MRCOG Part 1 sept 2009

EMQ:
number 1:

a. pelvic brim oval in shape, transverse diameter more than anteropost diameter.
b. pelvic brim oval in shape, anteropost diameter more than transverse diameter.
c. pelvic brim heart shaped, transverse diameter more than anteropost diameter.
d. pelvic briim heart shaped, anteropost diameter more than transverse diameter.
e. pelvic brim circular, transverse diameter more than anteropost diameter.
f. pelvic brim circular, anteroposr diameter more than transverse.

1) gynecoid pelvis.
2) android pelvis.

number 2:

a.double stranded, adenosine monophosphate, guanine monophosphate, cytosine monophosphate, uracil monophosphate.
b. double stranded, adenosine monoph, guanine monph, cytosine monoph, thymine monoph.
c. single stranded, adenine monoph, guanine monoph, cytosine monoph, thymine monoph.
d. single stranded, adenine monoph, guanine monoph, cytosine monoph, uracil monoph.
e. single stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxyuracil monoph.
f. single stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxythymine monoph.
g. double stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxyuracil monoph
h. double stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxythymine monoph,

1) DNA.
2) RNA.
3) genome of HPV.

number 3:

a. edwards syndrome.
b. exomphalus.
c. gastroschiasis.
d. patau's syndrome.
e. down's syndrome.
f. kleinfeltr's syndrome.

1) abnormality in the anterior abdominal wall, usually to the right of the umbilicus, other genetic abnormalities rarely associated.
2) abnormality in chromosome 18.

number 4:

a. azithromycin.
b. amoxycillin.
c. cefuroxime.
d. benzylpenicillin.
e. metronidazole.

1) best treatment of acute upper UTI in third trimester.
2)treatment of chlamydia in a non-pregnant woman.

number 5:

a. L1,2,3
b. L1
c. L2,3,4
d. L1,2
e. L3,4,5

1) ilioinguinal nerve.
2) genitofemoral nerve.

number 6:

a. streptococus, aerobic, G+ve.
b. streptococus, anaerobic, G+ve.
c. staphylococus, aerobic, G+ve.
d. staphlococus, anaeobic, G-ve.
e. pseudomonas, aerobic, G+ve.
f. pseudomonas, aerobic G-ve.
g.pseudomonas, anaerobic, G-ve.

1) toxic shock syndrome.
2) hospital cross infection.

number 7:

a. CMV.
b. listeria monocytogens.
c. treponame pallidum.
d. HIV.
e. human leucocytic virus.
f. staphlococus aureus.
g. streptococus.
h. varicella zoster.

1) a pregnant woman developed a "flue-like" illness with fever and general malaise, her baby was born with hepatosplenomegaly and jaundice.
2) a woman has a history of 2 previous stillbirths, is now pregnant and at 37 weeks complained of fever and rash, her son was born healthy but at age of one year he had abnormal incisors and later deafness.

number 8:

a. hepatitis C, DNA.
b. hepatitis C, RNA.
c. herpes simplex.
d. HPV.
e. i cant recall the other options.

1) associated with high incidence of hepatocellular carcinoma.
2) papular skin rash.

number 9:

a. estrogen.
b. progesterone.
c. DHEA-sulphate.
d. cortisol.
e. cortisone.

1) hormone maintains uterine quisence throughout pregnancy.
2) hormone produced by the placenta and fetal adrenal gland, promotes fetal lung maturation.

number 10:

a. allantois.
b. cloaca.
c. mesonephros.
d. yolk sac.

1) rectum develops from the posterior portion if this structure.
2) germ cells arise from it.

number 11:

a. B cell
b. T CD4 cell
c. T CD8 cell
d. dendritic dells.

1) major antigan presenting cell.
2) could not recall it
EMQ

1)
1) PGH2
2)PGG2
3) PGE2
4) PGF2alpha
5) Arachidonic acid
6) Calcium
7) Magnesium


Q1) Synthesis of prostaglandins
Q2) the first Prostaglandin produces.
Q3) Oxytocin uses this as its intermediate precursor

2) Shapes of the pelvic

A) Round shaped pelvic brim with transverse diameter more than AP
B) Round shaped pelvic brim with AP diameter more than the transverse diameter
C)Oval shaped pelvic brim with transverse diameter more than AP
D) Oval shaped pelvic brim with AP diameter more than the transverse diameter
E) Heart shaped pelvic brim with transverse diameter more than AP
F) Heart shaped pelvic brim with AP diameter more than the transverse diameter

Q1) Gynecoid
Q2) Android

3) DNA and RNA
A) DNA—Deoxyadenine------Double standed
Deoxythymine
Deoxycytosine
Deoxyguanine

B) DNA—Deoxyadenosine------Single standed
Deoxytyrosine
Deoxycytosine
Deoxyguanine

C) RNA—Adenine-----Double stranded
Thymine
Cytosine
Uracil
D) ) RNA—Adenine-----Single stranded
Thymine
Cytosine
Uracil

Q1) Messenger RNA
Q2) DNA
Q3) Human papilloma virus

5) Given in a single dose
A) AZITHROMYCIN
B) Amoxicillin
C) Cephalosporin
D) Vancomycin
E) Gentamycin
F) Benzylpenicillin

Q1) A female with a chlamydial infection, and non-pregnant, which is the best medication?
Q2) A female presents with acute upper UTI?

