Medi Call FCPS – 1 | May 2023 Papers

Ⓐ Peripheral vasodilation Ⓑ Shivering

Gynae 24 May 2023 (M) Ⓒ Sweating Ⓓ Stress

Ⓑ ✪ Posterior hypothalamus ☛ Excited by cold signals from skin and

spinal cord ➜ Shivering ➜ Thermegenesis
1. Ventricular filling is highest during (Gynae 24 May 2023 (M) +3 ✪ Anterior hypothalamus ☛ respond to heat
more) - ID: 899 ✦ Ganong, Pg. 319 ✦ First Aid, Pg. 498

Ⓐ First 3rd of Diastole ( end of arterial systole) 8. Number of mature sperm present in 1 ml of semen (Gynae 24
Ⓑ Last 3rd of Diastole May 2023 (M) +2 more) - ID: 4707
Ⓒ Variable, dependent upon Atrial contraction
Ⓐ 4 million Ⓑ 10 million
Ⓓ Middle 3rd of Diastole
Ⓒ 100 million Ⓓ 20-100 million
Ⓐ Large amount of blood accumulates in atria during ventricular systole so
Ⓓ Semen ☛ 20-100 million sperm in 1 ml.
as soon as the sytole is over, moderates increase in atrial pressure
immediately push AV valves open and allow the blood to flow rapidly into 9. PO2 of Fetal blood leaving the placenta is (Gynae 24 May 2023
ventricles. So this initial period is called period of rapid filling of ventricles . (M) +6 more) - ID: 4722

2. Within first 2 hrs of Acute Ml, Which of the following Ⓐ 10 mmhg Ⓑ 20 mmhg
enzyme will be raised first (Gynae 24 May 2023 (M) +23 more) - ID: Ⓒ 30 mmhg Ⓓ 50 mmhg
1555
Ⓒ PO2 mother’s blood in placental sinuses ➜ 50 mm Hg
Ⓐ Myoglobin Ⓑ LDH
PO2 fetal blood after oxygenation in placenta ➜ 30 mm Hg
Ⓒ Troponin T Ⓓ CKMB ✦ Guyton, Pg. 1058

Ⓐ ✪ Myoglobin ☛ First to appear ( within 1 hour ) , Most sensitive but 10. From sacral promontory to lower margin of pubic
less specific symphysis is (Gynae 24 May 2023 (M) +5 more) - ID: 5671
✪ Trops ☛ Most Sensitive and Specific ➜ Appear 2-4 hours , peak 24-48
hours ➜ remain elevated for 7-10 days Ⓐ Conjugate diameter Ⓑ Diagonal diameter
✪ CKMB ☛ v Specific ➜ Rises within 4 hrs ➜ Peaked in 12 Hours ➜ Return Ⓒ True diameter Ⓓ External conjugate
Normal in 48-72 Hours Ⓔ Obstetric conjugate
✪ LDH ☛ After 24 hours ( Last to rise )
Ⓑ Diagonal conjugate ☛ the distance from the undersurface of the pubic
✪ Re-infarction ☛ CK-MB ( After 72 Hrs )Click and View Table in
arch to sacral promontory; it is 2 cm longer than the obstetrical conjugate.
MediCall Application
✦ Medscape, Pg.
✦ Harsh Mohan, Pg. 414, 415
11. Right ovarian vein drains the following (Gynae 24 May 2023
3. Functional layer of endometrium consists of which of the
(M) +8 more) - ID: 5744
following (Gynae 24 May 2023 (M) +6 more) - ID: 1729
Ⓐ Inferior vena cava Ⓑ Superior mesenteric
Ⓐ Stratum basalis
Ⓒ Inferior mesenteric Ⓓ Right renal vein
Ⓑ Stratum compactumand stratum spongiosum
Ⓒ Stratum basale and compactum Ⓓ None of above Ⓐ Right Ovarian vein ➜ drain into IVC
Left Ovarian vein ➜ drain in Left Renal Vein
Ⓑ Functional layer ☛ formed by stratum compactum and stratum ✦ SNELL, Pg. 218
spongiosum ➜ thickens and then is shed during menstruation.
12. To reach the uterus, uterine artery crosses the: (Gynae 24
4. Which is true regarding parotid duct (Stensen duct)? May 2023 (M) +5 more) - ID: 5798
(Gynae 24 May 2023 (M) +13 more) - ID: 3223
Ⓐ Ureter Ⓑ Fallopian Tube
Ⓐ Arises from posterior surface of Parotid Ⓒ Ligament of ovary Ⓓ Urinary bladder
Ⓑ Pierces the Buccinator muscle
Ⓒ Opens in the oral cavity against 2nd incisor Ⓐ Uterine artery ➜ This artery runs medially on floor of pelvis and
Ⓓ Is duct of submandibular gland crosses ureter superiorly. It passes above lateral fornix of the vagina to
reach uterus
Ⓑ Stensen duct ✦ SNELL, Pg. 257
● Drains saliva from parotid gland into oral cavity
● Emerges from anterior border of gland near second upper molar 13. A patient presents with scrotal mass. Transallumination
● Buccinator muscle is pierced by parotid duct. test is positive. This mass (hydrocele) most likely directly
✦ SNELL, Pg. 582, 630 involves which of the following anatomical structures: (Gynae
24 May 2023 (M) +3 more) - ID: 5816
5. What is true about child birth? (Surg 24 May 2023 (M) +20 more)
- ID: 3516 Ⓐ Epididymis Ⓑ Prostate
Ⓒ Testes Ⓓ Tunica vaginalis.
Ⓐ Negative feedback mechanism Ⓑ Positive feedback
Ⓒ Independent of feed back mechanism Ⓓ Hydrocele, the most common cause of scrotal swelling, is caused by an
Ⓓ Passive process accumulation of serous fluid within the tunica vaginalis
✦ SNELL, Pg. 132
Ⓑ Stretching of the cervix ➜ contraction of uterus ➜ more stretching of
cervix ➜ ↑ oxytocin secretion by pituitary ➜ intensifies and speeds up 14. The plane from sacral promontry to the upper inner
contractions ➜ more oxytocin released and cycle goes on until baby is born surface of pubic svmphsis is an important dimension for
( Positive Feedback ). normal delivery. It is referred to as (Gynae 24 May 2023 (M) +5
✦ Guyton, Pg. 1065 more) - ID: 5830

6. Most aggressive carcinoma is which of the following (Gynae Ⓐ True conjutae Ⓑ Bi ischial conjugate
24 May 2023 (M) +31 more) - ID: 4321 Ⓒ Obstetric Obconjugate Ⓓ Dimension

Ⓐ SCC Ⓑ BCC Ⓐ True (obstetrical) conjugate ◉ from the middle of the sacral
Ⓒ Melanoma Ⓓ Lichen planus promontory to the posterosuperior margin (closest point) of the pubic
symphysis ◉ narrowest fixed distance through which the baby’s head
Ⓒ Melanoma ☛ less common than BCC and SCC But more dangerous must pass in a vaginal delivery
because of its ability to spread to other organs more rapidly ✦ KLM, Pg. 335
✦ Skincancer.org, Pg.
15. A 29 year old women admitted to the hospital because
7. What would be the Response of the posterior the birth of her child is several days overdue. Tearing of the
hypothalamus in thermoregulation of body? (Med 25 May 2023 pelvic diaphragm during childbirth leads to the paralysis of
(A.N) +14 more) - ID: 4530

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 Medi Call FCPS – 1 | May 2023 Papers
which of the following muscles? (Gynae 24 May 2023 (M) +14 more) Ⓑ They are mostly advised to be taken after meals to reduce its harmful
- ID: 5872 effects on stomach
Ⓐ Levatorani Ⓑ Sphincter urethrae . 23. Mother's milk is different from formula milk because it
Ⓒ Deep transverse perineal muscles contains which of following? (Gynae 24 May 2023 (M) +2 more) - ID:
Ⓓ Superficial transverse perineal muscles 8946

Ⓐ The pubococcygeus and puborectalis, the main and most medial parts of Ⓐ Calcium Ⓑ Lactose
the levator ani, are the muscles torn most often injured during childbirth Ⓒ Proteins Ⓓ Vitamin D

✦ KLM, Pg. 348 Ⓑ Mother's milk ☛ ↑ lactose ➜ lactose intolerant babies advised to have
formula milk for some period.
16. A lady drowned in water. She was taken out and was
resuscitated, develop ARDS. Likeiy mechanism is (Gynae 24 May 24. In heart, liver and Kidneys which of the following occurs
2023 (M) +6 more) - ID: 5876 (Gynae 24 May 2023 (M) +15 more) - ID: 9276

Ⓐ Hypoxia improves with Oxygen therapy Ⓐ Caseous necrosis Ⓑ Coagulative necrosis

Ⓑ Increase Lung Compliance Ⓒ Fat necrosis Ⓓ Liquefactive necrosis
Ⓒ Oxygen causes reversal of symptoms
Ⓓ Interstitial Oedema Ⓑ ✪ Coagulative necrosis ☛ Can occur in All solid Organs except Brain
✪ Caseous Necrosis ☛ more specific for Lungs
Ⓓ ✪ Seawater ☛ Hyperosmolar than plasma ➜ fluid in the surrounding ✦ Robbins, Pg. 36
tissue space and pulmonary capillaries enters alveolar space ➜ cause 25. Best method to check bone density is (Gynae 24 May 2023 (M)
pulmonary edema and hypoxia ➜ ALI/ARDS . +4 more) - ID: 9346
✪ Fresh water ☛ Drowning inactivates surfactant ➜ Alveolar collapse
and pulmonary dysfunction. Ⓐ CT scan spine Ⓑ MRI spine
✔ Hence Both salt and fresh water damage basement membrane, leading Ⓒ Calcium Level Ⓓ Dexa scan of spine
to fluid shifts, ARDS, and pulmonary edema
✦ N.I.H USA, Pg. , Ⓓ Bone density measurement ☛ Dual energy X-ray absorptiometry
(DEXA) scan, and it can be performed with devices that measure bone
17. Villous surrounded by Cytotrophoblast and density in the hip and spine, or smaller peripheral devices to measure bone
syncytiotrophoblast is (Gynae 24 May 2023 (M) +2 more) - ID: 6411 density in the wrist, heel, or finger
✦ CMDT, Pg. 1166
Ⓐ Primary villous Ⓑ Secondary villous
Ⓒ Tertiary villous Ⓓ None of above 26. Protein defect responsible for marfan syndrome ? (Gynae
24 May 2023 (M) +5 more) - ID: 9608
Ⓐ Primary villus ☛ Central mass of cytotrophoblast w/c sorrounded by
Syncytiotrophoblast. Ⓐ Myosin Ⓑ Actin
✦ Ten Teachers, Pg. 90 Ⓒ Fibrilin Ⓓ Collagen

