) 25-hydroxylation occurs in the kidney

B) Release is stimulated by hypophosphatemia

C) Promotes phosphate and calcium absorption from the gut

D) Attaches to cytosolic receptors

E) Concentrations are decreased in chronic renal failure

66)

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?

A) true pelvis

B) midplane

C) outlet

D) false pelvis

E) sacrum

67) What happens in Horners syndrome?

A) Loss of motor supply.

B) Excessive sympathetic stimulation

C) Excessive parasympathetic stimulation

D) Loss of sympathetic supply

E) . Loss of parasympathetic supply

Poor wound healing, impaired spermatogenesis, diarrhoea, dermatitis, alopecia are the
features of which mineral deficiency

68)

A) . Iron

B) Copper

C) Zinc

D) Magnesium

E) Chromium.

69)

. 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?

A) Administer prostaglandin per vaginam

B) Caesarean section

C) Commence intravenous oxytocin

D) Membrane sweep

E) Repeat vaginal examination after 4 hours

70) . Regarding haemoglobin which of the following is true?

A) .It is a pentamer

B) .1 gm of haemoglobin combines with 1.34 ml of O2

C) Shift of HbA to HbFb starts at 4 mths of life.

D) .Normal store of Vit B12 is 2-4 mg & lasts for 2-4 days

E) .Absorption of iron is mainly ion ferrous form.

71)

Which of the following organs is derived from the
ectodermal neural crest cells?

A) Inner medulla of adrenal glands

B) Outer cortex of adrenal glands

C) . Liver

D) Spleen

E) Pancreas

72) Use of Lithium in pregnancy is associated with which abnormality in the fetus?

A) .Tetralogy of Fallots

B) Dandy Walker syndrome

C) .Ebsteins Anatoly

D) Transposition of great arteries

E) .Limb reduction deformity

73)

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?

A) Femoral nerve

B) Saphenous nerve

C) Femoral branch of genitofemoral nerve

D) Genital branch of genitofemoral nerve

E) Sciatic nerve

74) . Which of the following is the site of production of the hormone insulin?

A) Adrenal cortex

B) Adrenal medulla

C) Pancreatic beta cells

D) Pancreatic alpha cells

E) Pancreatic delta cells

75) . Which of the following is not a known side effect of Tranexamic acid?

A) Allergic skin reactions

B) Diarrhoea

C) Pulmonary haemorrhage

D) Visual disturbances

E) Vomiting

76)

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?

A) . Data analysis

B) Data collection

C) Identify standards

D) . Implement change

E) Needs assessment

77)

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?

A) Decreased arterial pH

B) Decreased arterial pO2

C) Decreased arterial pCO2

D) Increased H+ concentration of the cerebrospinal fluid (CSF)

E) Increased pCO2 of the CSF

78) Normal clotting of blood requires

A) . Inactivation of heparin

B) . Inactivation of plasmin (fibrinolysin)

C) . Calcium ions

D) . An adequate intake of vitamin D

E) . An adequate intake of vitamin C

79) Mechanism of action of Ulipristal acetate.

A) .selective progesterone receptor modulator

B) .oxytocin antagonist

C) .selective estrogen receptor modulator

D) .prostagalndin analogue

E) partial progesterone receptor blockage

80)

Which of the following substances occur in lower
concentration in foetal blood in comparison to the
maternal blood?

A) Amino acids

B) . Ca2+

C) CO2

D) Glucose

E) Urea

81)

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?

A) Android

B) Anthropoid

C) Gynaecoid

D) Male

E) Platypelloid

82)

Which of following vitamin act as antioxidant and its deficiency cause mild hemolytic anemia
in newborn

A) A

B) D

C) E

D) K

E) B1

83) Deficiency of following vitamin deficiency cause megaloblastic anemia:

A) B9

B) B12

C) Pantothenic acid

D) Both a and b

E) B1

84) Which of the following is the best description of the pelvic diaphragm?

A) made up mainly by the coccygeus

B) covered on one side by fascia and on the other by peritoneum

C) a muscle innervated by L2, L3, and L4

D) an extension of the sacrococcygeal ligament

E) synonymous with the pelvic floor

85) Which artery supplies the structures derived from the foregut of the embryo?

