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Summary MRCOG part 1 exam MCQ, EMQ PAST YEAR EXAM PAPER(MARCH)
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March 2010 MRCOG part 1 examMCQ, EMQ, Separate items to revise
• large scale study was carried out to assess the benefits of a new drug
which would prevent fractured neck of femur due to osteoporosois in
post menopausal women. the study was carried out correctly using a
treatment group and an appropriate control group. the number of
women who sustained a fracture neck of femur due to osteoporosis
was measured reliably in each group and result are
group with fracture without fracture
control n1 n3
study n2 n4
calculate the number of women who need to recieve new drug in order
to prevent one new fracture of femoral neck due to postmenopausal
osteoporosis for the items below
n1=50,n2=25,n3=9950,n4=9975
answer 400
• Successful lactation is
a maintained by oestrogen F
bmaintained by progesterone F
initiated by LH surge F
maintained by HPL F
inhibited by dopamine T
• Following are required for haemostatic clot formation
coversion of prothrombin to thrombin T
platelet phospholipid T
active conversion of plasminogen to plasmin F
fibrin degradation products F
antithrombin F
• severe oligohydramnios with limb defects
• 2.60-70% ASSOSIATED WITH CLEFT LIP/ cleft palate
,• closure of neural groove - 30 days
• closure of mid gut - 14 weeks
• cobalt - 60
• tecnitium- 99
• The pelvic surface of the sacrum?
- gives origin to the piriform muscles
- gives origin to the levator ani muscles
- is broader in the male than in the female
- trnasmit dorsal rami of sacral nerves
- is in contact with the anal canal
• Prolactin.
- release is stimulated by TRH
- plasma levels are raised in the first trim of preg.
- release is increased by suckling.
- maybe produced by decidua.
- release is inhibited by metoclopromide.
• The foll disorders and org are correctly paired.
- opthalmia neonatorum: chlamydia trachomatis
- chancroid: Haemophilus ducreyi.
- sleeping sickness: Leishmania donovani.
- ringworm: Trichenella spiralis.
- non-specific urethritis: Toxoplasma gondii.
• The heart rate typically increases in response to:
- pain.
, - hypoxia.
- ventilatory expiration
- increase in Intracranial pressure
- decrease baroreceptor activity
• Antibodies.
- are proteins.
- are formed in the fetus before 12 weeks of Intrauterine life.
- have an average molecular weight of around 10 000 daltons.
- of the rhesus type are genetically transmitted.
- are produced by the ribosome of plasma cells.
• The following disorders have an X linked pattern of inheritance.
- G6PD Deficeincy.
- Kleinfelter syndrome
- adrenogenital syndrome
- haemophilia B
- familial hypercholestroleamia.
• The following are derived from the urogenital sinus:
- the bladder trigone.
- the ureters.
- the female urethra.
- greater vestibular glands.
- paraurethral glands.
• In the fetal CVS
- the heart arises from endoderm
- the heart is formed by fusion of endocardial tubes.
- Cardiac pulsation is present by the 30th day after fertilization.
, - oxygenated blood is tranferred to the left atrium through the foramen
ovale.
- the ductus arteriosus closes during the last 4 weeks of pregnancy.
• Arginine vasopressin
- reduces GFR.
- controls water loss in the Proximal renal tubule.
- is synthesised by the post pituitary gland.
- is released in response to rise in plasma osmolality.
- is released in response to fall in circulating plasma volume.
• Renin
- is secreted by the zona glomerulosa of the adrenal coretx.
- is a proteolytic enzyme.
- is secreted at an increased rate if the renal perfusion pressure falls.
- acts upon circulating angiotensinogen.
- is released in response to an increase in extracellular fluid volume
• Actinomyces israelii
- is a rickettsia.
- forms yellow granules in pus.
- is a commensal in the mouth.
- is a commensal in the vagina.
- is usually resistant to penicillin.
• Diseases caused by spirochaetes include.
- Weil's disease.
- lymphogranuloma venereum
- pinta
- Vincent's angina.
- bilharzias
• The following are inherited as autosomal recessive conditions:
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