18. The lumen of uterine cavity is obliterated by fusion of Ⓒ EXP

(Gynae 24 May 2023 (M) +18 more) - ID: 6423
27. A young Female presents with weakness and
Ⓐ Decidua basalis and spongy layer lethargy.Her peripheral blood picture shows RBCs 5.5
Ⓑ Decidua basalis and decidua capsularis diameter and very thin red line of RBCs. Likely diagnosis is
Ⓒ Decidua capsularis and decidua parietalis (Gynae 24 May 2023 (M) +6 more) - ID: 9658
Ⓓ Decidua parietalis and decidua basalis
Ⓐ Microcytic Hypochromic anemia
Ⓒ Large fetus at 4th month ➜ decidua capsularis comes in contact with Ⓑ Normocytic Hypochromic Ⓒ Normocytic
decidua parietalis ➜ obliteration of uterine cavity. Normochromic
✦ Ten Teachers, Pg. 90 Ⓓ Macrocytic anemia

19. Genital tubercle in females gives rise to (Gynae 24 May 2023 Ⓐ Normal RBCs have a diameter of 6 - 8 μm. Anemia causes a reduced red
(M) +2 more) - ID: 6455
blood cell volume (hematocrit) or a reduced concentration of blood
Ⓐ Labia majora Ⓑ Labia minora hemoglobin ( Thinning ). Microcytic, Hypochromic anemia can simply be
Ⓒ Clitoris Ⓓ Vestibular glands caused by Iron Deficiency. ( Ref : Kaplan )

28. Thermoreceptors (Med 25 May 2023 (M) +10 more) - ID: 10375
Ⓒ Genital tubercle ☛ develops around week 4 ➜ by week 9 becomes
either clitoris or penis. Ⓐ Are on dendritic endings of A delta and C fibers
✦ First Aid, Pg. 623 Ⓑ Are subtype of nociceptors
Ⓒ Located in superficial layer of skin
20. General anesthetic drug causing inc Blood pressure and
Ⓓ Large receptive field
Contractility of heart. (contraindicated in HTN) (Gynae 24 May
2023 (M) +1 more) - ID: 8651 Ⓔ Are on dendritic endings of A delta and C fibers + subtype of
nociceptors + Located in superficial layer of skin + Large receptive
Ⓐ Ketamine Ⓑ Thiopental field
Ⓒ Fentanyl Ⓓ Midazolam
Ⓔ Thermoreceptors ☛ Are free nerve endings (Nociceptors) on
Ⓐ It is contraindicated in increased Intracranial pressure because it itself unmyelinated C fibers or lightly myelinated Aδ fibers in superficial and deep
increases intracranial pressure And causes hypersalivation. skin having large surface area
✦ Ganong, Pg. 174
21. Ketogenic aminoacids are (Surg 24 May 2023 (M) +4 more) - ID:
8886 29. Accessory cervical rib attaches to (Surg 24 May 2023 (M) +4
more) - ID: 11157
Ⓐ Lysine and leucine Ⓑ Proline and lysine
Ⓒ Threonine and cystine Ⓓ Thiamine and threonine Ⓐ C7 Ⓑ T1
Ⓒ T2 Ⓓ C6
Ⓐ Ketogenic amino acids are those amino acids that can be degraded
directly into acetylcoa which is the precursor of ketone bodies Ⓐ A cervical rib in humans is an extra rib which arises from the seventh
cervical vertebra Sometimes known as neck ribs
22. Most drugs advised to be taken after meals (Surg 24 May
2023 (M) +3 more) - ID: 8915 30. A female Pt with family hx of fetal abnormalities has been
found with low AFP , decreased Maternal estriol and Elevated
Ⓐ To increase its bioavailability
HCG what would be likely diagnosis ? (Gynae 24 May 2023 (M) +14
Ⓑ Reduce gastric upset Ⓒ Good compliance
more) - ID: 12276
Ⓓ Good bioavailability

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 Medi Call FCPS – 1 | May 2023 Papers
Ⓐ Renal Agenesis Ⓑ Down syndrome 37. What is the mechanism of action of benzodiazepines (Med
Ⓒ Ebstein Anomaly Ⓓ Neural Tube defects 25 May 2023 (A.N) +10 more) - ID: 13960

Ⓐ Will facilitate GABA receptor

Ⓑ ✪ Down syndrome, ☛ AFP is ↓ in mother's blood, presumably
Ⓑ Inhibit GABA receptor
because yolk sac and fetus are smaller than usual.
Ⓒ Activate acetylcholine receptors
✪ Estriol is a hormone produced by the placenta, using ingredients made
Ⓓ Both A and C
by the fetal liver and adrenal gland. Estriol is ↓ in Down syndrome
pregnancy.
Ⓐ Benzodiazepines increases the frequency of opening of Cl- channels,
✦ Oxford OBG Handbook, Pg. 114 ✦ Oxford OBG Handbook, Pg. 236
thus facilitating GABA action.
31. A boy presented with Duchene muscular dystrophy and
38. Epinephrine increase Heart rate by (Gynae 24 May 2023 (M) +2
+ve Gower's sign, it is (Gynae 24 May 2023 (M) +2 more) - ID: 12861
more) - ID: 13971
Ⓐ X-linked dominant Ⓑ Autosomal recessive
Ⓐ Inootropic effect Ⓑ Bathmotrophic effect
Ⓒ X-linked recessive
Ⓒ Bromotrophic effect Ⓓ Chronotropic effect
Ⓒ ✪ Muscular dystrophies ➜ X-linked recessive ➜ Proximal muscle
Ⓓ Epinephrine ☛ adrenoceptors agonist ➜ Chronotropic ( Chrono: Rate
weakness ➜ positive Gower's sign
Increasing ) and Ionotropic ( Iono: Contractility Increasing ) effects.
✦ Robbins, Pg. 842
39. An English businessman developed headaches, vomiting
32. 5 month pregnant lady with severe thyrotoxicosis, drug
high-grade fever, chills and rigors after coming back from
of choice is which of the following? (Gynae 24 May 2023 (M) +22
more) - ID: 12887 Thailand. Clinical examination reveals massive splenomegaly
associated to pale conjunctive. Labs show deranged RFTs and
Ⓐ Methimazol Ⓑ Propylthiouracil decreased Hb, WBCs and Platelets. What will be the
Ⓒ Lugols iodine Ⓓ Radioiodine therapy diagnosis? (Gynae 24 May 2023 (M) +7 more) - ID: 13987

