**Recall March 2017**

1. A 16-year-old has recently become sexually active. She complains of intensely

irritating greenish frothy vaginal discharge. The organism is seen under
microscope in a drop of saline and PH is 6. What is the most likely causative
organism?

A. Candida albicans
B. Chlamydia trachomatis
C. Gardnerella vaginalis
D. Trichomonas vaginalis
E. Treponema palladium

Answer : Trichomonas vaginalis

2. Which artery supplies the structures derived from the midgut of the embryo?

A. Coeliac trunk
B. Inferior mesenteric artery
C. Middle rectal artery
D. Renal arteries
E. Superior mesenteric artery

Answer : Superior mesenteric artery

3. Regarding Influenza vaccine , what type of vaccine?

A. Killed vaccine
B. Toxoid vaccine
C. Conjugate vaccine
D. Live attenuated vaccine
E. Organism Subunit vaccine
Answer : Organism Subunit vaccine
4. A 65-year-old nulliparous women presents with vaginal spotting. A
hysterectomy is performed, and pathologic examination of the removed uterus
reveals heterologous components of a malignant tumor of the endometrial
glands and metaplastic cartilage.
Which of the following is the most likely diagnosis?

A. Stromal sarcoma
B. Carcinosarcoma
C. Adenosarcoma
D. Endometrioma
E. Adenocarcinoma

Answer : Carcinosarcoma

5. For overactive bladder a new drug called Mirabegron is used. Which is the
single mechanism of action for this drug?

A. Selective serotonin re-uptake inhibitor

B. Muscarinic receptors agonist
C. Selective Beta-1 agonist
D. Selective Beta-3 agonist
E. Selective Beta-3 antagonist

Answer : Selective Beta-3 agonist

6. Which drug antagonises the action of oxytocin?

A: Atosiban
B. Nifedipine
C. Methyl-Dopa
D. Terbutuline
E. Sulbutamol
Answer : Atosiban
7.Misoprostol is analogue of which of the following :
A. PGE1
B. PGE2
C. PGF2
D. PGI2
E. Thromboxane A2
Answer : PGE1

8. Which of the following is a Side effect of Terbutaline :

A . Maternal tachycardia
B . Maternal bradycardia
C . Fetal tachycardia
D . Fetal bradycardia
E . IUGR
Answer : Maternal tachycardia
9. A 50 years old women with absent periods for 2years, has bilateral ovarian
mass with solid areas on scan and CA 125 of 100. What is her RMI score?
A.900
B.600
c.700
d.450
e.250
Answer : 900
10. A 30-year-old woman with bipolar disorder is 12-week pregnant. She has
been taken her lithium every night. Which of the following abnormality may
occur if she continues to take lithium?
A. Tetralogy of Fallot's
B. Dandy walker syndrome
C. Ebstein's anomaly
D. Limb reduction deformity
E. Transposition of great arteries
Answer : Ebstein’s anomaly
11. In ECG which lead reflects the inferior wall of heart?
A. V1, V2
B. V3, V4
C. aVR
D. I, aVL
E. II, III, aVF
Answer : II, III, aVF

12. What is the embryological origin of Gartners duct cyst?

A. Cloaca
B. Genital tubercle
C. Mesonephric duct
D. Paramesonephic duct
E. Urogenital septum
Answer : Mesonephric duct

13. Which of these chromosomes in humans have centromere located at one

end?
A. Telocentric chromosome
B. Metacentric chromosome
C. Dicenteric chromosome
D. Submetacentric chromosome
E. Acrocentric chromosome
Answer : Acrocentric chromosome

14. Which one of the following stages of the cell cycle immediately preceeds
Mitosis ?

A. Synthetic phase (S)

B. Gap phase 1 (G1)
C. Gap phase 0 (G0)
D. Gap phase 2 (G2)
E. Gap phase 3 (G3)
ANSWER : Gap phase 2 (G2)
15.Urea transfer from fetal circulation to maternal circulation?
A. Active transport
B. Endocytosis
C. Exocytosis
D. Facilitated diffusion
E. Passive diffusion
Answer : Passive diffusion

16.What is the most likely histological subtype of ovarian cancer associated with
endometriosis?
A. Clear cell carcinoma
B. Serous adenocarcinoma
C. Borderline serous tumour
D. Muscinous cystadenocarcinoma
E. Granulosa cell tumour
Answer : Clear cell carcinoma

17.Which class of immunoglobulin is primarily secreted in breast milk and

protects the infant’s intestinal mucosa from infection?
A. IgA
B. IgD
C. IgE
D. IgG
E. IgM

Answer : IgA

18. which Immunoglobin is a pentamer?

A. IgG
B. IgM
C. IgE
D.IgA
E. IgD
Answer : IgM
19.What day of a regular 25-day menstrual cycle is a woman likely to ovulate?
A. 4
B. 11
C. 14
D. 22
E. 25
Answer : 11
20.what is the SI unit for the activity of radioactive decay?
A. Gray
B. Sievert
C. Rad
D. Roentgen
E. Becquerel
Answer : Becquerel
21.What is the % of fibroid undergo sarcomatous change?
A. 0.1%
B. 1%
C. 5%
D. 10%
E. 15%
Answer : 0.1%
22. What is the contrast dye used in MRI scans?
A. Iodine
B. Barium
C. Thallium
D. Gadolinium
E. Tecnisia
Answer : Gadolinium
23. A 7 week pregnant women with history of previous two miscarriage.
Ultrasound show :

what is the most likely karyotype?

A. 46, XX
B. 46, XY
C. 69, XXX
D. 69, XXY
E. 69, XYY
Answer : 46,XX

24. which of the following is narrowest segment of fallopian tube?

