MRCOG Part 1 – Image Mock

1. What % of population lies within area under curve between two green lines?

2. What does the red line indicate?

3. Which property about the curve is true amongst the following?

4. Which among the following characteristics is true about the following curve?

5. What is the type of following graph?

6. What type of graph is this?

7. What is the median and IQR of difference in pre and post ECG test response in the following study?

8. What is the type of following variables?

9. What is the type of following variable?

10. Which of the following statements is false?

11. Below is the picture of the fetal skull .Identify the suture marked by X.

12. Below is a figure showing the various diameters of the fetal head.Which of these is the engaging diameter when the fetal head is well flexed?

13. Name the part of the bladder marked by X.?

14. Name the artery supplying the external anal sphincter.

15. This is a picture showing the internal & external anal sphincter.Identify the part of sphincter marked by A.

16. The picture shows branches of internal iliac artery.name the missing branch,marked by question mark.?

17. You are the ST5 in the gynaecology clinic ,a lady presents to you in the clinic with the following features. What is the most probable diagnosis?

18. What would be the probable diagnosis in a lady presenting with the following clinical features?

19. These are various nuclei of the hypothalamus.Name the hormone secreted by supraoptic nuclei.?

20. Attached is the pathway for production of glucocorticoids,mineralocorticoids & androgens.In this pathway deficiency of the hormone 21-β hydroxylase will give rise to which condition in the newborn?

21. This is a picture of SARs-CoV virion.Identify the structure marked by A?

22. Different types of fibroids are shown in the picture.Identify the type of fibroid marked by E.

23. This is Beta hemolysis as seen on blood agar.Which of the following bacteria demonstrates Beta hemolysis on blood agar?

24. This picture shows the ligaments supporting the uterus & cervix.Identify the ligament marked by A.?

25. Exophthalmos is a feature seen characteristically in which endocrine disorder?

26. A 18 year old girl ,who was sexually active came with complaints of lower abdominal pain,fever & vaginal discharge.All investigations including a clinical exam were done which pointed to a diagnosis of pelvic inflammatory disease.A cervical swab was also taken & culture was done which yielded Gram negative diplococci.Which of the following bacteria are mostly likely to lead to a similar clinical picture?

27. These are groups of Gram positive bacteria seen forming a chain under the microscope.Which of the following bacteria look like forming a chain,when seen under the microscope?

28. These are groups of Gram positive bacteria seen like a bunch of grapes under the microscope.Which of the following bacteria look like a bunch of grapes under the microscope?

29. In the picture below identify the structure marked by A.?

30. The picture below shows the components of the renin angiotensin aldosterone system. Which of the following is secreted by the kidney?

31. A 30 year old recently married lady presented to the gynecology clinic with intense local irritation in lower abdomen. She also complaints of malodorous vaginal frothy yellowish green discharge. On examination discharge is offensive. The dark ground microscopy of the discharge reveals the following. What is your diagnosis?

32. A 26-year-old single man presents to your office complaining of a painless ulcer that formed on his penis 3 months ago. The ulcer is healed but an erythematous rash on his palms and soles of feet has recently developed. What is the most likely diagnosis?

33. Immunoglobulins, also known as antibodies, are glycoprotein molecules produced by plasma cells (white blood cells). They act as a critical part of the immune response by specifically recognizing and binding to particular antigens, such as bacteria or viruses, and aiding in their destruction. With regard to immunoglobins which of the following is incorrectly matched?

34. Sena is a 19-year-old college student,a member of a fraternity at a large midwestern university. She visited the campus health center, where she raised her concerns about abnormal swelling down below to the practioner. There was no discomfort yet, but Sena knew it was abnormal. She told the practitioner that she had recently had vaginal sex with a men and had also experimented sexually with other woman. The practitioner conducted a physical exam and discovered raised spots on Sena’s vulval area all over and made. What is your diagnosis?

35. A 70-year-old is referred to the gynaecology clinic with a history of vulval itching and soreness for the last year, with worsening of symptoms over the last month. On examination, irregular exophytic growth on vulva. Some areas show elevated and irregular surface contour and feel firm and tender to palpate. There is no obvious ulceration.

To establish the diagnosis what is the next step in management?

36. 30 -year-old Lily is regular with her smear testing on routine recall. Her recent hrHPV test is positive, so she is referred to colposcopy clinic by her GP. Her cervical smear shows ‘moderate dyskaryosis’. Her BMI is 29. She has had two children, all normal vaginal deliveries, and has been using the combined oral contraceptive pill for the past 2 years. She is otherwise fit and healthy. Following is the colposcopic picture of her. What is colposcopic finding in the image below?

37. A 34 years nulliparous women is seen at menstrual disorders clinic for HMB. She is a known PCOS with BMI 34. . A histological report after office biopsy, received shows numerous glands packed back to back with stroma in between with increased mitotic figures and alteration in the nuclear cytoplasmic ratio. Is suggestive of?

38. Which among the following is incorrect about the type of placenta insertion shown in the photograph below ?

39. A 50-year-old man presents with pain in the midportion of his chest. The pain is associated with eating and swallowing food. Endoscopic examination reveals an ulcerated area in the lower portion of his esophagus. Histologic sections of tissue taken from this area reveal an ulceration of the esophageal mucosa that is filled with blood, fibrin, proliferating blood vessels, and proliferating fibroblasts. Mitoses are easily found, and most of the cells have prominent nucleoli. Which of the following statements best describes this ulcerated area?

40. Fertilization is the union of a human egg and sperm, usually occurring in the ampulla of the fallopian tube. The result of this union is the production of a zygote cell, or fertilized egg, initiating prenatal development. A spermatozoon has to penetrate four layers before it fertilizes the oocyte.
Which of the following is the correct order of cell layers surrounding an oocyte from outward to inward?

41. An asymptomatic 25-year-old college student is found to have a 4-5cm, very firm mass in her breast that she has not previously noticed. The mass is mobile, smooth, and non tender in the upper, outer quadrant of her breast. An excision biopsy is performed and shows “a well circumscribed, fibrous lesion with glands interspersed throughout the body of the tumor.” Which of the following is the most likely diagnosis?

42. Ms. Conie is 24 years old comes with itchy erruptions about that began two weeks ago. She is 20 weeks pregnant with her second child. Her previous pregnancy was unremarkable. She is healthy and has history of Atopy. On examination she has lichenified papules over her legs some of which are excoriated. She is worried that her baby will be affected by this condition. What will you tell her?

43.Which one of the following in red letter – represent vectorial movement of a solute via primary transport mechanism?

44. Transport of high concentration of glucose from within the cell downhill into the extracellular fluid (GLUT2) and Na+-K+-ATPase are the examples of –

45. Name the compound which is derived from carbohydrate, protein, lipid metabolism and it is the substrate for kreb’s cycle

46. The fate of protons(H+) derived from carbohydrate, protein and lipids ,as shown in the diagram are used to synthesise ATP in which subcellular organelle.?

47. Which vitamin is required for this reaction to transfer methyl group from folic acid to homocysteine and its deficiency leads to acquired homocystinuria ?

48. In the biosynthesis of the polysaccharide glycogen, identify the missing enzyme marked in red letter A.

49. Which of the following enzyme catalyse the substrate level phosphorylation?

50. Which protein in the basolateral surface of the small intestine, oxidize Fe2+ to Fe3+ and helps ferroportin transfer iron across the basolateral end of the intestine cells?