Ⓑ Propylthiouracil remains the drug of choice in uncommon situations of Ⓐ Chagas disease Ⓑ UTI
life-threatening severe thyrotoxicosis ( thyroid storm). Ⓒ Pyelonephritis Ⓓ Malaria
✪ In 1st trimester ➜ PTU
✪ From 2nd trimester Onwards ➜ Methimazole Ⓓ Malaria causes abrupt onset of fever and chills, alongwith headache,
✪ In severe thyrotoxicosis e.g Thyroid storm ➜ PTU regardless of GA myalgias and arthralgias. This occurs after about 2 weeks of mosquito
▶ In this case PTU is preferred because of Thyroid toxicosis. bite.Southeast asia is endemic for malaria
✦ Oxford Pharma, Pg. 986.989, 986.989
40. People developed gastroenteritis after eating buffet. Data
33. A man during a roadside accident suffer injury to cervical collected of people developing disease after meal. Studying
sympathetic chain. Most likely change in eye due to Cervical relationship between them is (Gynae 24 May 2023 (M) +3 more) -
sympathetic chain damage ? (Surg 24 May 2023 (A.N) +11 more) - ID: 14143
ID: 12917
Ⓐ Retrospective Cohort Study Ⓑ Case control study
Ⓐ Sweating Ⓑ Decrease hearing Ⓒ Cross sectional study
Ⓒ Heart Failure
Ⓓ Ipsilateral Pupillary constriction (Miosis) Ⓐ While retrospective cohort studies try to compare the risk of developing
a disease to some already known exposure factors, a case-control study
Ⓓ Damage to the T1-T3 regions ➜ significant damage to the Superior will try to determine the possible exposure factors after a known disease
Cervical Ganglion ➜ Oculosympathetic paresis ➜ Horner syndrome ➜ incidence.
Ipsilateral ✔ miosis ✔ anisocoria ✔ delayed pupil dilation ✔ ptosis ✔
41. School students play game of breathing in a bag. A boy
anhidrosis ( Kaplan )
starts hyperventilating after few mins what could be the
34. A person was injured in RTA, presented to you in ER with reason? (Gynae 24 May 2023 (M) +6 more) - ID: 15128
bleeding from the site of injury. His bp was 90/70 and HR of
Ⓐ Decreased pO2 Ⓑ Increased arterial pCO2
100. When he stands up from supine position heart rate is
Ⓒ Increase in alveolar pCO2 Ⓓ Decrease in arterial pCO2
120. This increase is due to: (Gynae 24 May 2023 (M) +10 more) -
ID: 12972
Ⓑ Breathing in bag ➜ First ↑ Alveolar PCO2 ➜ then ↑ Arterial PCO2 ➜
Ⓐ Decrease venous return Ⓑ Increased venous return crosses BBB ➜ Stimulate central chemoreceptors
Ⓒ Increased EDV Ⓓ Increased cardiac output ➜ hyperventilation ➜ returns arterial PCO2 toward normal.( so ↑ Arterial
PCO2 is cause of Hyperventilation)
Ⓐ ✪ Pt is already hypovolemic now Due to sudden posture change ( From ✦ Guyton, Pg. 541
Supine to Standing ) ➜ Arterial pressure drop due to gravity ➜ Change in
42. What would be treatment of a diabetic Pregnant women?
arterial pressure immediatly sense by baroreceptors ➜ ↑ Sympathatic
(Gynae 24 May 2023 (M) +7 more) - ID: 16183
outflow ➜ ↑ HR
✦ Guyton, Pg. 221 Ⓐ Insulin Ⓑ Metformin
Ⓒ Sulfonylureas Ⓓ None
35. Margination of leukocytes (Lymphocytes) by ? (Gynae 24
May 2023 (M) +2 more) - ID: 13206
Ⓐ Insulin ☛ first-choice drug for glucose control in pregnancy ➜ most
Ⓐ HFA-1 Ⓑ Endothelial adhesion factor effective for fine-tuning blood glucose ➜ doesn't cross placenta ➜ safe for
Ⓒ Growth factor Ⓓ IGF-1 baby.
✦ Reference, Pg.
Ⓑ Diapedesis—leukocyte travels between endothelial cells and exits blood
43. Pregnant woman of 34 weeks with 28 weeks fundal
vessel PECAM-1 (CD31)
height. amniotic fluid index 2cm ( oligohydramnios).what
36. What can be the effect of a severe Increase in abnormality in fetus has caused it? (Gynae 24 May 2023 (M) +7
extracellular potassium (Hyperkalemia) on heart? (Surg 24 May more) - ID: 16260
2023 (M) +7 more) - ID: 13797
Ⓐ Renal agenesis Ⓑ CNS abnormality
Ⓐ Systolic cardiac arrest Ⓑ Tremors Ⓒ Chromosomal abnormality Ⓓ None of the above
Ⓒ Kussmaul breathing Ⓓ Diastolic cardiac arrest
Ⓐ Renal agenesis ☛ oligohydramnios ➜ ↓ amniotic fluid ➜ constricted
Ⓓ Hyperkalemia ☛ Membrane potential becomes less negative ➜ it is chest, diminished lung development and pulmonary hypoplasia.
easier to induce stimuli ➜ If Extreme hyperkalemia ➜ ventricular
44. Failure rate of Intrauterine Contraceptive Device (IUCD)
fibrillation ➜ heart stops in Diastole (Asystole)
is (Gynae 24 May 2023 (M) +4 more) - ID: 16348
✪ Diastolic cardiac arrest ☛ Hyperkalemia/ Hypocalcemia
✪ Systolic Arrest ☛ Hypokalemia / Hypercalcemia ( Guyton ) Ⓐ 0.02 Ⓑ Less than 2%
Ⓒ Less than 1% Ⓓ Less than 3%

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 Medi Call FCPS – 1 | May 2023 Papers
Ⓒ ✪ Copper devices ☛ have a failure rate of about 0.8% 51. Buccal cavity and Vaginal epithelium is which of the
✪ Hormonal (levonorgestrel) devices ☛ fail about 0.2% of the time within following? (Gynae 24 May 2023 (M) +6 more) - ID: 18331
the first year of use.
Ⓐ Simple cuboidal Ⓑ Simple squamous
45. The Rectus sheath formed anteriorly between Costal Ⓒ Stratified Squamous Non keratinized epithelium
processes and arcuate line by which of the following muscles Ⓓ Ciliated non keratinized
? (Gynae 24 May 2023 (M) +5 more) - ID: 16465
Ⓒ vagina is formed of straitified squamous epithelium, non keratinized.
Ⓐ Above the costal margin only internal oblique is present
Ⓑ External oblique fuses with rectus abdominis directly 52. A 68-year-old woman with uterine carcinoma
Ⓒ External oblique is deficient undergoes surgical resection. This cancer can
Ⓓ External oblique and ant part of internal oblique are joined spread directly to ' the labia majora in lymphatics
anteriorly that follow which of the following structures? (Gynae 24 May
2023 (M) +13 more) - ID: 18577
Ⓓ Rectus Sheath ➜ Between Costal margin and Arcuate line
Ⓐ Broad ligament Ⓑ Cardinal Ligament
Anteriorly ➜ External obligue aponeorosis and anterior lamina of
Ⓒ Quadrate ligament Ⓓ Uterine ligament
aponeurosis of internal obligue
Ⓔ Round ligament of the uterus
Posteriorly ➜ Posterior lamina of internal obligue aponeurosis and
aponeurosis of transversus muscle Ⓔ The round ligament of the uterus runs laterally from the uterus through
✦ BD Chaurasia, Pg. 209
the deep inguinal ring, inguinal canal, and superficial inguinal ring and
46. Patient had backache, on examination uterus prolapsed becomes lost in the subcutaneous tissues of the labium majus. Thus,
and cervix is at introitus, but anus is still intact in its carcinoma of the uterus can spread directly to the labium majus by
position. Which is least effected? (Gynae 24 May 2023 (M) +6 more) traveling in lymphatics that follow the ligament.
- ID: 16486 ✦ First Aid, Pg. 625 ✦ KLM, Pg. 212

Ⓐ Perineal body Ⓑ Urogenital diaphragm 53. Which one of following is benign tumor? (Gynae 24 May 2023
Ⓒ Pelvic diaphragm Ⓓ External anal sphincter (M) +24 more) - ID: 19270

Ⓐ Pleomorphic adenoma Ⓑ Warthin tumor

Ⓓ As in the given scenario the rectal prolapse is absent and only uterine
Ⓒ Adenocarcinoma Ⓓ Adenoid cystic carcinoma
prolapse is diagnosis. external anal sphincter would not be involved, there
must be a history of faecal incontinence present. Ⓑ Warthin ☛ Benign Tumor ( 8% of parotid Tumors )
✦ SNELL, Pg. 311, 289
Pleomorphic Adenoma ☛ Benign but can transform into Highly malignant
47. Basement membrane possess negative charge due to? so here Warthin to be Preferred
(Gynae 24 May 2023 (M) +8 more) - ID: 16644 All Other mentioned ☛ Malignant
✦ Harsh Mohan, Pg. 516, 517
Ⓐ Elastin Ⓑ Laminin(type 4 collagen)
Ⓒ Cadherin Ⓓ Microtubules 54. A 65-year-old lady had a UTI which was treated with
broad spectrum antibiotics. A few days later she developed
Ⓑ ✪ Laminin is a component of basement membrane of most epithelial bloody diarrhea and severe abdominal pain. She has temp of
and endothelial cells. Laminin binds integrins of cell membrane and link cell 38.6 C and a pulse of 90 bpm. Her blood tests show Hb=
membrane to basal lamina via entactin, which links laminin to type IV 119g/L WBO 10X10VL CRP= 180 mg/1 Physician is
collagen of basal lamina. suspecting Pseudomembranous colitis. What is the causative
✦ Harsh Mohan, Pg. 170 organism of Pseudo-membranous colitis? (Gynae 24 May 2023 (M)
+18 more) - ID: 19334
48. A 10 year boy ate food choley from a street
vendor/hawker . After that, he developed fever, nausea Ⓐ Clostridium dlfficile Ⓑ Clostridium botilinum
vomiting. Labs reveals deranged LFTS with SGPT 1800 IU/L. Ⓒ Salmonella typhoid Ⓓ E-coli
Fever subsided but he developed yellow sclera and jaundice. Ⓔ C. perferinges
General physician kept them on conservative management
and counsel them, Recovery from symptoms following Ⓐ ✪ C.difficile ➜ toxins A and B ➜ damage enterocytes
infection may be slow days to weeks. what can be attributed ➜ pseudomembranous colitis ➜ watery diarrhea.
as the cause? (Gynae 24 May 2023 (M) +17 more) - ID: 16661 ✦ First Aid, Pg. 138 ✦ Levinson, Pg. 141

Ⓐ Malaria Ⓑ Hepatitis D 55. Alveoli are supplied by ? (Surg 24 May 2023 (M) +17 more) - ID:
19520
Ⓒ Hepatitis A Ⓓ Hydatid cyst
Ⓐ Bronchial artery Ⓑ Alveolar ducts
Ⓒ HAV Infection ➜ Most Common due to contaminated Food ➜ Ⓒ Coronary artery Ⓓ Pulmonary artery
incubation period : 2-6 weeks
◉ Fever with jaundice and fatigue + ↑ AST ↑ ALT + IgM antibodies ➜ Ⓓ Bronchi and the visceral pleura receive their blood supply from the
Self Limiting bronchial arteries (branches of the descending aorta)
◉ Orofecal Transmission by contaminated water / food Alveoli receive deoxygenated blood from the terminal branches of the
◉ Not Carrier ◉ Not Fulminant ◉ Not Chronic☢ Same Answer for Pulmonary Arteries
Traveller Food / Hostel Food
✦ Robbins, Pg. 643, 643 ✦ SNELL, Pg. 73

49. Star shaped lumen is of (Gynae 24 May 2023 (M) +6 more) - ID: 56. Viruses cause cancer by alteration in ? (Gynae 24 May 2023
17639 (M) +65 more) - ID: 19588