A. Ampulla
B. Isthmus
C. Infundibulum
D. Interstitial portion
E. Fimbrial end

Answer : Isthmus
25. A 32-year-old woman 7 weeks pregnant. Her Chlamydia swab is positive.
Which is the single most appropriate treatment?
A. Amoxicillin
B. Clindamycin
C. Doxycycline 100 BD
D. Erythromycin 500 QDS
E. Azithromycin
Answer : Erythromycin 500 QDS
26. Which anti-emetic drug has extrapyramidal side effect?
A. Meclizine
B. Scopolamine
C. Ondansetron
D. Granisteron
E. Metoclopramide
Answer : Metoclopramide

27. Pregnant women with Nausea and vomiting. Which fluid should no be
given?
a. 0.9%NS
b. 0.9% NS with KCL
C. 5% Dextrose
d. Ringer lactate
E. Hartmans solution

Answer : 5% dextrose

28. Mechanism of action of ondansetrone?

a. H2 Antagonist
b. Seretonin HT3
c. H1 receptor
d. D2 Agonist
e. D2 Antagonist
Answer : Seretonin HT3
29. A Doctor is making a discharge summary for a women who underwent a
laparoscopic saplingo-oophorectomy for Ectopic pregnancy after 4days. You
realise that her blood group is O-. What is the best course of action?
a. Anti D
b. check partner blood group & Rh.
c. there is no need for anti D as it passed 72 hour.
d. High dose Anti-D
E. Anti-D in next pregnancy

Answer : Check Partner Blood group & Rh

30. A 19-year-old woman gives birth to her first child. She begins breast feeding
the infant. She continues breast feeding for almost a year with no difficulties
and no complications. Which of the following cellular processes that occurred in
the breast during pregnancy allowed her to nurse the infant for this period of
time?
A. Stromal hypertrophy
B. Epithelial dysplasia
C. Steatocyte atrophy
D. Ductal dilation
E. Lobular hyperplasia

Answer : Lobular hyperplasia

31.Which of the following hormones increases the excretion of calcium in

Kidney?
A. Insulin
B. Cortisol
C. Calcitonin
D. parathyroid hormone
E. Antidiuretic hormone

Answer : Calcitonin.
32. When Choriocarcinoma metastasizes, it has a predominantly spread by
which route ?
A. Direct invasion
B. Hematogenous
C. Lymphatic
D. Surface implantation
E. Transcoelomic
Answer : Hematogenous

33. What sexually transmitted disease (STD) is caused by Haemophilus ducreyi?

A. Chancre
B. Chancroid
C. Granuloma inguinale
D. Condyloma acuminatum
E. Molluscum contagiosum
Answer : Chancroid

34.What drug can be given in methotrexate toxicity?

A. Folic acid
B. Vitamin B12
C. Pyridoxine
D. Thymidine
E. Folonic acid
Answer : Folonic acid.
35.A 40-year-old woman had bilateral silicone breast implants placed two years
ago. Since that time, she has noted increased firmness with slight deformity of
the breast on the left. The implants are removed, and there is evidence for
leakage of the implant contents on the left. Which of the following cell types is
most likely to be most characteristic of the inflammatory response in this
situation?
A. Neutrophils
B. Mast cells
C. Plasma cells
D. Giant cells
E. T lymphocytes
Answer : Giant cell

36. Which is common malignant tumour in newborn?

A. Retinoblastoma
B. Teratoma
C. Fibroma
D. Neuroblastoma
E. Granulosa cell tumour
Answer : Neuroblastoma

37. Which of the following is contraindication of the use of oxybutynin?

A. Bronchial asthma
B. Narrow angle glaucoma
C. Diabetes mellitus
D. Parkinsonism
E. Peptic ulcer
Answer: Narrow angle glaucoma
38.A neoplasm of the female genital tract occurring in an 18-year-old girl whose
mother was treated with diethylstilbestrol during the pregnancy is likely to be a:
A. Brenner cell tumor of ovary
B. Teratoma of ovary
C. Sarcoma botryoides of vagina
D. Clear cell carcinoma of vagina
E. Squamous cell carcinoma of vulva
Answer : Clear cell carcinoma of vagina

39.When should the prophylactic dose of low molecular weight heparin (LMWH)
be given post-c-section?
A. 6 hr
B. 12 hr
C. 24 hr
D. 48 hr
E. there is no limit
Answer : 12 hour

40. Active form of Vit-D is produced in which organ?

a. Skin
b. Liver
c. Lungs
d. Kidney
e. Adrenal glands
Answer : Kidney

41.What is the mode of inheritance of Duchenne muscular dystrophy (DMD)?

A. X-linked dominant
B. Autosomal recessive
C. Autosomal dominant
D. Mitochondrial inheritance
E. X-linked recessive
Answer : X-linked Recessive.
42.What is the most common cause of secondary hyperparathyroidism?
A. Parathyroid adenoma
B. Multiple myeloma
C. Sarcoidosis
D. Chronic renal failure
E. Multiple endocrine neoplasia type 1

Answer : Chronic renal failure.

43. Regarding the following Karyotyping

Which of the following is the most likely diagnosis?

A. Cri-du-chat syndrome
B. Down syndrome
C. Turner syndrome
D. Edward syndrome
E. Patau syndrome
Answer : Patau Syndrome
50.Considering the following pedigree , What is the mode of inheritance ?

A. Autosomal dominant
B. X-linked dominant
C. Y-linked dominant
D. Autosomal recessive
E. X-linked recessive
Answer : X-linked Recessive

51.Remifentanil is an ideal controlled analgesia during labour because

A. It is a strong μ receptor antagonist
B. It has a long duration of action
C. It is rapidly metabolized by tissue estrases
D. It is more effective than epidural analgesia
E. It cannot cross the placenta

Answer : It is rapidly metabolized by tissue estrases

52.The most common cause of delay in puberty in males is:
A. Constitutional delay in growth
B. Klinefelter's syndrome
C. Noonan's syndrome
D. Primary hypothyroidism
E. Gonadal dysgenesis
Answer : Constitutional delay in growth

53.Which base pairs with Adenine in the standard DNA helix?

A. Thymine
B. Guanine
C. Inosine
D. Uracil
E. Uranine
Answer : Thymine

54. Lancefield grouping of streptococci is based on the presence of ?

A. Carbohydrate antigen on cell wall
B. Peptidoglycan antigen on cell wall
C. M protein
D. Color of blood agar
E. Sugar fermentation
Answer : Carbohydrate antigen on cell wall

55. Antihypertensive which causes postnatal depression, when used in

permpartum period?
A. Methyl dopa
b. Labetalol
c. Nifedipine
d. Lisinopril
E. Hydralazine
Answer : Methyl-Dopa
56. Mechanism of action of Neostigmine is
A. Choline ester
B. Cholinomimetic
C. Muscarinic antagonist
D. Anticholinesterase
E. Nicotinic antagonist
Answer : Anticholinesterase

57. Coumarin drug antagonise which vitamin?

A.Vitamin A
B. Vitamin D
C. Vitamin K
D. Vitamin C
E. Vitamin E
Answer : Vitamin K

58. Clomifene citrate mechanism of action ?

A. Androgenic steroid
B. Estrogenic steroid
C. Progestogenic steroid
D. Gonadotropin analogue
E. Selective estrogen receptor modulator
Answer : Selective estrogen receptor modulator