5) Given in a single dose
A) AZITHROMYCIN
B) Amoxicillin
C) Cephalosporin
D) Vancomycin
E) Gentamycin
F) Benzylpenicillin

Q1) A female with a chlamydial infection, and non-pregnant, which is the best medication?
Q2) A female presents with acute upper UTI?

8-THE FOLLOWING STATEMENTS ABOUT THE ADRENAL GLAND ARE CORRECT
a-they lie anterior to the diaphragm ...........True.
b-the left adrenal gland lies behind the pancreas.....True.
C-lymphatic drainage is to the superficial inguinal nodes.....False
d-the adrenal cortex contains chromaffin cells .........False.
e-the adrenal medulla is derived from mesoderm ....False

the ovary
a- is attached to the ant surface of the broad ligament
b- lies on the genitofemoral nerve
c- lies in the angle between the ureter and the external iliac vessel
d- - has visceral afferent fibres from the pelvic splanchnic nerve
e- has lymphatic drainage to the superficial inguinal lymph nodes

concerning the uterus
a- it is formed from the mesonephric duct
b- it has a lymphatic drainage in part to the inguinal glands
c- the uterine artery passes below the ureter
d- the uterine vein communicate with the vesical plexus of veins
e-pain sensation from the body of uterus is carried by the pelvic splanchnic nerve

about this stem am not sure if it was like that in the exam

Obturator artery
a- branches from the posterior trunk of the internal iliac artery
b- passes through the greater sciatic foramen
c- is crossed by the ureter
d- supplies the hip joint
e- may be replaced by a branch of the superior epigastric artery

he external iliac artery

a-enters the thigh anterior to the inguinal ligament
b- at its origin is crossed by ureter
c- at its origin is crossed by ovarian vessels
d-lies medial to the external iliac vein at its distal end
e-give rise to the deep external pudendal artery .

The pelvic splanchnic nerves..

A- Are derived from the posterior rami of the sacral spinal nerves
B- Supply afferent fibres
C- Unite with branches of the synpathetic pelvic plexus
D- Supply the ascending colon with motor fibres
E- Supply the uterus with parasympathetic fibres

In the anterior abdominal wall...

A- Rectal muscle is intersected tranversely by three bands
B- The posterior rectus sheath below the arcuate line consists of transversalis fascia only
C- Above the costal margin the posterior rectus sheath is deficient
D- The superior epigastric artery arises from the internal thoracic artery.
E- The inferior epigastric artery arises from the femoral artery

The pelvic surface of the sacrum.

A- Gives origin to the piriforms muscle
B- Gives origin to the levator ani muscle
C- Is broader in the male than in the female
D- Transmits the dorsal remi of sacral nerves
E- Is in contact with the anal canal.

The rectum

A- Is supplied in part by the inferior rectal artery
B- Is innervated by the inferior rectal nerve
C- Is lined by stratified squamous epithelium
D- Has its lymphatic drainage to the superficial inguinal nodes
E- Possesse a complete layer of longitudinal muscle

The Spleen

A- has a notched posterior border
B- lies in front of the costo-diaphragmatic recess
C- is in contact with the body of the pancrease
D- lies under the cover of the 9th to the 11th ribs
E- is innervated from the renal plexus

THE VULVA

a-internal pudendal nerve
b-anterior cutaneous of thigh
c-inferior rectal
d-illioinguinal
e-obturator

the pineal gland

a-is situated at the anterior end of the third ventricle
b-is innervated by parasympathetic nervous system
c-produce melatonin
d-may be calcified in the adult
e-is most active during daylight

screening test for following
1- syphilis treponemal antibody test
2- syphilis hemaglutination test
3- syphilis immobilization test
4- HB-electrophorisis
5- mcv
6- mchc
7- MCh
8- serum iron
9- paul-bennel test

Q1) Thalassemia
Q2) Syphilis
Sep. 2009
Options
1. oval inlet transversal diameter longer than anterposterior .
2. oval inlet anterposterior dia longer than trans.
3. heart shape inlet anterposterior dia. longer than trans.
4. heart shape inlet trans. diam. longer than anterposterior
5. rounded inlet .. T>A.
6. rounded inlet ..A > T
Qus.
a. Gynaecoid pelvis.
b. Android pelvis .

------------------------------------------------------------

a. Adenine monophosphate
Guanine monophosphate
Cytosine monophosphate duple helix
Thymine monophosphate

b. Adenine monophosphate
Guanine monophosphate
Cytosine monophosphate duple helix
Uracil monophosphate

c. Adenine monophosphate
Guanine monophosphate
Cytosine monophosphate single helix
Uracil monophosphate

d. Adenine monophosphate
Guanine monophosphate
Cytosine monophosphate single helix
Thymine monophosphate

e. Diadenine monophosphate
Diguanine monophosphate
Dicytosine monophosphate duple helix
Diuracil monophosphate

f. Diadenine monophosphate
Diguanine monophosphate
Dicytosine monophosphate duple helix
Dithymine monophosphate

g. DiAdenine monophosphate
DIGuanine monophosphate
DICytosine monophosphate single helix
DIUracil monophosphate

h. DIAdenine monophosphate
DIGuanine monophosphate
DICytosine monophosphate single helix
DIThymine monophosphate



1. DNA.
2. mRNA
3. Nucliac acid o HPV.