Ⓐ Ureter Ⓑ Fallopian tube Ⓐ Proto-oncogenes Ⓑ Oncogene

Ⓒ Ovary Ⓓ Uterus Ⓒ Promoter Ⓓ Protein synthesis

Ⓐ Ureter ☛ has star shaped lumen on histology slide. Ⓐ Some Viruses are Oncogenic ➜ Alter DNA makeup of Normal Proto-
oncogene ( even by damage to only one allele ) ➜ converts Proto-
50. Probablitv of difference between the two means (Gynae 24
May 2023 (M) +3 more) - ID: 17835 oncogene (Normal) to Oncogene (Mutant) ➜ to produce abnormal Onco-
proteins ➜ Tumor
Ⓐ T Test Ⓑ Chi square test ☢ If asked Mutations by Viruses, sequence should be
Ⓒ Anova test Ⓓ Pie. DNA of Proto-oncogene ＞ Protein synthesis
✦ Robbins, Pg. 200 ✦ First Aid, Pg. 224
Ⓐ T test is a statistical hypothesis test to analyse the means of two
population.The t-test is any statistical hypothesis test in which the test 57. Chromosomes align at Equator during ? (Gynae 24 May 2023
(M) +9 more) - ID: 19721
statistic follows a Student's t-distribution under the null hypothesis. A t-test
is most commonly applied when the test statistic would follow a normal Ⓐ Prophase Ⓑ Metaphase
distribution if the value of a scaling term in the test statistic were known. Ⓒ Telophase Ⓓ Interphase

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 Medi Call FCPS – 1 | May 2023 Papers
Ⓑ During metaphase, the cell's chromosomes align themselves in the Ⓒ Lumbar triangle Also know as Petit’s triangle ➜ ● weak area in posterior
middle of the cell through a type of cellular "tug of war." . During part of abdominal wall ● inferior boundry is formed by iliac crest
metaphase, the kinetochore microtubules pull the sister chromatids back ✦ SNELL, Pg. 147
and forth until they align along the equator of the cell, called the equatorial
65. Lifespan of sperm in female genital tract is which of the
plan
following ? (Gynae 24 May 2023 (M) +7 more) - ID: 20746
58. Both alleles express in hetrozygotes in ? (Gynae 24 May 2023
Ⓐ 24 to 72 hours Ⓑ 24 to 120 hours
(M) +6 more) - ID: 19735
Ⓒ 12 to 24 hours Ⓓ 24 to 48 hours
Ⓐ Dominance Ⓑ Heterodominance
Ⓒ Least dominance Ⓓ Codominance Ⓓ Sperm ☛ Life expectancy of ejaculated sperm in the female genital
tract is only 1 to 2 days.Click and view reference on MediCall APP
Ⓓ ✪ When both alleles of a gene pair are expressed in heterozygous state, ✦ Guyton, Pg. 122
it is called codominant inheritance.
66. Which of the following is the muscle of the quiet
✦ Harsh Mohan, Pg. 260
inspiration or deep inspiration ? (CPSP Demo +15 more) - ID:
59. 45XO is karyotype of ? (CPSP Demo +24 more) - ID: 19778 20789

Ⓐ Klinefilter syndrome Ⓑ ZE syndrome Ⓐ Internal intercostal Ⓑ Extetnal intercostal

Ⓒ Turner syndrome Ⓓ Patau syndrome Ⓒ Diaphragm Ⓓ Quadratus Lumborum

Ⓒ 45,X karyotype (most conceptuses are nonviable).☛ Majority are due Ⓒ Diaphragm is quiet muscle of respiration.Diaphragmatic breathing, or
to paternal nondisjunction. No Barr bodies are present in the XO types of deep breathing, is breathing that is done by contracting the diaphragm, a
Turner syndrome. muscle located horizontally between the thoracic cavity and abdominal
✦ CMDT, Pg. 1216 cavity. Air enters the lungs and the chest rises and the belly expands
during this type of breathing.
60. In cell cycle G2 phase is between ? (Gynae 24 May 2023 (M) +6
more) - ID: 20162 67. Superfacial external pudendal emerge from ? (Gynae 24 May
2023 (M) +10 more) - ID: 21220
Ⓐ S and M Ⓑ G1 and S
Ⓒ M and interphase Ⓓ S and G1 Ⓐ Saphenous opening Ⓑ Deep inguinal ring
Ⓒ Popliteal fossa Ⓓ Superficial inguinal ring
Ⓐ DNA replication occurs during this S (synthesis) phase. Gap 2 During Ⓔ Femoral canal
the gap between DNA synthesis and mitosis, the cell will continue to grow
and produce new proteins. At the end of this gap is another control Ⓐ Superficial external pudendal artery
checkpoint (G2 Checkpoint) to determine if the cell can now proceed to Arises ☛ from femoral artery in femoral triangle.
enter M (mitosis) and divide. Emerges ☛ from saphenous opening afterwardPierces ☛ Femoral sheath
and ciribriform facia
61. Calcitonin is released and considered a Tumor marker of ✦ RJ Last, Pg. 186 ✦ Reference, Pg.
which malignancy? (Gynae 24 May 2023 (M) +25 more) - ID: 20184
68. Pacianian corpuscles detect which of following
Ⓐ Medullary Thyroid Ⓑ Parathyroid sensations? (Gynae 24 May 2023 (M) +20 more) - ID: 21272
Ⓒ Papillary CA Ⓓ Follicular CA
Ⓐ Crude touch Ⓑ Low freq vibration
Ⓐ ◉ Calcitonin is tumor marker of medullary CA of thyroid Ⓒ High frequency vibration Ⓓ Fine Touch
◉ Mostly associated with MEN syndroms
✦ Robbins, Pg. 768 Ⓒ Pacinian corpuscles ☛ Rapidly adapting, encapsulated ➜ High
frequency vibrations in the skin + gross pressure changes + Proprioception
62. A normal looking girl presents with primary amenorrhea, ✦ First Aid, Pg. 494
on exmaintaion , normal looking vulva, short blind vagina,
scanty pubic and axillary hair , normal breast. On ultra 69. A child presented with food posioning, abdominal pain
sonography, absent uterus. KaryotYpe: 46 XY ? (Gynae 24 May and blood in stool diagnosed as gastroenteritis. stool culture
2023 (M) +5 more) - ID: 20352 shows gram negative organism. which organism this could
be? (Med 25 May 2023 (A.N) +20 more) - ID: 21326
Ⓐ Andorgen insensitivity syndrome
Ⓑ Down syndrome Ⓒ Turners syndrome Ⓐ Enterohemorrhagic E-coli Ⓑ Vibrio
Ⓓ None of above Ⓒ Botulinum Ⓓ Enteropathogenic E coli

Ⓐ ✪ Androgen insensitivity syndrome (AIS) ☛ External genitalia are
female with Secondary sexual characters and absent Uterus , XY
Karyotype
✪ Turners Syndrome ☛ External genitalia are Female , No secondary
sexual characters , Present uterus , XX Karyotype
✦ Goljan, Pg. 173
63. Which of the following is acting on the anterior lobe of
the pituitary inhibitory to growth hormone? (Surg 24 May 2023
(M) +26 more) - ID: 20434
Ⓐ Food poisoning by E. Coli:
✪ Non Bloody Diarrhea ➜ Enterotoxigenic strains
✪ Bloody Diarrhea ➜ Enterohemorrhagic (O157:H7) ☛ produce Exotoxin
( shiga toxin ) after eating undercooked foodVibrio ➜ Rice water diarrhea
✦ Levinson, Pg. 153 ✦ Johns Hopkins, Pg.
70. A pateint 40 weeks gestation in labor for last 25 hrs,
presented with Acute Respiratory Distress syndrome having
dyspnea and tachypnea. she died due to? (Surg 24 May 2023 (M)
+40 more) - ID: 22666

Ⓐ Somatostatin Ⓑ IGH Ⓐ Air embolism Ⓑ Amniotic embolism

Ⓒ GHRH Ⓒ Obstructed labor Ⓓ Fat embolism
Ⓓ Prolactin inhibitory hormone.
Ⓑ ✪ Labor and the Immediate postpartum period ➜ Tears in the placental
Ⓐ ✪ GH secretion inhibited by ☛ ↑ blood glucose, ↑ blood free fatty membranes and/or uterine vein rupture ➜ entry of amniotic fluid into the
acids , aging, obesity, growth hormone inhibitory hormone , exogenous maternal circulation ➜ Amniotic P.E ➜ Sudden severe dyspnea, cyanosis,
growth hormone, somatomedin. and hypotensive shock followed by seizures and coma ➜ If survives the
✪ GH secretion stimulated by ☛ ↓ blood glucose, ↓ blood FFA, ↑ blood initial crisis, pulmonary edema typically develops, along with DIC ➜ 80%
amino acids, fasting, starvation, protein deficiency, trauma, stress, Mortality
exercise, GHRH, estrogen, testosterone, deep sleep, ghrelin. ✦ Robbins, Pg. 113
✦ Guyton, Pg. 945
71. The Raw and under cooked meet can lead to transmission
64. Lower boundary of the lumber triangle is formed by ? of? (Gynae 24 May 2023 (M) +21 more) - ID: 22959
(Gynae 24 May 2023 (M) +12 more) - ID: 20712
Ⓐ Tenia Solium (Tape worm) Ⓑ Ascaris
Ⓐ Inguinal ligament Ⓑ Inguinal ring Ⓒ H pylori Ⓓ Ancylostoma
Ⓒ Illiac crest Ⓓ Ischial spine
Ⓐ Cestodes: ➤ Tenia Solium ( Tapeworm ) ➜ Ingesting undercooked