59. Which of the following the only structures passes through the lesser sciatic
foramen?
A. Iliococcygeus
B. Piriformis
C. Sciatic nerve
D. Posterior femoral cutaneous nerve
E. Tendon of obturator internus muscle
Answer : Tendon of Obtrator internus muscle
60. Which of the following Antineoplastic drugs causing hemorrhagic cystitis?
A. Cisplatin
B. Methotrexate
C. Paclitaxel
D. Cyclophosphamide
E. Vincristine

Answer : Cyclophosphamide

61 Luteinizing hormone (LH) is structurally related to what other glycoprotein

hormones?
A. ADH, oxytocin and FSH
B. FSH, TSH and growth hormone
C. HCG, FSH and TSH
D. HCG, ADH and FSH
E. TSH, growth hormone and HCG

Answer : HCG, FSH and TSH

62. Mechanism of action of ulipristal acetate ?

A. Partial progesterone receptor blockage
B. Selective Estrogen receptor modulator
C. Prostaglandin analogue.
D. Selective progesterone receptor modulator
E. Oxytocin Antagonist

Answer : Selective progesterone receptor modulator

63. A girl presented to your clinic requesting emergency contraception. LMP
20days ago. h/o unprotected intercourse 7days ago for which she took
levonorgestrel. The couple had regular intercourse since then and last night the
condom had breeched. What is the best course for action?
A. Urlipristal acetate.
B. Copper T IUD
C. No need for additional contraception as levonorgestrel already inhibited
ovulation this cycle
D. Levonorgestrel 1500 mu
E. Levonorgestrel 3000 mu
Answer : No need for additional contraception as levonorgestrel already
inhibited ovulation this cycle
64. Which process establishes the three definitive germ layers?
A. Neurulation
B. Gastrulation
C. Craniocaudal folding
D. Lateral folding
E. Angiogenesis
Answer : Gastrulation
65. Which one of the following is the termination of round ligament?
A. Labia minora
B. Labia majora
C. Deep Inguinal ring
D. Superficial Inguinal ring
E. Lateral vaginal wall
Answer : Labia majora
66. Ductus venosus is completely obliterated after birth to form what adult
structure?
A. Ligamentum venosum
B. Ligamentum arteriosum
C. Ligamentum teres
D. Medial umbilical ligament
E. Median umbilical ligament
Answer : Ligamentum venosum
67. What is the frequency used in trans-abdominal Ultrasonography ?
A. 7-10 MHZ
B. 10-15 MHZ
C. 15-20 MHZ
D. 2-6 MHZ
E. >20 MHZ
Answer : 2-6 MHZ

68. A 60-year-old with erythematous erosive lichen planus on the vulva. What
type of cancer is linked to lichen planus?
A. Squamous cell carcinoma
B. Basal cell carcinoma
C. Merkel cell carcinoma
D. Malignant melanoma
E. Adenocarcinoma
Answer: Squamous cell carcinoma
69. which of the following organisms Colonize copper IUD?
A. Lactobacillus.
B. Actinomyces species.
C. Mobilincus
D. Ureaplasma
E. Staphyllococcus aurues
Answer : Actinomyces species.

70. Bacterial vaginosis is diagnosed with depletion in numbers of which

organism?
A. Lactobacillus
B. Mobiluncus
C. Gardnella vaginalis
D. Trichomonas vaginalis
E. Trepenoma pallidum.
Answer : Lactobacillus
71. The following image from ICSI procedure .

What is the structure represented by the arrows ?

A. Oocyte.
B. First polar body.
C. Second polar body.
D. Cumulus oophorus
E. Zona pellucida

Answer : First polar body

72. Side effect of Aminoglycosides is mainly by affection of which of the

following nerves?
A. Optic nerve
B. Trigeminal nerve
C. Facial nerve
D. Vestibulocochlear nerve
E. Glossopharyngeal nerve

Answer : Vestibulocochlear nerve ( 8th)

73. Regarding Breech presentation, What is the Bi-trochanteric diameter?
A. 9 cm
B. 10 cm
C. 11 cm
D. 8 cm
E. 13 cm
Answer : 10 cm

74. 6 hours post laparoscopic tubal ligation, patient c/o pain abdomen, not
reliefed with analgesics. On examination a tender cystic mass felt under
umbilicus with oozing pus from one of the port sites.
(LABS)
Hb: 11, WCC :17000.
Whats your Diagnosis ?

A. Urinary retention
b. Intra-abdominal bleeding
c. Urinary bladder injury
d. Injury to ureter
E. Port Site infection

Answer : Port site infection

75.What is the most common inherited bleeding disorder?

A. Von Willebrand’s disease
B. Hemophilia A
C. Hemophilia B
D. Protein C deficiency
E. Thrombotic thrombocytopenic purpura

Answer : Von Willebrand’s disease

76. The most common in Utero infection causing fetal anemia in the UK is
A. Syphilis
B. Toxoplasmosis
C. Rubella
D. Parvovirus B19
E. Cytomegalovirus
Answer : Parvovirus B19

77. Women with abnormal smear referred to colposcopy. HSIL. Which HPV is
associated with this?
A. HPV 18
B. HPV 11
C. HPV 6
D. HPV 12
E. HPV 20
Answer : HPV 18

78. Which HPV causes Genital Warts?

A. HPV 6
B. HPv 16
C. HPV 18
D. HPV 31
E. HPV 45
Answer : HPV 6
79. A 20 week GA women with h/o recent travel to India, presents with fever,
chills. Blood test falciparum Vivax +VE. Best treatment?
A. Primaquine
B. Mefloquine
C. Choloroquine
D. Procholoquine
E. Artisunate
Answer : Choloroquine
80. A Women with 150cm height and 90 kgs weight, What is her category of
BMI?
A. Normal
B. Obesity Class I
C. Obesity Class II
D. Obesity Class III
E. Morbid obesity
Answer: Obesity Class III
81. The Lowest acceptable Hb in second trimester?
A. 9.5 g/dl
B. 10 g/dl
C. 10.5 g/dl
D. 11 g/dl
E. 11.5 g/dl
Answer : 10.5 g/dl
82. Sheehan syndrome Mainly affects?
A. Hypothalamus
B. Anterior pituitary
C. Posterior pituitary
D. Thyroid
E. Adrenal cortex
Answer : Anterior pituitary

