Gynae , Paper-III, Jan-19

TFTFT
FCPS OBS & GYNAE (January-2019) Robbins 10th -268p
Papper – lll Set : B d) involves sex chromosome
Multiple choice question
6. Exotoxin producing bacteria
a) Ecoli
b) Salmonella
1. Causative organism of HIV c) Shigella
a) Destroyed by heating d) Staphylococcus curess
b) DNA virus e) Vibria cholerae
c) Need life long treatment TFFTT
d) Spread by verticle transmission Lange 15th Box 7-10 40p
e) target CD4 receptor
TFTTT 7. T lymphocytes
Lange 15th 366-373p a) Contains 50% cells
b) Mature in lymph node
2. In Definition – Granuloma c) Mature in thymus
a) Epitheloid cell d) Mature in Bone marrow
b) Cholesterol cleft e)
c) Collagen
d) Elastic tissue 8. Rubella
a) Prevented by live attenuated vaccine

GENESIS
e) Haemosiderin laden macrophage
TTTTF b) Single stranded DNA virus
Robbins 10th -85p c) 85% cases fetal anomaly of 2nd trimester
e) Heart failure cell d) Transmitled by feco – oral route
e) Spread through brfore 7days and 70 days after
3. Interleukin – I (IL-I) appearnce of rash
a) Decrease leucocyte odherance
b) Increase collagen synthesis 9. Following are the coagulase positive organism
c) Increase ∝ PGE1 system a) Clostredium tetany
d) Produced activated macrophage b) Staphylococcus pseudo intermidius
e) Proliferate fibroblasts c) Streptococcus aures
d) Staphy lococcus epididermis
e) yersinia pestis
4. Chlamydia trachomaties
a) diagnosed by direct Florescent anti body test 10. Cervercle intraepithelia pneuplasia (CIN) caused
b) Cause silent salphingitis which hall mark of infection by-
c) pelvic inflammatory disease a) HPV - 6
d) obligate intracellular parasite b) HPV - 1
e) They are the normal flora c) Characterised by dysplastic cell
FTTTF d) Reverts normal in 60% cases
Lange 15th 201p e) Associated with kilobytes
a)by detection of inclusion body
e)by inhaling organism from airborne dry bird feces 11. Feature of Anaplasia
a) Pleomorphism
5. Karyotype 45xO b) Hyperchromatic
a) They increase FSH & Ch c) Tumour giant cell
b) Mental retardation d) Large Nucleous
c) Majore cause of female infertility e) Nucleous : cytoplasm ratio 1:4
d) Cryptogenic disorder involve autosome TTTTF
e) Cause of primary amenorrhuea Robbins 10th -193p
 a) 5-10% metastatic tumour
12. 25 years old lady presented with hirsutism and b) Has epithelia cells known as rignent ring cell
voice change on vaginal examination mass found in c) Cystic consistency and contain mucin
the pouch of Douglas – her diagnoses d) is found in reproductive age only
a) Arrenoblastoma e) Has smooth surface
b) Dysgerminoma
c) Granulosa cell tumor 19. A women came ē gonorrhoea suffer from infection
d) teratoma a) Candida albicans
e) Cystic adenoma b) Clotridium tetary
c) Cytomegalovirus
d) Treponema pallidrum
13. Factors inhance wound healing e) Tricomonas vaginalis
a) Diabetes mellitus
b) Immunosupreslive drugs 20. Following as associate with cancer
c) infections a) Clostridium infection
d) intake of diatery food b) Clamydia infection
e) Nutnitions c) Epistin BAr virus
FFFTT d) Hepatitis C
Robbins 10th -93P e) Schistosomiasis

14. Tumor markers 21. 28 Years old women came in GOPD with the
a) Are the surest investigation of malignancy complaints of chlamydia infection

GENESIS
b) Are not reliable for prognosis a) Posses with endometriosis
c) Used in sereaniag test as malignant tumor b) Pelvis abscess
d) Increase in inflammatory conditions c) Fitz hugh carts syndrome
e) May be raised is Pregnancy d) Hepatitis C
e) Schistosomiasis

15. Organism thrive on raised vaginal PH more than 22. 31 years old lady came with OPD with vaginal
4.5 discharge investigation revels no organism her
a) Bacterial vaginosis diagnosis
b) Candida albicans a) Candidacies
c) Chlamydia trachomatis b) Fibromyoma
d) Tricomonus vaginalis c) herpes simplex infection
e) May be raised is pregnancy d) Endometrial polyp
e)
16. Characteristics of congenital syphilis are -
a) Chorioidoretinitis 23. Spetic shock
b) Clutton joint a) Mainly caused by gram positive organism
c) Neunatal conjunctivitis b) It is irreversible shock
d) Non immune hydrops c) Patient may worm body temperature
e) Vlll cranial nerve deafness d) Is a morbid condition
e) Caused by gram negative organism
17. Autosomal recessive disorders
a) Consanguinity marriage is risk factor for each pattern 24. Herpes simplex virus
b) Disease appear at early life a) Cancer may occur number 11
c) Manifest only in homozygus state b) Major/main organism for cancer HSV-18
d) Females are more affected c) Is affected in reproductive women
e) Hemophilia B is a autosomal recessive disorder d) Vaccine preventable disease
e)
18. Krukenbarg tumour
25. 20 years old lady in OPD – 12 weeks pregnancy ē 31. Pulmonary embolism occur
High IgM antibody of toxo plasma fetal causes - a) Mainly occur arterial
a) Anencephally b) Mainly venous
b) Intracranial calcification c) 50% chance to resolution
c) Chorionetinitis d) Main emboli comes from the Lower limb
d) Mental retardation e) Majore cause of death
e) Phocomalia
32. Common site of the thrumboemolism
26. A patient suffer from type – 2 diabetes mellitus ē a) Upper extensity
pregnancy should be conselled regarts to sequences b) Upper part of right toreanm
a) Diabetes mellitus caudal regression syndrome c) Superficial vain of lower limb
b) Incidence of trichomonas infection d) Deep vain of lower limb
c) Increase insulin requirement e) Left heart
d) Increase of placental abruption
e) Increase of risk of intra uterine death 33. Micro invasive carcinoma
a) invasive to epithelial cell
b) involve only basal layer of epithelial cell
27. Exfoliative cytology – causes c) Mainly arterial cell
a) Bladder cancer d) Up to 3mm invasion of germinal epithelium
b) Cervicle cancer e)
c) Ovarian cancer
d) Endometrial cancer 34. MHC - ll