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 Medi Call FCPS – 1 | May 2023 Papers
meat ➜ Resides in Intestine ☛ GIT Symptoms: ✔ Weight Loss ✔ Ⓒ ✪ After formation in seminiferous tubules, sperm require several days to
Weakness ✔ Larvae and Eggs in Stools pass through 6-meter-long tubule of epididymis.
( Lange ) ✪ Sperm removed from seminiferous tubules and from early portions of
✦ Levinson, Pg. 453 epididymis are nonmotile and cannot fertilize an ovum.
✪ However, after sperm have been in epididymis for 18 to 24 hours, they
72. A labourer due to excessive sweating has lost 2L water
develop capability of motility,
developed severe dehydration due to excessive sweating and
✦ Guyton, Pg. 1023
replaced by 2 L pure water What will happen to body fluids
(Surg 24 May 2023 (M) +51 more) - ID: 22979 80. G6 p5 develop rigors chills sudden lower abdominal pain,
and white watery vaginal discharge most suitable Diagnose
Ⓐ Inc. ICF volume Ⓑ Dec. ICF volume
is: (Gynae 24 May 2023 (M) +4 more) - ID: 27901
Ⓒ Inc. ECF volume Ⓓ Dec. ECF osmolarity
Ⓐ Chorioamnionitis Ⓑ UTI
Ⓐ ↑ ICF volume ＞ ↓ ICF osmo ＞ ↑ ECF Volume Ⓒ Toxoplasmosis Ⓓ Pyelonephritis
✪ Sweating ➜ water loss more than electrolytes ➜ so ECF osmolarity
increases ➜ water moves out from ICF to ECF ➜ ICF osmolarity Increases Ⓐ Chorioamnionitis ☛ infection of placenta and amniotic fluid ➜ happens
✪ After drinking water ( Hypotonic ) ➜ Water Rush to ICF to when amniotic sac is broken ➜ presents with fever, fast heart rate, painful
compensate ICF volume loss ➜ ICF volume increases ➜ Decrease in ICF uterus and amniotic fluid that smells bad.
osmolarity
✦ Guyton, Pg. 311 81. Following is branch of anterior division of sacral plexus
(Gynae 24 May 2023 (M) +4 more) - ID: 28858
73. Inferior epigastric artery is a branch of? (Gynae 24 May 2023
(M) +5 more) - ID: 23028 Ⓐ Sciatic Ⓑ Common peroneal
Ⓒ Tibial Ⓓ Obturator
Ⓐ Femoral artery Ⓑ Radial artery
Ⓒ Ulnar artery Ⓓ External iliac artery Ⓒ Tibial nerve ➜ anterior divisions of L4 through S3
✦ Kaplan Anatomy, Pg. 218
Ⓓ Inferior epigastric artery ☛ is a branch of external iliac artery just
above inguinal ligament. Click to view Snell Reference in MediCall App 82. PO2 in arterial blood is less than Alveoli pulmonary veins
✦ SNELL, Pg. 125 pO2 But greater than pulmonary artery pO2 because (Gynae 24
May 2023 (M) +6 more) - ID: 31253
74. The Albumin cannot pass from basement membrane
because? (Gynae 24 May 2023 (M) +17 more) - ID: 23109 Ⓐ Oxygen needs gradient to diffuse
Ⓑ Cardiac veins drains into coronary sinus
Ⓐ It has negative charge Ⓑ Greater size Ⓒ Oxygen need pressure gradient for unloading
Ⓒ Small size Ⓓ None Ⓓ Oxygen need pressure gradient for osmosis

Ⓐ ✪ Albumin lowest mol Wt.Highest no of molecules. 80% colloid osmotic
pressure by albumin. As colloid osmotic pressure depends on no of
molecules not on size and albumin dont cross basement membrane coz of
negative charge on both membrane and albumin.
✦ Guyton, Pg. 336
Ⓐ Greater the gas partial pressure difference (P1 – P2) across the alveolar
membrane, the greater the rate of diffusion.
when blood first enters the pulmonary capillary, gradient for O2 is ➜ 100
– 40 = 60 mm Hg
✦ Kaplan Physiology, Pg. 165

75. Women with vaginal bleeding ,examination shows 83. Diphtheria antitoxin given to a patient. After which he
cervical polyp in endo cervix lined by stratified squamous develops fever, joint pain, rash and other signs and
epithelium (Gynae 24 May 2023 (M) +28 more) - ID: 23997 symptoms of serum sickness. Which type of hypersensitivity
reaction? (Gynae 24 May 2023 (M) +33 more) - ID: 31276
Ⓐ Dysplasia Ⓑ Metaplasia
Ⓒ Hyperplasia Ⓐ Type 1 HSR Ⓑ Type 2 HSR
Ⓒ Type 3 HSR Ⓓ Type 4 HSR
Ⓑ Mucus-secreting endocervical cells ☛ encounter acid pH of vagina ➜
undergo squamous metaplasia ➜ can progress to dysplasia and cancer. Ⓒ Antitoxin from horse ➜ Injected ➜ After 5–10 days ➜ Arthus
✦ Goljan, Pg. 38 reactions ( Type 3 HSR ) ➜ Deposition of Immune complexes ➜ Activation
76. Patient has postoperative risk of nausea and vomiting. of complement ➜ Local vasculitis ➜ Serum sickness
✦ Levinson, Pg. 98, 562
which anesthesia is preferred (Gynae 24 May 2023 (M) +7 more) -
ID: 24340 84. Type of sampling in which selecting a representative
Ⓐ Thiopental Ⓑ Propofol sample from a population and every person has equal chance
Ⓒ Ketamine Ⓓ Halothane of being selected is called (Gynae 24 May 2023 (M) +7 more) - ID:
31343

Ⓑ Propofol ☛ ↓ incidence of PONV. Ⓐ Random sampling Ⓑ Stratified random sampling

Ⓒ Simple random sampling Ⓓ Convenient sampling
77. Supporting cells in pars nervosa (Med 25 May 2023 (M) +15
more) - ID: 24959
Ⓐ EXPLANATION
Ⓐ Pituitocytes Ⓑ Astrocytes
85. Fracture of Pterion cause a lot of bleeding, which artery
Ⓐ Pituicytes ☛ Supporting cells of posterior pitutary is damaged? (Gynae 24 May 2023 (M) +3 more) - ID: 33586
✦ Ganong, Pg. 322
Ⓐ Anterior branch of Middle Meningeal Artery
78. Vit A Cost effective assessment in our society: (Gynae 24 Ⓑ Middle Cerebral Artery Ⓒ Posterior Cerebral Artery
May 2023 (M) +3 more) - ID: 26699 Ⓓ Anterior Cerebral Artery

Ⓐ Anthropometric measurement Ⓑ Dietary analysis Ⓐ Blow to the Temporal side of the head ➜ Pterion region break ➜ Injured
Ⓒ Clinical assessment Ⓓ Functional assessment Anterior middle meningeal artery ( Most Common )
✦ Snell Neuro, Pg. 22
Ⓑ ✪ Dietary analysis in a community is cost effective for assessment of
Vitamin A defciency 86. Kaplan-Meier Curve indicates (Surg 24 May 2023 (M) +16 more)
✪ Clinical assessment is not possible as far as community are concerned - ID: 33593
✦ W.H.O, Pg.
Ⓐ Incidence of Disease Ⓑ Demography
79. Semen collected having both motile and non-motile Ⓒ Severity of Disease Ⓓ Survival
sperms. In which part of male genital tract maturation of
sperms occur and become partially motile? (Gynae 24 May 2023 Ⓓ The Kaplan-Meier estimator is used to estimate the survival
(M) +14 more) - ID: 27085 function.

Ⓐ Semniferous tubule Ⓑ Vas Deferenis

Ⓒ Epididymis Ⓓ Prostate

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Medi Call FCPS – 1 | May 2023 Papers
 Medi Call FCPS – 1 | May 2023 Papers
Ⓓ IN cervical lyph nodes biopsy ☛ sternocleidomastoid muscle,
102. Sexually active female having UTI organism responsible
external jugular vein, and greater auricular nerve are important structures.
is: (Gynae 24 May 2023 (M) +1 more) - ID: 34920
Greater auricular nerve emerges from lateral aspect of
Ⓐ S.Saprophyticus Ⓑ S.Aureus sternocleidomastoid at Erb’s point.Preservation to this nerve made possible
Ⓒ Chlymydia to preserve sensation to ear lobule.
✦ N.I.H USA, Pg.
Ⓐ ✪ Leading cause of UTI in Community ➜ E. Coli ＞ S. Saprophyticus 110. Which of the following is the supply of the adrenal
✪ Less Frequent ➜ Proteus and Pseudomonas gland? (Gynae 24 May 2023 (M) +4 more) - ID: 35526
✦ Davidson, Pg. 428 ✦ Levinson, Pg. 29, 115, 149, 155
Ⓐ Least thoracic Ⓑ Lesser thoracic
103. Posterior external arcuate fibers are other name of
Ⓒ Internal thoracic Ⓓ Greater thoracic splanchnic
which of the following? (Surg 24 May 2023 (M) +14 more) - ID:
34964
Ⓓ Explanation
Ⓐ Posterior spinocerbeller Ⓑ Anterior spinocerbeller
111. Mullerian duct develops into? (Gynae 24 May 2023 (M) +3
Ⓒ Cunocerebller Ⓓ Ponto cerebellar
more) - ID: 35527

Ⓒ Cuneocerebellar tract ☛ Ⓐ Uterus and upper part of Vagina

✦ They originate in the nucleus cuneatus and enter the cerebellum through Ⓑ Penis and Testis Ⓒ Bladder
the inferior cerebellar peduncle of same side . Ⓓ Prostate
✦ They are known as the posterlor external arcuate flber,
✦ Snell Neuro, Pg. 150 Ⓐ Explanation
104. Largest Molecular weight protein: (Surg 24 May 2023 (M) +3 112. True about vitamin D? (Surg 24 May 2023 (M) +11 more) - ID:
more) - ID: 35012 35740