83. A 16-year-old girl has recently become sexually active. She complains of
intensely irritating greenish frothy vaginal discharge. PH is 6. What is the most
likely causative organism?
A. Candida albicans
B. Chlamydia trachomatis
C. Gardnerella vaginalis
D. Neisseria gonorrhoeae
E. Trichomonas vaginalis
Answer : Trichomonas vaginalis
84. A woman is 8 weeks pregnant attends for genetic counseling as she worried
about CF, her sister has a child with cystic fibrosis. She is a carrier and her
partner is Caucasian with a rate of 1/25 What is the risk of the child having
cystic fibrosis?
A. 1%
B. 12.5%
C. 25%
D. 75%
E. 100%
Answer : 1%
85. Pregnant women when exposed to sun, get pigmentation on cheeks & face?
A. Melasma
B. Linea alba
C. Linea Nigra
D. Stria gravidarum
E. Polymorphic eruption of pregnancy
Answer : Melasma

86. Mechanism of Action of Indomethacin?

A. cyclo-oxygenase inhibitor
B. Lipo-oxygenase inhibitor
C. Prostaglandin E1 agonist
D. Cyclo-oxygenase agonist
E. Prostaglandin E2 agonist

Answer : Cyclo-oxygenase Inhibitor

87. The following diagram is concerning about a 12-day-old blastocyst.

Which of the following regions is represented by the arrows ?

A. Allantois
B. Yolk sac
C. Amniotic cavity
D. Chorionic cavity
E. Extraembryonic coelom

Answer : Amniotic cavity

88. A 25-year-old woman presents with right-sided pelvic pain for more than
one year. An ultrasound scan is arranged which shows a 5 cm well-defined cystic
lesion in the right adnexa with mixed echoes. There is no fluid in the cul-de-sac
with the following sonographic image:

What is the most likely diagnosis for the image of the adnexa?

A. Benign cystic teratoma

B. Endodermal sinus tumour
C. Endometrioma
D. Mucinous cystadenoma
E. Serous cystadenoma

Answer : Benign cystic teratoma

89. Regarding the following image what it is called ?

A. Rapport luebering cycle

B. Cori's cycle
C. Citric acid cycle
D. Glycolysis
E. kreb's cycle

Answer : Cori’s cycle

90. Which substance is indicated by letter 'X' in the Below diagram?

A. C holesterol
B. Testosterone
C. Dihydrotestosterone
D. Androstenedione
E. Aldosterone
Answer : Androstenodione

91. Regarding Genital herpes infection , what is the best management?

A. Acyclovir
B. Gabapentin
C. Tacrolimus
D. Steroid
E. Antifungal

Answer : Acyclovir
92. A 24-year-old G2P0 woman is seen in clinic at 12 weeks gestation. She is
known to have epilepsy with grand mal seizures, for which she is currently on
lamotrigine. Her last fit was one year ago. Her full blood count result shows:
Haemoglobin 9.9 g/dl
Hematocrit 35%
Mean corpuscular volume (MCV) 110 fl
Mean corpuscular hemoglobin (MCH) 34 pg
Platelets 198 x 109/l
Total white cell count 8.0 x 109/l
What is the most likely interpretation of this blood count?
A. Physiological hyderemia of pregnancy
B. Iron deficiency anaemia
C. Folate deficiency
D. β-thalassemia trait
E. Hemolytic anemia
Answer : Folate Deficiency
93. A 23-year-old woman who is six weeks by dates is referred to EPU with
vaginal spotting, which continuous today. Ultrasound shows irregular sac, with
yolk sac and no Fetal pole. There is no fetal heart action noted. The ovaries and
adnexa appear normal. What is the most likely diagnosis?
A. Heterotopic pregnancy
B. Viable intrauterine pregnancy
C. inevitable miscarriage
D. Missed miscarriage
E. Threatened miscarriage
Answer : Missed miscarriage
94. A 33-year-old woman is admitted with surgical wound infection after
emergency caesarean section for suspected fetal compromise. Culture of the
wound demonstrates methicillin-resistant Staphylococcus aureus (MRSA). She
has no known allergies. Which is the most appropriate treatment?
A. Cephalosporins
B. Clindamycin
C. Vancomycin
D. Clindamycin and vancomycin
E. Piperacillin/tazobactam
Answer : Clindamycin and Vancomycin
95. What is Evidence based medicine?
a. Using current guidelines for treating individual patients.
b. Using current clinical evidence to treat individual patients.
c. Using most experience consultant advise to treat patients
d. Using current experimental evidence for treating patients
e. Studying the most recent clinical evidence in treating patients
Answer : Using current guidelines for treating individual patients.

96. During laparoscopy you visualize medial umbilical folds. what structure it
contains?
A. Umbilical vein
B. Medial umbilical ligament
C. Median umbilical ligament
D. Inferior epigastric artery
E. Deep Circumflex artery
Answer : Medial Umbilical ligament
97. Blood supply for ascending part of colon ?
A. Superior mesenteric
B. Inferior mesenteric
C. Right anterior mesenteric
D. Celiac trunk
E. Right colic artery
Answer : Superior mesenteric artery

98. A study compares 2 types of suture materials for skin closure for caesarean
section, subcuticular monofilament and subcuticular polyfilament, who should
close the skin to obtain best external validity?
A. One consltant in each unit.
B. Any one who normally closes skin.
C. Any one with 3 OSAT for competence in abdominal closure any specialist.
D.
E.
Answer : One consultant in each unit .
99. A 22 years old patient presents to your clinic with on and off pain RIF. During
Workup of the pain an ultrasound Scan shows 4cm simple ovarian cyst.
What is your Management?
a. Reassure & discharge
b. US guided aspiration
c. lap cystectomy.
d. CA 125.
e. Yearly MRI scan follow-up
Answer : Reassure & Discharge
100. What is the source for premenopausal Oestrogen secretion?
A. Theca cells
B. Oocyte
C. Granulosa cells
D. Polar body
E. Adipose tissue
Answer : Granulosa cells

101. 41 years old women presents to clinic Complaining of galactorrhea.