A) Coeliac trunk

B) Inferior mesenteric

C) Middle rectal

D) Renal

E) Superior mesenteric

86) Mechanism of action of clomiphene citrate is

A) .selective estrogen receptor modulator

B) .selective progesterone receptor modulator

C) .androgenic steroid

D) .estrogenic steroid

E) .Gonadotropin analogue

87) Which of the following is true about the smooth muscle cells?

A) Controlled by the autonomic nervous system

B) Do not contain actin and myosin

C) . Mitochondria are absent

D) Present a striated appearance

E) Do not cause spontaneous muscle contraction

88)

Whilst examining the abdomen of a 21-year-old female with abdominal pain you notice a
well-defined “six-pack”. Which muscle is this?

A) Rectus abdominis

B) Transversus abdominis

C) Cremaster

D) External oblique

E) Internal oblique

89)

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?

A) skin, subcutaneous fat, superficial fascia (Camper’s), deep fascia (Scarpa’s), fascial muscle cover (anterior rectus sheath), rectus muscle, a deep fascial muscle cover (posterior rectus sheath), preperitoneal fat, and peritoneum

B) skin, subcutaneous fat, superficial fascia (Scarpa’s), deep fascia (Camper’s), fascial muscle covering (anterior abdominal sheath), transverse abdominal muscle, a deep fascial muscle cover (posterior rectus sheath), preperitoneal fat, and peritoneum

C) skin, subcutaneous fat, superficial fascia (Camper’s), deep fascia (Scarpa’s), fascial muscle cover (anterior rectus sheath), rectus muscle, a deep fascial muscle cover (posterior rectus sheath), peritoneum, and preperitoneal fat

D) skin, subcutaneous fat, superficial fascia (Scarpa’s), deep fascia (Camper’s), fascial muscle cover (anterior rectus sheath), rectus muscle, a deep fascial muscle cover (posterior rectus sheath), preperitoneal fat, and peritoneum

E) skin, subcutaneous fat, superficial fascia (Camper’s), deep fascia (Scarpa’s), fascial muscle cover (anterior rectus sheath), transverse abdominal muscle, a deep fascial muscle covering (posterior rectus sheath), preperitoneal fat, and peritoneum

90) Increase in number of cells in tissues is called

A) Hyperplasia

B) .Hypoplasia

C) Metaplasia

D) .Atrophy

E) .hypertrophy

91)

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) inability to abduct her thigh

B) rectal incontinence

C) painless menses

D) labor without pain

E) inability to extend her knees

92) . Cell membrane primarily composed of:

A) Phosphatidylcholine

B) Phosphatidylethanolamine

C) Phosphatidylinisitol

D) Phosphatidylserine

E) All of above

93)

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?

A) AA

B) BB

C) BO

D) AO

E) OO

94) Which of the following organs is derived from ectodermal neural crest cells?

A) Adrenal gland inner medulla

B) Adrenal gland outer cortex

C) Liver

D) Pancreas

E) Spleen

95)

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?

A) a twin-to-twin transfusion before birth

B) the second twin may no longer be connected to its placenta

C) placenta previa in the second twin

D) amniotic fluid embolism

E) uterine rupture

96) One of the following is a pathological change in pregnancy.

A) . Increase in response to Angiotensin

B) Heart rate is increased by 15 beats /min

C) Cardiac output is increased by 30-50%

D) . Reduction in systolic & diastolic pressure

E) 50% increase in plasma volume.

97)

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?

A) .Gastric cancer

B) .Colorectal cancer

C) .Hepatocellular cancer

D) Pancreatic cancer

E) .Primary peritoneal cancer

98) Which of the following regions of nephron does the water leave via diffusion?

A) . Descending thin limb

B) . Thick ascending limb

C) Proximal convoluted tubule

D) Distal convoluted tubule

E) Bowman’s capsule

99) Respiratory system changes in pregnancy are

A) Functional residual capacity is reduced

B) Oxygen demand is increased

C) Respiratory rate increases

D) Minute ventilation increases

E) All of the above.

100) In order to take part in Kreb`s cycle pyruvate must be converted into:

A) Acetyl CoA

B) Oxaloacetate

C) Citrate

D) Alpha ketoglutarate

E) Malate .

Your score is