Ⓐ Globulin Ⓑ Titin Ⓐ 25 Hydroxylatlon In liver and 1,25 Hydroxylation in kidneys

Ⓒ Myosin Ⓓ Actin
Ⓑ 25 Hydroxylatlon In Kidney and 1,25 Hydroxylatlon in Liver
Ⓑ ✪ Titin ☛ largest protein in the body, molecular mass of almost 3,000
kDa and a total length of almost 27,000 amino acids
✪ Globulins ☛ Heighviest globulins weighs around 1193 kDa.Click to Ⓒ 25 hydroxylase in liver 1 alpha hydroxylase in kidney
view Reference in MediCall App Ⓓ 1,25 Hydroxylatlon in Liver
✦ N.I.H USA, Pg. ✦ Wikipedia, Pg.
Ⓐ Vitamin D activation ☛ Liver ➜ vitamin D3 ➜ 25-
105. Nutmeg liver scenerio, alcoholic man with raised JVP
hydroxycholecalciferol (calcidiol, 25-OHD3). The 25-hydroxycholecalciferol
and hepatic congestion, likely cause is: (Surg 24 May 2023 (M) +11
➜ proximal tubules of kidneys to more active metabolite ➜ 1,25
more) - ID: 35036
dihydroxycholecalciferol, which is also called calcitriol or 1,25-(OH)2D3
Ⓐ Chronic Alcoholism Ⓑ RHF ✦ Ganong, Pg. 377 378
Ⓒ Passive Congestion Ⓓ Periportal congestion
113. In DM Postprandial State there is? (Gynae 24 May 2023 (M)
+3 more) - ID: 35763
Ⓒ Explanation
Ⓐ Increased Glucose and Insulin
106. Major motor supply of bladder: (Gynae 24 May 2023 (M) +7 Ⓑ Decreased Glucose and Insulin
more) - ID: 35275

Ⓐ Sympathetic Ⓑ Parasympathetic Ⓐ EXPLANATION

Ⓒ Both Ⓓ None
114. A 3-year old, while playing outside got scared is not
speaking. Mother notices the child has become cold and has
Ⓒ Parasympathetic preganglionic fibers arise as the pelvic splanchnic
goosebumps all over and takes him to the hospital. The cause
nerves from S1, 2, 3
of Goosebumps is? (Med 25 May 2023 (M) +21 more) - ID: 35890
Sympathetic postganglionic fibers originate in L1, 2
Ⓐ Contraction of errector pili Ⓑ Relaxation of arrector pili
✦ SNELL, Pg. 273 Ⓒ Inc blood supply to the skin Ⓓ Dec blood supply to the
skin
107. A patient has tingling sensations n his peripheral body
and lab investigation reveal raised MCV and hypersegmented
Ⓐ Gooseflesh ☛ as a result of overactivity of sympathetic system, which
neutrophils. What is the most probable pathology? (Gynae 24
May 2023 (M) +4 more) - ID: 35298
causes vasoconstriction of dermal arterioles and contraction of arrector pili
muscles
Ⓐ Vitamin B12 deficiency Ⓑ Folic Acid ✦ SNELL, Pg. 6
Ⓒ Iron Ⓓ Vitamin B2
115. The primary oocyte after first maturation division
produces? (Gynae 24 May 2023 (M) +1 more) - ID: 35908
Ⓐ Vitamin B12 deficiency ➜ Anemia + Neurologic disease associated
with demyelination ➜ Peripheral neuropathy, Dementia, Tingiling Ⓐ Two haploid cells Ⓑ Two equal sized cells
sensations. Ⓒ Addition of DNA
✪ Laboratory findings ☛ ↑ MCV, pancytopenia, oval ( egg-shaped ) Ⓓ One secondary oocyte and polar body
macrocytes, hypersegmented neutrophils. Ⓔ Polar body and DNA
✦ Goljan, Pg. 336

108. 10 weeks pregnant lady, Aspirin Is indicated. The Ⓓ Primary oocyte ☛ meiosis I ➜ develop into secondary oocyte and first
benefit of Its indication occurs through (Gynae 24 May 2023 (M) polar body.
+12 more) - ID: 35467
116. Pregnant patient with high grade fever and watery
Ⓐ Cox 2 Inhibition Ⓑ Anti Inflammatory vaginal discharge. Which finding is most specific indicator of
Ⓒ Inhibit glycoprotein 2A/3B Ⓓ ADP antagonist chorioamnionitis (Gynae 24 May 2023 (M) +4 more) - ID: 36122
Ⓔ Platelates change
Ⓐ IL-1 Ⓑ IL-6
Ⓒ Transversalis Fascia Ⓓ Internal Oblique muscle
Ⓐ Explanation
109. Numbness of ear lobule while doing internal jugular Ⓑ Amniotic fluid IL-6 ☛ index of severity of chorioamnionitis during
lymph node biopsy .Which of following nerve is damaged? pregnancy.
(Surg 24 May 2023 (M) +22 more) - ID: 35521
117. A lady accidentally cut her finger by knife in the kitchen
Ⓐ Posterior auricular Ⓑ Accessory she brought to hospital and wound is sutured doctor assured
Ⓒ Vagus Ⓓ Greater Auricle her that healing take place. Which of the following layers

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 Medi Call FCPS – 1 | May 2023 Papers
will be regenrate/ healed first and foremost (Med 25 May 2023
(M) +11 more) - ID: 36404 Ⓐ Ilioinguinal Nerve Ⓑ Pudendal Nerve
Ⓒ Genitofemoral Nerve
Ⓐ Statum basale Ⓑ Stratum spongiosum
Ⓒ Stratum lucidum Ⓓ Stratum granulosum Ⓑ EXPLANATION

Ⓐ Basal cells ☛ have a regenerative capacity (are stem cells) 125. Hemisection of the right side of the spinal cord.
✦ Sceincedirect Elsevier, Pg. Complete anesthesia where? (Gynae 24 May 2023 (M) +1 more) - ID:
37865
118. Pain of stone at pelviureteric junction arising from
which segment? (Surg 24 May 2023 (M) +12 more) - ID: 36451 Ⓐ At the level of lesion on right side
Ⓑ At the level of lesion on left side
Ⓐ T12 - L2 Ⓑ L1 - L4 Ⓒ Above the level of lesion on right side
Ⓒ T11 - L1 Ⓓ L4 - S1 Ⓓ Below the level of lesion on right side
Ⓔ Below the level of lesion on left side
Ⓐ Kidney ☛ Pain is commonly referred along distribution of subcostal
nerve (T12) to flank and anterior abdominal wall. Ⓐ EXPLANATION
✦ SNELL, Pg. 210
126. Increased mean arterial pressure and right atrial
119. Horseshoe kidney associated with (Gynae 24 May 2023 (M) +3 pressure with decreased resistance to Venous return is seen
more) - ID: 36495
in which scenario: (Gynae 24 May 2023 (M) +1 more) - ID: 37908
Ⓐ Hypertension. Ⓑ Renal failure
Ⓐ Exercise Ⓑ Sympathetic stimulation
Ⓒ Autosomal dominant polycystic kidney disease (ADPKD)
Ⓒ Hemorrhage Ⓓ Fight and flight
Ⓓ Cancer
Ⓐ EXPLANATION
Ⓓ Horseshoe kidney ☛ congenital anomaly ➜ lower poles of the kidneys
fuse during development, resulting in a horseshoe-shaped kidney. 127. Uterus is prolapsed but anus is in its position due to
Association ☛ ↑ ↑ Risk of RCC and hydronephrosis (due to Ureteropelvic intact? (Gynae 24 May 2023 (M) +3 more) - ID: 37937
obstruction)
Turners Syndrome ☛ V strong association Ⓐ Pelvic diaphragm Ⓑ Urogenital diaphragm
Hypertension ☛ Rare complication due to horseshoe kidney (abnormal Ⓒ Levator ani
renal artery anatomy resulting from fusion)ADPKD, ☛ genetic disorder ➜
growth of numerous fluid-filled cysts in the kidneys ➜ chronic kidney
Ⓐ EXPLANATION
disease ➜ ➜ no direct association between horseshoe kidney and 128. Immediate or emergency diagnosis of diphtheria bacilli
ADPKD.Click to view Reference in MediCall app is done by (Gynae 24 May 2023 (M) +1 more) - ID: 38080
✦ Kaplan Anatomy, Pg. 152 ✦ First Aid, Pg. 579
Ⓐ Gram staining
120. A patient suffering from cervix pathology, pap smear
Ⓑ Exudate for the culture it grow on Loffler media
done. And it showed desmoplasia. Definition of desmoplasia?
Ⓒ To see morphology in Special stain
(Gynae 24 May 2023 (M) +9 more) - ID: 36614