Labs show: FSH, LH and TSH raised.
a. Hypothyroidism
b. Hyperthyroidism
c. Premature ovarian insufficiency
d. PCOS
e. Hypothalamic Dysfunction
Answer : Hypothyroidism
102. Diazepam can cross placenta, due to?
a. Lipid solubility
b. Protein binding
c. Large molecular weight
d. Facilities diffusion
E. Active transport

Answer : Lipid solubility

103. 80 years old women presents to clinic with dysuria, on Examination you
notice a growth at urethral orifice exophytic with well circumscribed edges?
a. Urethral caruncle
b. Squamous cell carcinoma
c. Basal cell carcinoma
d. Uretheral diverticulum
E. Uretheritis
Answer : Uretheral caruncle

104. which clotting factor does not rise in pregnancy?

a. VIII & VIII
b. VIII & IX
c. XI & XIII
d. XII & IX
e. II & VII
Answer : XI & XIII

105. You see a patient in antenatal clinic who is 14 week pregnant and is
worried. Her 3 year old son has chicken pox. she does not remember if she had
chicken pox in past? her lab reports are as follows:
Varicella IgG negative
Varicella IgM negative

a. she had past infection/immunity to chicken pox

b. she is not immune to chicken pox
c. she had general disease in past
d. No need for vaccination
e. Immunity to Rubella .

Answer : She is not immune to Chicken pox

106. Which cells secrete histamine and serotonin?
a. Basophils
b. Neutrophils
c. Dendritic cells
d. Platelets
e. Macrophage
Answer : Basophils

107. Post-delivery the registrar notes that baby's HR 150bpm, pink body and
blue extremities, Grimace, some flexion & friable cry. What is the apgar score?
a. 3
b. 4
c. 6
d. 8
e. 10
Answer : 6
108. Which Type of Ovarian cancer occurs which BRCA 1 mutation ?
a. Clear cell carcinoma
b. Endrometroid carcinoma
c. Stromal Ovarian tumours
d. Krukenberg tumour
e. Papillary serous cystadenocarinoma.

Answer: papillary serous cystadenocarinoma.

109. A 25 years old patient presents to your clinic with history of Heavy
menstrual bleeding for 1year. She has a history of asthma. She plans to start
family in a year's time. This bleeding is limiting her routine activity. What is the
First line in Management of this patient?
A. COCP
B. Norethisterone
C. Mirena
D. Tranexmic acid
E. Mefanimic acid
Answer : Mirena
110. What is affected in Horner syndrome?

A. Loss of Motor supply

B. Excessive Sympathetic stimulation
C. Excessive Parasympathetic stimulation
D. Loss of Parasympathetic supply
E. Loss of Sympathetic supply

Answer : Loss of Sympathetic supply

111. Regarding the following brachial plexus Diagram

What is the “ D “ structure represents ?

A. Axillary nerve
B. Median nerve
C. Musculo-cutaneous nerve
D. Ulnar nerve
E. Radial nerve
Answer : Median nerve
112. Regarding Varicella Zoster , What its infectivity period?

A. 2 days before rash and 2 days after crust disappears

B. 2 days before rash until the crust appear.
C. 10-14 day after appearance of rash.
D. 24 hour after rash appear
E. When lesion is Crusted.
Answer : 2 days before rash until the crust appear.

113. Gestation age is which type of data?

a. Nominal
b. Ordinal
c. Interval
d. Regression
E. Ratio
Answer : Interval

114. Which type of electrosurgical circuits is safest in theatres?

A. Grounded
B. Patient is Attached to pad
C. Isolation
D. On parallel
E. On series
Answer : Patient is Attached to pad

115. A 30 years old women who regularly takes insulin for diabetes. Presents
with lethargy and loss of weight , TSH is low & Total T3 high ?
A. Graves disease
B. Hashimotos thoiditis
C. Toxic nodule
D. Ketoacidosis
E. Hypothyroidism
Answer : Grave’s Disease.
116. What is the most common cause of cushing's syndrome?
A. Pituitary adenoma
B. Adrenal adenoma
C. Adrenal carcinoma
D. Adrenal hyperplasia
E. Iatrogenic steroid administration
Answer : Iatrogenic steroid administration

117. Glucocorticoids are secreted from which region of the adrenal gland?

A. Adrenal capsule
B. Zona reticularis
C. Zona glomerulosa
D. Zona fasciculata
E. Adrenal medulla

Answer : Zona fasciculate

118. The deep circumflex iliac artery is a branch of which artery?

A. Internal iliac artery

B. Internal pudendal artery
C. External iliac artery
D. Common iliac artery
E. Femoral artery
Answer : External iliac artery

119. Which cells produce mullerian-inhibiting substance in fetal testis?

A. Interstitial cells of leydig
B. Interstitial macrophages
C. Sertoli cells
D. Theca cells
E. Granulosa cells
Answer : Sertoli cells
120.Which enzyme found in red blood cells which buffers blood CO2?
A. Cytochrome-b5 reductase
B. 5-nucleotidase
C. Glucose-6-phosphate dehydrogenase
D. Carbonic anhydrase
E. Pyruvate kinase
Answer : Carbonic anhydrase

121 . Which of the following essential amino acids not found in OMEGA 3 and
should be taken from dietry intake ?
A. α-Linoliec acid
B. Ecosapentoenoic acid
C. Arginine
D. Arachidonic acid.
E. Histidine
Answer : α-Linoliec acid
122 . Correct interpretation of the following Urogram :

A. Stress incontinence.
B. Urge incontinence
C. Detrusor muscle instability
D. Detrusor muscle overactivity
E. Urinary tract infection .

Answer : Detrusor muscle overactivity.

123. A town with a total number of live birth is 250,000, and maternal death is
750, number of stillbirth is 250, what is the Maternal mortality ratio?

a. 300
b. 600
c. 900
d. 200
e. 750

Answer : 300
124 . A women 40 week induced by dinoprostone pessary 20 minutes later and
the pessary is removed .

Regarding the following CTG , what is the most appropriate management ?

A. Give terbutuline 20 mg tocolytic.

B. Category 1 CS.
C. Category 2 CS.
D. Reassure and observe.
E. Perform fetal blood sampling.

Answer : Give terbutuline 20 mg tocolytic.

125. Cervical cancer incidence in UK ?

A. 1/250
B. 1/300
C. 1/1000
D. 1/3000
E. 1/5000

Answer : 1/3000 * ?
126. In a town with 20,000 live birth, calculate perinatal mortality ?

Weeks prenatally Postnatally

20w 20

21w 10

22w 40

23w 10

24w 20

25w 20

26-30w 10

31-35w 20

35-42w 10

1st week after birth 50

A. 1/9000.
B. 180/24000.
C. 160/20000.
D. 210/20000.
E. 240/20000.

Answer : 1/9000

127. What is the anatomical space of External uretheral sphincter?

A. Superficial perineal pouch.
B. Deep perineal pouch.
C. Ischiorectal fossa.
D. Superficial inguinal space.
E. Deep inguinal space
Answer : Deep perineal pouch.
128. Pain due to ovarian irritation is felt through which spinal segment ?
A. T10
B. T11
C. T12
D. L1
E. L2
Answer : T10.