GENESIS
e) Vulvar cancer a) B cell
b) Dendrite cell
c) Macrophage
28. 18 years girl 30 – weeks pregnancy with blood d) Platelet
pressure 140/90 mmc Hg ē oedema e) T cell
a) arterial dilation with nitric oxide
b) Increase plasma colloidal osmotic pressure 35. Atrophy -
c) Increase venous pressure a) Is a reversible pathological process
d) Familial predis position is a factor b) Increase in cellular size
e) Increase with multiparity c) Decrease in cellular size
d) Occurs in childhood & adulthood cases
e) Reverts in previous condition
29. 25 years old lady suffer from Lower abdominal pain
with vaginal bleeding, multiparity , and sphincter
hemorrhagic spot-
Which factor involves- Each question below contains five suggested answers-
a) Factor V choose the one best response to each question (36-50)
b) Factor Vll
c) Factor Vlll 36. 28 years multipara patient develop frequent
d) Factor X bursing sensation of micturition & lower abdominal
e) Factor Xll pair for 3 days following delivery urine send for culture
possible organism
30. Apoptosis a) Clostridium
a) Physiological & pathological occurrence b) W. coli
b) Sometimes intrauterine & adulthood c) Enterobacter
c) Mainly occur when cell remains to survive d) Klebsiella
d) e) Salmonella
e)
37. 31 years old women visited GoPD with abnormal a) Cervical biopsy
pap smear mepont, colposcopy reveled CIN lll they b) Colposcopy
type of virus c) HPD DNA testis
a) H.Herpes virus - 2 d) Pap smear
b) Human herpes virus - 6 e) TVS
c) Human herpes virus - 11
d) Human herpes virus - 18 44. 25 years patient fever with foul smelling vaginal
e) Human herpes virus - 20 swab was sent for gram staining culture sensitivity -
a) β hemolytic streptococci
38. The most important diagnostic criteria of b) E. coli
malignancy is - c) Klebsiella
a) Abnormal mitosis d) Staphylococcus aureus
b) Invasion e) Staphylococcus pyogens
c) Necrosis
d) Pleomonphism 45. Following fixative used for pap smear
e) Prominent Nuclei a) 70% alcohol
b) 95% alcohol
39. The most significant causes of dysplasia is - c) 10% formaldchyde
a) Hyper chromatic d) liguid parafine
b) Irreversibility e) Normal saline
c) Lack of orientation
d) Presence of mitotic figure

GENESIS
e) Slight lack of uniformity of cell shape

40. Virus pathway which enter into body through

vagina - 46. 35 years old married women presented with
a) Cytomegalovirus history of pain, sweeling of right side of vulva for 10
b) Hepatitis A days, pain is throbing in nature and walking difficulty is
c) Hepatitis E increased also have offensive vaginal discharge-
d) Herpes simplex virus - 2 a) Bartholin abseess
e) Para myxo virus b) Bartholin cyst
c) Trauma to vulva
41. 55 years old women on chemotherapy fro d) Vulva abseess
leukemia now develop sipsis due to infection ē coli e) Vulva carcinoma
bacteria structure mostly responsible for septic shock.
a) Capsule 47. Patient develop 12mm skin induration within 72
b) Flagella hour tuberculin test which is responsible
c) lipopolysaccaride a) CD8T lymphocyte B lymphocyte
d) Peptidoglycan b) CD8T lymphocyte Eosinophil
e) Pilli c) CD8T lymphocyte Fibroblast
d) Macrophage
42. Grading of a malignant tumour is based on e) CD4 T lymphocyte
a) Degree of differentiation of tumour cell
b) Distant metastasis 48. 65 years menopausal lady presented with
c) Presence of capsule invasion by tumour cell pervaginal bleeding and solid lump in lower abdomen,
d) Regional lymph node involvement VSG Reveled origin of the mass probably ovarian-
e) Size of the tumour a) Brenner’s tumour
b) Gesm cell tumour
43. 35 years women suffering from foul smelling c) Granulosa sibroma
vaginal discharge with post coital bleeding, her via test d) Serous cyst adeno carcinoma
was positive – her reset investigation e)
49. Most common precursor for malignant tumour
a) Atropy
b) Dysplasia
c) Hyperplasia
d) Hypertrdphy
e) Metaplasia

50. Rh negative (–) mother delivered Rh positive (+)

hydrops baby, her indicant combs test was positive (+)
during pregnancy which antibody involve -
a) IgA
b) IgD
c) IgE
d) IgG
e) IgM

GENESIS