Ⓐ Metastasis involvement of surrounding tissues Ⓑ EXPLANATION

Ⓑ Non-neoplastic proliferation of fibrous connective tissue
129. A Pale and lethargic primigravida in her last trimester
Ⓒ Change of one epithelium to another
reports easy fatigability. Her labs show Hb 7 and low MCV.
Ⓓ Increase in Cell Size
The most likely cause of anemia in her is (Gynae 24 May 2023 (M)
+14 more) - ID: 54492
Ⓑ Excessive connective tissue stroma in epithelial tumour, it is referred ☛
desmoplasia Ⓐ Pyridoxine deficiency Ⓑ Iron deficiency
✦ Harsh Mohan, Pg. 191 Ⓒ Haemodilution Ⓓ B12 deficiency
121. A patient of ESRD with multiple transfusion history.
Ⓑ ✪ In Pregnancy ☛ ~750 mg of iron taken off from mother ( ~400 mg
What can be done to minimize transfusion? (Gynae 24 May 2023
to foetus ) ➜ Iron deficiency ➜ Microcytic anemia.
(M) +5 more) - ID: 36623
✪ Commonest cause of anaemia is iron deficiency
Ⓐ Give iron ✪ For physiological anemia means lower limit for normal Hb is 10.5 g/dl
Ⓑ Give subcutaneous erythropoietin ✦ Oxford OBG Handbook, Pg. 46
Ⓒ Inj. Vitamin B12 Ⓓ Inj. Folate IV
130. A 24-year-old, primigravida, BMI -16 has been
hospitalized for 2 weeks due to recurrent bleeding per
Ⓑ EXPLANATION
vaginum. She is 33 weeks pregnant and is a diagnosed case
122. Immunoglobulin involved in Rh incompatibility like of Placenta Praevia type IV. On examination, she is
Erythroblastosis fetalis ? (Surg 24 May 2023 (M) +11 more) - ID: suspected to have developed deep venous thrombosis. Which
36972 of the following factors is most likely to cause the
development of DVT in her? (Med 25 May 2023 (A.N) +13 more) - ID:
Ⓐ IgM Ⓑ IgG 54670
Ⓒ IgA Ⓓ IgE
Ⓐ Maternal age Ⓑ Smoking
Ⓑ ✪ IgG ☛ Rh incompatibility Ab (only Ig to cross placenta) Ⓒ Obesity Ⓓ Prolonged immobilization
✪ IgM ☛ ABO incompatibility Ab (predominantly)
✦ Harrison, Pg. 810 Ⓓ Prolonged immobility ➜ Venous stasis ➜ DVT
✦ Robbins, Pg. 391
123. Helicopter pilot diagnosed with epilepsy He told he did
not inform higher authorities about his disease. You will (Surg 131. A 45 year old gentleman has anemia. His blood CP
24 May 2023 (M) +3 more) - ID: 37130 shows Hb 7 mg/dl, MCV 115 FL,TLC 2.9xlOA9/L, platelets
85xlOA9/L, retic 1%. What is the most likely diagnosis?
Ⓐ Advise him to leave the job (Gynae 24 May 2023 (M) +2 more) - ID: 54897
Ⓑ Treat him and councel him to inform his authorities and if doesn't
inform then u should Ⓐ Aplastic anemia Ⓑ Dyserythropoeitic anemia
Ⓒ Inform his wife only Ⓓ Don't reveal it to anyone Ⓒ Hemolytic anemia Ⓓ Megaloblastic anemia

Ⓑ Epileptic pt should Tell his manager, human resources representative,
and workplace nurse about your condition. Let them know how they can
help if you have a seizure.
✦ Reference, Pg.
124. Urogenital triangle is supplied by (Gynae 24 May 2023 (M) +1
more) - ID: 37394
Ⓓ ✪ Megaloblastic Anaemia ☛ deficiency of intrinsic factor and vitamin
B12 ➜ ↑ MCV.
➊ Autoimmune disorders ☛ Adults ＞ infants and children
➋ Disturbed bowel habits in kids / Low intake of B12 ➜ Deficient B12 ➜
Megaloblastic anemia

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 Medi Call FCPS – 1 | May 2023 Papers
Main function is to bind peptide fragments derived from pathogens and
154. After giving birth, a patient complaints of urinary stress display them on the cell surface for recognition by the appropriate T-cells.
incontinence characterized by dribbling of urine with an
This is known as antigen presentation.
increase in intra-abdominal pressure. Her physician suspects
injury to the pelvic floor during delivery. Which muscle was 162. Virus associated with Hodgkin lymphoma with mixed
most likely damaged during the vaginal delivery? (Gynae 24 May cellularity (Surg 24 May 2023 (A.N) +6 more) - ID: 83204
2023 (M) +1 more) - ID: 79133
Ⓐ HIV Ⓑ EBV
Ⓐ Coccygeus Ⓑ Obturator internus Ⓒ CMV Ⓓ Staph Aureus
Ⓒ Levater ani Ⓓ Piriformis Ⓔ H. pylori
Ⓔ Bulbo spongiosis
Ⓑ EXPLANATION
Ⓒ Levator ani ☛ major part of pelvic diaphragm, which forms pelvic floor
and supports all of the pelvic organs 163. Riboflavin + phosphate form (Gynae 24 May 2023 (M) +4
✦ Netter, Pg. more) - ID: 83269

155. Characteristics of shock (Gynae 24 May 2023 (M) +1 more) - ID: Ⓐ NAD Ⓑ NADP
79469 Ⓒ FAD Ⓓ FAN

Ⓐ Tissue hypoperfusion Ⓑ Tachycardia
Ⓒ Volume of blood decreases
Ⓐ SHOCK ☛ Insufficient blood flow to tissues ➜ leads to tissue
hypoperfusion ➜ body attempts to compensate by increasing heart rate
and constricting blood vessels.
156. A Man smoke 20 packs per month work in factory he
develops lung cancer which carcinogen in cigrette causes
lung cancer? (Surg 24 May 2023 (M) +5 more) - ID: 79509
Ⓒ Riboflavin (vitamin B2) combines with a phosphate group to form
flavin adenine dinucleotide (FAD), an essential coenzyme involved in
various cellular redox reactions.
NADP is synthesized from NAD + phosphate group. Both NAD and NADP
are derived from niacin (vitamin B3)
164. A middle age known ESRD lists for hemodialysis
multiple transfusions done Normocytic normochromic anemia
which is more appropriate therapy: (Gynae 24 May 2023 (M) +1
more) - ID: 84011

Ⓐ Hydrocarbon Ⓑ Vinyl Chloride Ⓐ S/C erythropoietin Ⓑ S/C CGF

Ⓒ Nitrosamine Ⓒ Iron supplements Ⓓ Inj Vitamin B 12IM
Ⓔ Inj Folate IV
Ⓐ Tobacco smoke ☛ major source of human exposure to polycyclic
aromatic hydrocarbons ➜ associated with lung cancer Ⓐ Erythropoietin ☛ stimulates the production of RBCs in bone marrow.
In ESRD ☛ kidneys don't produce sufficient erythropoietin ➜ decreased
157. Anticoagulant that works in vitro and in the body? (Gynae
production of RBCs ➜ Anemia.Iron supplements, ☛ might be expected to
24 May 2023 (M) +1 more) - ID: 82439
help with anemia. However, in this case, the anemia is most likely due to
Ⓐ Heparin Ⓑ Citrate decreased erythropoietin production
Ⓒ Oxalate
165. Changes in pregnancy including , Uterus size
Ⓐ Heparin can be used in vivo (by injection), and also in vitro to prevent enlargement due to: (Surg 24 May 2023 (M) +2 more) - ID: 84066
blood or plasma clotting in or on medical devices. Ⓐ Structural physiological
158. Follicular Thyroid carcinoma metastasize to (Surg 24 May Ⓑ Structural and functional physiological
2023 (M) +2 more) - ID: 82457 Ⓒ Structural pathological Ⓓ Functional pathological

Ⓐ Lymph nodes Ⓑ Blood Ⓑ Pregnancy ➜ physiological changes in uterus ➜ structural (size) and
Ⓒ Lungs functional (capacity to hold growing fetus) changes.

Ⓑ Follicular Thyroid carcinomas has a tendency to metastasize 166. Female came with schizophrenia Bp 110/70 using drug
hematogenously, primarily to the lungs and bones, and less frequently to (phenothiazine) for this now presented with milky discharge
regional lymph nodes. from nipples whats the casue? (Gynae 24 May 2023 (M) +1 more) -
Papillary CA through Lymphatics ID: 84073
✦ Harrison, Pg. 2443
Ⓐ Microplactinuma Ⓑ Macroprolactinoma
159. Child with frontal and occipital bossing due to Ⓒ Drug-induced Ⓓ Pheochromocytoma
premature closure of which suture? (Surg 24 May 2023 (M) +6
more) - ID: 82992 Ⓒ Phenothiazine ➜ dopamine blockade ➜ increased prolactin levels ➜
galactorrhea (milky discharge).
Ⓐ Saggital Ⓑ Coronal
Ⓒ Transverse Ⓓ Occipital 167. Inferior phrenic artery is the branch of? (Surg 24 May 2023
(M) +2 more) - ID: 84185
Ⓐ Frontal bossing ☛ Hallmark of sagittal craniosynostosis, is an
Ⓐ Celiac trunk Ⓑ Superior mesenteric artery
unusually prominent forehead sometimes associated with a heavier than
Ⓒ Renal artery Ⓓ Abdominal aorta
normal brow ridge.

160. Pleural fluid aspirated with inflammatory cells,
eosinophils with leukocytes, mesh of threads of amorphous
coagulum, type of inflammation is: (Med 25 May 2023 (A.N) +5
more) - ID: 83043
Ⓐ Acute Ⓑ Chronic
Ⓒ Fibrinous Ⓓ Granulomatous
Ⓒ Fibrinous inflammation ☛ acute inflammation where large amounts
of fibrinogen are produced and deposited in tissue space ➜ presence of
inflammatory cells, eosinophils, and leukocytes ➜ fibrin meshwork is visible
as threads of amorphous coagulum.
Ⓐ Inferior phrenic arteries ☛ arise from celiac trunk, not directly from
the abdominal aorta. Celiac trunk is itself a major branch of abdominal
aorta
168. Brain bridge reflex: (Gynae 24 May 2023 (M) +1 more) - ID:
84210
Ⓐ Causes reactive hypertension in shock
Ⓑ Increases heart rate due to stretch of sinus in right atrium
Ⓒ Is used for balance Ⓓ Maintains posture
Ⓔ Means bradycardia on occlusion of AN fistula

161. MHC complex function (Gynae 24 May 2023 (M) +1 more) - ID: Ⓑ ✪ Brainbridge reflex ☛ ↑ Atrial Volume ➜ ㊉ Strech receptors ➜
83160 Through vagus ( Both afferent and Efferent ) ➜ ↑ HR and Contraction
✦ Guyton, Pg. 223
Ⓐ Immune modulation Ⓑ Immune presentation
Ⓒ Immune suppression Ⓓ Immune surveillance 169. Which statement is true about apoptosis: (Gynae 24 May
2023 (M) +1 more) - ID: 84263
Ⓑ Major Histocompatibility Complex (MHC) ☛