129. What is the mechanism of action of Trimethoprim ?

A. Inhibit bacterial cell wall synthesis.
B. Inhibit 30S Ribosomal protein synthesis
C. Inhibit Dihydrofolate reductase enzyme
D. Inhibit Nucleic acid synthesis.
E. Act on bacterial Cell membrane
Answer : Inhibit dihydrofolate reductase enzyme

130. Post-operatively , the nurse noticed an area of burn near attached

diathermy plate , what is the mechanism of injury ?
A. Inadequate current used .
B. Low frequency current focused on small area
C. High frequency current focused on small area
D.
E.
Answer : High frequency current focused on small area.

131. What is the measurement of Anteroposterior diameter of pelvic inlet in

Engagement ?
A. 10cm
B. 11cm
C. 12cm.
D. 13cm
E. 9cm.
Answer : 11cm
132. An Asian woman books in for her third pregnancy at 12 weeks of gestation.
She
has recently moved to the UK from Thailand to be with her new husband. After
pre-test counselling, with the aid of an interpreter, she agrees tohepatitis B
virus (HBV) screening. The results return as follows. What is the significance of
these results?
HBsAg POSITIVE
Anti-HBc POSITIVE
Anti-HBc IgM NEGATIVE
AntiHBs NEGATIVE
A.Post vaccination
B Resolved infection
C.Natural HBV immunity
D.Chronic infection
E.Acute HBV infection

Answer : Chronic infection

133. A 34 yr old woman has just returned to the UK following missionary work
in the northern part of South America. She is delighted to be pregnant and
presents for booking at 12 wks of gestation. After counseling she agrees to have
routine blood investigations including screening for syphilis. The results are
returned as following:
Venereal Disease Research Lab. (VDRL) test : Reactive
particle agglutination (TP-PA) : non reactive
Fluorescent Traponemal Ab absorption (FTA-Abs) : non reactive
What is the most likely interpretation for theses result?

A. Consistent with traponemal infection at sometime

B. Diagnostic of latent syphilis
C. Indicative of early syphilis
D. Likely biological false positive
E. Suggests a past treated infection

Answer : Likely biological false positive

134. What is the site of production of Thromboxane A2 ?
A. Platelets
B. Liver.
C. Macrophages.
D. Kidney.
E. Mast cells
Answer : Platelets.

135. What is the site where Urea cycle occurs ?

A. Liver
B. Kidney
C. Adrenal gland.
D. Brain.
E. Red blood cells

Answer : Liver.

136. What makes the lateral border of ischiorectal fossa?

A. Levator ani.
B. Anal canal.
C. Coccygeus muscle.
D. Obtrator internus fascia.
E. Obtrator Externus fascia.

Answer : Obtrator internus fascia.

137. What is the Nerve that most commonly injured during Gynecological
laparotomy ?
A. Obtrator nerve.
B. ilioinguinal nerve.
C. iliohypogastric nerve.
D. Femoral nerve.
E. Lateral cutaneous nerve.
Answer : Obtrator nerve.
138. The Umbilical artery is branch of ?
A. Anterior division of Internal iliac artery.
B. Posterior division of Internal iliac artery.
C. Abdominal aorta.
D. Internal pudendal artery.
E. External iliac artery

Answer : Anterior division of internal iliac artery.

139. How Diagonal conjugate diameter is measured ?

A. From upper border of symphysis pubis to sacral promontory.
B. From Lower border of Symphsis pubis to sacral promontory.
C. From the back of symphsis pubis to tip of coccyx.
D. From Sacroiliac joint to opposite iliopectineal line.
E. It is the distance between ischial tuboristies.

Answer : From Lower border of Symphsis pubis to sacral promontory.

140.
Preterm labour Normal labour
+ve Fibronectin 5 20
-ve Fibronectin 15 60

What is the Negative predictive value ?

A. 70%
B. 80%
C. 85%
D. 90%
E. 92%

Answer : 80%
141. A women with inflammation in ovary develop pain along medial side of
thigh , what nerve most likely to be the cause ?
A. Obturator nerve.
B. Femoral nerve.
C. Lateral cutaneous nerve of thigh.
D. Sciatic nerve.
E. Common peroneal nerve.

Answer : obturator nerve.

142. What is the best investigation to detect receptor status in breast cancer?
A. MRI scan.
B. Ultrasound
C. Fine needle aspiration cytology
D. Immuno-histochemistry
E. CA 15-3

Answer : Immuno-histochemistry

143. A Women after delivery found to be in lithotomy position for 2 hours , now
she develop drop foot , what nerve most likely to be the cause ?
A. Tibial nerve.
B. Femoral nerve.
C. Sciatic nerve.
D. Common peroneal nerve.
E. Lateral cutaneous nerve

Answer : common peroneal nerve.

144. The Progesterone receptor is example of which type of receptor ?

A. Guanylate cyclase receptor
B. Nuclear transcription factor
C. Tyrosine kinase nuclear receptor
D. Ligand-gated ion channel in the cell membrane
E. G protein coupled receptor on the Golgi complex
Answer : Nuclear transcription factor
145. Regarding OOCYTE , when the second meiotic division is completed ?
A. At fertilization.
B. At Ovulation.
C. At birth.
D. At puberty.
E. first 2 days of menstrual cycle.

Answer : at fertilization

146. Regarding Wound healing process , what is the first stage ?

A. Hemostasis.
B. Inflammation.
C. Proliferation.
D. Remodeling.
E. Wound contraction.

Answer : Hemostasis.

147. Regarding inferior vesical artery , where does it come from ?

A. Anterior division of Internal iliac artery.
B. Posterior division of Internal iliac artery.
C. Abdominal aorta.
D. Internal pudendal artery.
E. External iliac artery

Answer : Anterior division of internal iliac artery.

148. A 67-year-old woman attends for a preoperative assessment. She has been
taking bendroflumethiazide for several years for hypertension. Her ECG shows:
What is the most likely electrolyte imbalance?

A. Hypercalcaemia
B. Hyperkalaemia
C. Hypernatraemia
D. Hypokalaemia
E. Hyponatraemia

ANSWER : Hypokalaemia

149. 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
E. Sickle cell trait

Answer : Sickle cell trait.

150. Which biochemical technique is used to detect the presence and the
amount of a protein?
A. Northern blotting
B. Polymerase chain reaction
C. Southern blotting
D. Western blotting
E. X-ray crystalography
Answer : Western blotting

151. A study design is made with a Power sensitivity 90% and P = 0.05 .
What is the chance of type 2 error ?
A. 5%
B. 10%
C. 15%
D. 50%
E. 90%
Answer : 10%

152. Which of the following drugs cause Kernictrus ?

A. Penicillin
B. Gentamycin.
C. Sulphonamides
D. Methotrexate.
E. Erythromycin

Answer : Sulphonamides.
154. Which of the following statements best describe Tidal volume ?
A. The normal volume of air displaced between normal inhalation and
exhalation(in and out ) when extra effort is not applied

B. The volume in the lungs at maximal inflation

C. The volume of air remaining in the lungs after a maximal exhalation

D. The maximal volume that can be inhaled from the end-inspiratory level

E. The maximum volume of air inhaled from the point of maximum expiration

Answer : The normal volume of air displaced between normal inhalation and
exhalation(in and out ) when extra effort is not applied

155. Regarding cell cycle , when does chromatids seperates to opposite poles ?
A. Prophase.
B. Metaphase.
C. Anaphase.
D. Telophase.
E. Interphase.

Answer : Anaphase

156. Which of the following methods used for DNA Amplification ?

A. Western blotting.
B. Northern blotting.
C. Polymerase chain reaction.
D. Eastern blotting.
E. G-banding

Answer : Polymerase chain reaction

157. What is the mechanism of Letrozole drug ?
A. Aromatase inhibitor.
B. 5 alpha reductase inhibitor.
C. 5HT3 Antagonist.
D. Selective estrogen reuptake inhibitor.
E. Selective progesterone reuptake inhibitor

Answer : Aromatase inhibitor.

158. A Couple with primary subfertility , who have been trying to conceive for
over 12 months , attends a reproductive medicine clinic , the male partner has
already give a semen sample for analysis which return back showing :
32 million spermatozoa , morphology >5 , vitality >5% , live spermatozoa 63% ,
PH 7.2 , What is the correct interpretation of this result ?
A. Normal semen analysis
B. Azoospermia
C. Oligospermia
D. Asthenospermia
E. PH indicate infection.

Answer : Normal semen analysis.

159. A 28 years old women undergoing a D&C for a missed abortion , develop
pain on cervical dilatation , what is the nerve supply of cervix ?

A. Inferior rectal nerve.

B. Perineal nerve.
C. Pelvic splanchnic nerve.
D. Superior rectal nerve.
E. Obtruator nerve.

Answer : Pelvic splanchnic nerve.

160. Regarding Insulin, it gets activated by removing ?
A. A-peptide
B. B-peptide
C. C-peptide
D. D-peptide
E. E-peptide

Answer : C-peptide

161. What represent the 2 axis of ROC curve ?

A. Senstivity Vs 1/specifity
B. Specifity Vs 1/ Senstivity
C. Senstivity Vs specifity
D. 1-Senstivity Vs 1-Specifity
E. 1/Senstivity Vs 1/Specifity

Answer : Senstivity Vs 1/Specifity

162. A condition where the uterus is bulky and endometrial glands are in
myometrium is called ?
A. Leiomyoma.
B. Endometriosis.
C. Adenomyosis.
D. Choriocarcinoma
E. Endometriod carcinoma

Answer : Adenomyosis

163. From what structure does ligamentum Arteriosus come from?

A. Ductus arteriosus
B. 4th pharyngeal arch
C. 6th Pharyngeal arch
D. Sinus venousus
E. Dorsal arch

Answer : Ductus arteriosus

164. Conversion of Fe3+ to Fe2+ in gut require which of the following vitamins?
A. Vit A
B. Vit B6
C. Vit B12
D. Vit C
E. Vit K

Answer : Vit C

165. 88 years old women with vaginal vault prolapse come for repair , she is
asymptomatic for UTI , but her urine analysis show heavy growth
(100000X/cm3) E-Coli , WBC 17000 , She is allergic to penicillin
whats your management ?
A. Reassure .
B. Give her Amoxicillin.
C. Give her Gentamycin.
D. Give her Nitrofurantoin.
E. No need for treatment as she is asymptomatic.

Answer : Give her Nitrofurantoin.

166. What is the incidence of pregnancies complicating by cancer ?

A. 1/300
B. 1/500
C. 1/1000
D. 1/3000
E. 1/5000
Answer : 1/1000

167. Which of the following ovarian Cysts most prone to undergo Torsion ?
A. Mucinous cyst
B. Serous cyst.
C. Dermoid cyst.
D. Endodermal sinus tumour.
E. Hemorrhagic cyst
Answer : Dermoid cyst.
168. A 28 years old women present with 8 weeks pregnancy , she develop heavy
bleeding ( abortion ) and the condition is uncomplicated , what the next step ?
A. Expectant management.
B. Dilatation and curettage.
C. Vacuum extraction.
D. Misoprostol + mifepristone
E. Surgical Evacuation
Answer : Expectant managmenet.
169. Which of the following enzymes used in Transcription ?
A. DNA Polymerase.
B. RNA Polymerase.
C. Reverse transcriptase
D. Restriction endonuclease.
E. DNA Ligase

Answer : RNA Polymerase.

170. What is the Direct arterial blood supply of decidua ?

A. Uterine artery.
B. Basal arteries
C. Spiral arteries
D. Straight arteries.
E. Arcuate arteries

Answer : Spiral arteries.

171. What is the component of Placental barrier at term pregnancy?

A. Endothelium and cytotrophoblast.
B. Syncitiotrophoblast & Cytotrophoblast.
C. Endothelium and connective tissue.
D. Syncitiotrophoblast and Endothelium
E. Syncitiotrophoblast and connective tissue

Answer : Syncitiotrophoblast and Endothelium

172. Regarding sex differentiation , at what gestational age does the External
genitalia of male and female is Identical ?
A. 6 weeks.
B. 12 weeks.
C. 20 weeks.
D. 25 weeks.
E. 30 weeks.