Study All Papers & Subject Unit wise MCQs in MediCall Book and Application
 Medi Call FCPS – 1 | May 2023 Papers
Ⓐ It is unregulated cell death Ⓑ It is not gene dependent Ⓑ Baroreceptors are most sensitive to changes in arterial pressure ➜
Ⓒ It is an inflammatory response When arterial pressure increases, baroreceptors increase their rate of firing
Ⓓ It is a non-inflammatory response and trigger reflexes to reduce BP
Note : Baroreceptors respond to decreases in arterial pressure, they are
Ⓓ ✪ Apoptosis more sensitive to increases.
◉ Reduce cell Size ( Shrinkage ) ◉ Nuclear Fregmentation
◉ Plasma membrane may be Intact ◉ No Inflammation 178. Seminal vesicle secrete when inc in (Gynae 24 May 2023 (M))
✦ Robbins, Pg. 41, 34 - ID: 84495

170. Glucagon effect like (Surg 24 May 2023 (M) +1 more) - ID: Ⓐ Intracellular Ca Ⓑ Intracellular Na
84351 Ⓒ Intracellular K

Ⓐ Catecholamines Ⓑ Insulin Ⓐ Seminal vesicle secretion is stimulated by an increase in intracellular

Ⓒ Acetylcholine Ⓓ Gastrin calcium ➜ This happens when nerve impulses lead to the opening of
voltage-gated calcium channels.
Ⓐ Glucagon and catecholamines ☛ similar effects on metabolism ➜ changes in sodium levels can affect cell functions, they do not directly
Both promote glycogenolysis and formation of glucose to increase blood stimulate seminal vesicle secretion.
glucose levels.Same Ionotropic effects by Glucagon and Catecholamines !
✦ Ganong, Pg. 329, 109, 342 179. Patient for caudal block. Which anesthetic is used. (Gynae
24 May 2023 (M)) - ID: 84496
171. Most urgent /immediate test for finding bacteria type
(Gynae 24 May 2023 (M)) - ID: 84488 Ⓐ Etidocaine Ⓑ Procaine
Ⓒ Lidocain Ⓓ Bupivacaine
Ⓐ Staining Ⓑ Culture
Ⓓ Bupivacaine ☛ anesthetic of choice for caudal blocks due to its long
Ⓐ Quickest way to identify bacteria is to observe their morphology and
duration of action and good sensory and motor blockage ➜ administered in
arrangement through Gram staining
tepidural space of lower spine.
Culturing takes time for the bacteria to grow.
Lidocain is used for many types of local anesthesia, but bupivacaine is
172. Sacral hiatus triangle base formed by which imaginary generally more effective for caudal blocks.
line (Gynae 24 May 2023 (M)) - ID: 84489
180. Osmoreceptor-ADH inhibited by? (Gynae 24 May 2023 (M)) -
ID: 84497
Ⓐ Intertrochanteric Ⓑ Line connecting ASIS
Ⓒ Line connecting PSIS Ⓐ Shrinkage of the osmoreceptors
Ⓑ Overhydration and increased osmotic pressure
Ⓑ Sacral hiatus triangle ☛ anatomical landmark used in administering
caudal epidural injections ➜ base of triangle is formed by a line drawn Ⓐ Osmoreceptors, located in hypothalamus, respond to changes in
between Anterior Superior Iliac Spines (ASIS) of pelvis. osmolality of blood
173. Which factor should be the most imp in descriptive Increase in osmotic pressure (dehydration) ➜ receptors swell,
studies? (Gynae 24 May 2023 (M)) - ID: 84490 triggering the release of ADH
low osmotic pressure, causes these osmoreceptors to shrink, inhibiting
Ⓐ Age Ⓑ Sex the release of ADH.
Ⓒ Social limits Ⓓ Nativity Overhydration actually leads to decreased, not increased, osmotic
pressure.
Ⓐ Age is a fundamental demographic variable in public health and
epidemiological studies ➜ often correlates with disease incidence, risk, and 181. MgSO4 given for eclampsia. what is activated in NMDA
severity ➜ considered in descriptive studies across numerous health receptor? (Gynae 24 May 2023 (M)) - ID: 84498
topics. Ⓐ Glutamate Ⓑ Glycine
174. Cerebrospinal fluid (CSF) in normal condition? (Gynae 24 Ⓒ Ach Ⓓ Dopamine
May 2023 (M)) - ID: 84491 Ⓔ Serotonin

Ⓐ Has specific gravity 1014 Ⓑ Has protein 200 Ⓐ In the presence of MgSO4, glutamate activation of NMDA receptors is
Ⓒ Pco2 less than arterial pco2 inhibited ➜ This is part of the mechanism by which magnesium sulphate
prevents seizures in eclampsia.
Ⓒ Normally CO2 diffuses from blood into CSF, where it is converted into Glycine can bind to NMDA receptors, its activation is not primarily
bicarbonate before being excreted ➜ Partial pressure of CO2 (Pco2) in CSF influenced by MgSO4.
is less than Pco2 in arterial blood
182. Obese. PT ,what anesthesia to give to relax muscles
175. After diapedesis cytokines involved? (Gynae 24 May 2023 (Gynae 24 May 2023 (M)) - ID: 84499
(M)) - ID: 84492
Ⓐ Bupivicain Ⓑ Lidocain
Ⓐ IgG and C3b Ⓑ IgG and C3a Ⓒ Procain Ⓓ Rocuronium
Ⓒ C5a Ⓓ C5b
Ⓓ Rocuronium ☛ neuromuscular blocking agent often used during
Ⓒ After diapedesis, leukocytes are guided to the site of infection by anesthesia to achieve muscle relaxation ➜ It's particularly useful in
chemotactic signals ➜ complement fragment C5a is one of key chemotactic patients who require rapid onset of muscle relaxation
factors involved Lidocain is a local anesthetic and not typically used to achieve general
IgG and C3b ☛ are involved in the immune response, But do not primarily muscle relaxation for surgery.
function as cytokines in chemotactic process.
183. All clotting factors consumed during clot formation,
176. After complete endocrine and gonadal development which factor left in serum (Gynae 24 May 2023 (M)) - ID: 84500
ovulation starts regularly? (Gynae 24 May 2023 (M)) - ID: 84493
ⒶV Ⓑ VII
Ⓐ After 1 year Ⓑ After 2 years Ⓒ VIII Ⓓ XIII
Ⓒ After 3 years Ⓓ At menarche
Ⓓ Clotting Factor XIII ☛ fibrin-stabilizing factor ➜ During clot
Ⓓ Ovulation begins around the time of menarche ➜ However, menstrual formation, it acts in final stage of coagulation cascade to cross-link fibrin,
cycles may be anovulatory (without ovulation) or irregular for some stabilizing the clot ➜ After clot formation, it is only factor that remains in
months or even a few years after menarche its active form in the serum, as it's not consumed during the coagulation
process.
177. Baroreceptors are most sensitive to (Gynae 24 May 2023 (M))
- ID: 84494 184. First line of drug for post-menopausal women with hot
Ⓐ Blood loss Ⓑ Inc arterial pressure flushes (Gynae 24 May 2023 (M)) - ID: 84501
Ⓒ Dec arterial pressure

Study All Papers & Subject Unit wise MCQs in MediCall Book and Application
 Medi Call FCPS – 1 | May 2023 Papers
Ⓐ Clonidine and propranolol Ⓑ Hormonal preparations
Ⓒ Fluoxetine Ⓓ TCA

Ⓑ HRT ☛ first-line treatment for postmenopausal women with hot flushes

➜ HRT replaces hormones that woman's body is no longer producing after
menopause
Clonidine and propranolol ☛ can be used to treat hot flushes, but they
are not the first-line treatment.

185. GBM acts as strict barrier due to which kind of

lamina??? (Gynae 24 May 2023 (M)) - ID: 84503

Ⓐ Lamina densa Ⓑ Lamina externa

Ⓒ Lamina interna

Ⓐ Glomerular Basement Membrane (GBM) acts as a strict barrier

primarily due to lamina densa ➜ lamina densa acts as a filtration barrier,
preventing proteins and other large molecules from being filtered into
urine.
Lamina externa ☛ is part of GBM, But not the primary barrier to
filtration.

186. Route of spread of gonococcal meningitis (Gynae 24 May

2023 (M)) - ID: 84504

Ⓐ Respiratory droplets Ⓑ Personal contact

Ⓑ Gonococcal meningitis, caused by N. gonorrhoeae, primarily spreads

through personal contact, particularly sexual contact

187. Smoker PT pregnant and delivered, you are taking hx

(Gynae 24 May 2023 (M)) - ID: 84507

Ⓐ Retrospective study Ⓑ Prospective study

Ⓐ looking at past data (smoking habits during pregnancy) after birth

event has occurred ➜ This aligns with the definition of a retrospective
study, which involves looking back at past events or conditions.
Prospective study ☛ would involve identifying patients and then
observing them over time to collect data as they are exposed to risk factors
and outcomes.

188. Multigravida Scenario of bleeding from placenta in first

trimester. Placenta includes which??? (Gynae 24 May 2023 (M)) -
ID: 84509

Ⓐ Spiral arteries Ⓑ Cytotrophoblast

Ⓒ Connective tissue with endometrium
Ⓓ Synctitiotrophoblast with myometrium

Ⓑ placenta consists of an outer layer called syncytiotrophoblast and an

inner layer called the cytotrophoblast ➜ proliferative layer of placenta ➜
contributes to formation of placental villi ➜ villi invade endometrium and
its spiral arteries, establishing a maternal-fetal blood supply.
 Medi Call FCPS – 1 | May 2023 Papers

✦ Harsh Mohan, Pg. 280, 271 ✦ Oxford Paeds, Pg.

132. A poor farmer went to the physician with complaints of

dry skin, dry eyes, and poor wound healing. He is suspected
to have vitamin A deficiency. Retinol deficiency leads to? (Surg
24 May 2023 (M) +8 more) - ID: 55086

Ⓐ Conjunctival xerosis
Ⓑ Diffuse Pigmentation of the conjunctiva
Ⓒ Keratomalacia Ⓓ Night blindness

Ⓓ ✪ Night blindness is earliest symptom of Vitamin A ( Retinol )

Defeciency
✦ CMDT, Pg. 1285