Answer : 6 weeks
173. Which of the following testicular cells is responsible for androgen
production?
A. Sertoli cells.
B. Lydig cells
C. Seminal vesicles.
D. Theca cells.
E. Granulosa cells

Answer : Lydig cells

174. Which of the following is male homologous of bartholin gland ?

A. Bulbouretheral gland ( Cowper’s gland )
B. Seminal vesicles.
C. Prostatic utricle
D. Prostatic gland.
E. Skene gland

Answer : Bulbouretheral gland ( Cowper’s gland )

175. Which of the following neurotransmitters secreted onto adrenal medulla?

A. Adrenaline
B. Nor epinephrine
C. Serotonin
D. Acetylcholine
E. Dopamine
Answer : Acetylcholine
176. A Mother delivered her baby 2 weeks ago , now she comes with delusions
and hallucinations , she feed her baby normally with no other complains.
Whats your diagnosis ?
A. Postpartum Blues.
B. Postpartum psychosis
C. Panic attacks.
D. Postpartum depression
E. Manic attacks

Answer : Postpartum psychosis

177. During a procedure of Pudendal nerve block , a blood come back in the
syringe , which artery most likely to be injured ?
A. Internal iliac artery.
B. Internal pudendal artery.
C. Inferior rectal artery.
D. Perineal artery
E. Inferior gluteal artery.

Answer : Internal pudendal artery .

178. What hormone secreted by placenta leading to fetal diuresis ?

A. Relaxin.
B. Estriol
C. Oxytocin
D. Vasopressinase.
E. Inhibin

Answer : Vasopressinase.

179. Which of the following statements describe Type 2 error ?

A. The erroneous acceptance of the null hypothesis
B. The erroneous rejection of the null hypothesis
C. The inclusion of extreme outliers in a data set
D. The occurrence of a γ error
E. None of the above

Answer : The erroneous acceptance of the null hypothesis

180. Regarding the following data : The Mean BMI is 25% , and the Standard
deviation is 5 , what is the percentage of obese people ?
A. 5%
B. 10 %
C. 16%
D. 34%
E. 36%

Answer : ?
181. What is the blood supply of Foregut ?
A. Celiac trunk.
B. Superior mesenteric artery
C. Inferior mesenteric artery
D. Abdominal aorta
E. Internal iliac artery

Answer : Celiac trunk

182. A Multiparous women with prolapse , which muscle is most likely to be

injured ?
A. Pubococcygeus.
B. Puborectalis.
C. Coccygeus muscle
D. Ischocavernosus.
E. Bulbospongiosus.

Answer : Pubococcygeus.

183. What is the site of production of Ammonia ?

A. Liver
B. Kidney
C. Lungs.
D. Adrenals.
E. Red blood cell

Answer: Kidneys
184. Regarding Standard error of mean [ SEM ] how it is calculated ?
A. Square root SD / n
B. SD / n
C. SD / Square root n
D. SD x square root n
E. SD – Square root n

Answer : SD / Square root n

185. A 55 year old presents to clinic due to vulval itch and discolouration.
examination reveals pale white discoloured areas to the vulva.
A biopsy shows epidermal atrophy with subepidermal hyalinization and deeper
inflammatory infiltrate.
What is this characteristic of?
A. Lichen Simplex Chronicus
B. Vulval intraepithelial neoplasia
C. Vitiligo
D. Extramammary Pagets
E. Lichen Sclerosus
Answer : Lichen sclerosus

186. A Pregnant lady 11 week , presented by UTI , what the best course of
action ?
A. Penicillin.
B. Gentamycin
C. Doxycyline
D. Nitrofurnatoin.
E. Trimethoprim

Answer : Nitrofurnatoin.
187. Regarding the following table, calculate value of specifity ?
Diseased Non
Exposed 85 15
Non 40 60

A. 20%
B. 40%
C. 60%
D. 80%
E. 90%
Answer : 80%
188. What is the most common solid benign tumour of ovary ?
A. Serous tumours.
B. Mucinous tumours.
C. Endodermal sinus tumours
D. Benign teratoma.
E. Yolk sac tumour
Answer : Benign teratoma

189. A Patient come complaining of a groin pain , a ureteric stone is suspected

and Xray is requested , at what level you would expect to see the stone ?
A. iliac crest
B. Paravertebral
C. Pelvic prim
D. Mid-clavicular line.
E. Mid-axillary line

Answer : Pelvic brim

190. Which adverse reaction is common and usually dose related in patients
taking misoprostol?
A. Diarrhea
B. Nausea
C. Vomiting
D. Bloating
E. Dyspepsia
Answer : Diarrhea .

191. The ureteric buds is derived from which of the following structures ?
A. Metanephros
B. Mesonephros.
C. Mesonephric duct
D. Paramesonephric duct
E. Allantois.
Answer : Mesonephric duct.
192. A Patient come with an ischemic stroke , regarding brain ischemia and
necrosis , what type of necrosis occur in brain ?
A. Colliquative necrosis.
B. Coagulative necrosis.
C. Fat necrosis.
D. Fibrinoid necrosis.
E. Dry gangrene
Answer : Colliquative necrosis
193. What is the Action of mRNA ?
A. Translation
B. Transcription
C. Transfer
D. DNA synthesis
E. Reverse transcription
Answer : Transcription
194. From Which structure inhibin is produced ?
A. Theca cells.
B. Granulosa cells.
C. Cumulus oophorus
D. Corpus leutem
E. Lydig cells

Answer : Granulosa cells

195. Which of the following cells is considered the basis for the adaptive
immune system?

A. Neutrophils
B. Monocytes
C. Lymphocytes
D. Basophils
E. Eosinophils

Answer: Lymphocytes

196. Main hydrogen ion buffer found in urine ?

A. Bicarbonate.
B. Magnisium
C. Phosphate.
D. Chloride
E. Sodium

Answer : Phosphate
197. Which Immunoglobulin is a Dimer ?
A. IgA
B. IgD
C. IgE
D. IgG
E. IgM

Answer : IgA

198. Which nerve emerges on anterior border of psoas major muscle ?

A. Obturator nerve.
B. Femoral nerve.
C. Lateral cutaneous nerve.
D. Genitofemoral nerve.
E. iliohypogastric nerve.

Answer : Genitofemoral nerve

199. LMP : 1st of march in a regular 35-day cycle, What is [ EDD] ?

A. 8 DEC.
B. 15 DEC.
C. 8 NOV
D. 15 NOV.
E. 22 DEC

Answer : 15 DEC
200. Which of the following is responsible for the striae during pregnancy ?
A. Melatonin.
B. Cortisol.
C. Estrogen
D. Melanocyte stimulating hormone.
E. Aldosterone

Answer : Cortisol

__________________E___N___D_____O_F____E__X__A__M________________

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