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FCPS-Part-1, Surgery & Allied Paper 1 & 2 (1stJanuary 2015) - SOL!"CPSP Past papers for FCPS part 1 past paper solved of

1st January 2015 for the speciality of Surgery & Allied.1. Most appropriate about Clavipectroral Fascia:

A. Above the clavicle connects wid Pretracheal Facia

B. Part of Endothorac Fascia

C. Covers Pectoralis Major

D.Covers Pectoralis Minor

. !f "ateral Cord of Brachial Ple#us will da$a%e which $uscle will %et paral&sed $ost li'el&:

A. Pectoralis Major

B.Pectoralis Minor

C. (eres Major

D. (eres Minor

). Patient with fluid loss now show $etabolic acidosis e h&po'ale$ia. $ost fluid loss will be

throu%h:

A. *to$ach

B. Colon

C. Pancreas

D. Duodenu$

E. +ujenu$

,. Fracture of sur%ical nec' of -u$erus da$a%e to:

A. A#illar& erve

B. /adial

C. Musculocutaneous

D. Median

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0. !nversion of foot b& which $uscle:A. Peronues "on%us

B. Peroneus Brevis

C. Peroneus tertius

D. (ibialis Posterior

. Pain fro$ 2allbladder felt in Anterior (rian%le of nec'3 this $echanis$ of /effered Pain

appropraite state$ent is:

A. 4a%us erve has wide distribution in thora# and $ost of abdo$inal or%ans

B. Accersor& nerve %ives fibers to 2allbladder

C. Paras&$pathetic so$ethin%

D. /oot value of nerve suppl& is sa$e in both re%ions

5. "ateral foot der$ato$e:

A. *1

B. *)

C. ",

D. "0

E. ")

6. 7hich $uscle and nerve pair is correctA. Biceps8 C

B. (ricep8 C6

C. Brachioradialis C

D. (eres Major (1

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9. ME"A* s&ndro$e histolo%ical findin%:

A. "oflar bodies

B. !nclusion bodies

C. 2ranulo$asD. C&st

E. /ed ra%%ed fibers

1. 2iant Cell (u$ors histo findin%:

A. *potted calcifications

B. *oap Bubble appearance

C. Basal 2ranulesD. E#cessive eutrophils

11. Blast Cells in peripheral blood:

A. !ron deficienc& ane$ias

B. Er&throblastosis fetalis

C. Folate deficienc&

D. Bone $arrow depression

1. Most co$$on cause of -epatocellular Carcino$a in developin% countries:

A. -EP B ; C

B. -ep C

C. -ep B

1).

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C. Cholan%io CA

D. -epatitis

1,. /e%ardin% "&$ph draina%e of breast e#cept:

A. Apical

B. *upraclavicular odes

C. Pectoral odes

D. !nferior Phrenic odes

10. Closure of lips involve: or unable to close lips which $uscle involved:

1. Depressor an%uli oris

. Depressor labii inferioris

). Depressor labi superioris

,. =rbicularis oris

0. "ateral pter&%oid

1. *uperior (h&roid arter& arise fro$:

A. First branch of *ubclavian Arter&

B. E#ternal Carotid Arter&

C. !nternal Carotid Arter&

D. *upraclavicular Arter&

15. !ncubation period of which disease is lon%est:

1. Measles

. /ubella

). Chic'en po#

,. !nfectious $ononucleosis

0. Mu$ps

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16. Chronic Fun%al infection with rhinosinusitis causin% $edial erosion and %ranulo$as:1. Cr&ptococcosis

. Mucor$&cosis

). /hinoph&co$&cosis

,. -istoplas$osis

0. Asper%illus

19. 7hich of followin% has hi%hest chances of developin% endo$etrial cancer

1. *i$ple h&perplasia

. Co$ple# h&perplasia without at&pia

). Co$ple# h&perplasia with at&pia

,. *>ua$ous $etaplasia

0. Chronic endo$etritis

. /e%ardin% C*F

1. For$ed b& epend&$al cells

. For$ed 0$l?da&

). For$ed onl& )percent b& chorioid ple#us

,. Arachnoid villi are visible

1. A%e esti$ation at fifth to 1th wee' is done throu%h:A. Biparietal dia$eter

B. Crown ru$p len%th

C. Crown heel len%th

D. Abdo$inal circu$ference

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.A sprinter durin% runnin% had injur& to his an'le. -e can stand on his toes but with severe

pain.. (here is a visible ecch&$oses around an'le joint:

A. Plantaris tendon

B. Deltoid li%a$entC. *oleus (endon

D. Peroneus lon%us tendon

).=tic %an%lion is between $andibular nerve and tensor t&$pani. !t@s superior border is for$ed

b&:

A. Fora$en laceru$

B. Fora$en ovaleC. Fora$en rotundu$

D. *t&loid process

,. A$oeba causes lesions in which part of %ut:

A. (er$inal ileu$

B. Cecu$

C. Ascendin% colon

D. (ransverse colon

E. *i%$oid and rectu$

0. A &oun% bo& with inc appetite wei%ht %ain and sleep proble$s. =n e#a$ination he is havin%

%enitals h&poplasia:

A. -&poth&roidis$

B. Pineal tu$or

C. Craniophar&n%io$a

D. arcoleps&

E. Cushin% disease

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. *ensor& suppl& of uterus passes throu%h which li%a$ent:

1. Broad li%a$ent

. /ound li%a$ent

). Cardinal li%a$ent,. terosacral li%a$ent

0. terocervical li%a$ent

5. -i%hest nu$ber of alpha resceptors are present in:

1. (ri%one

. ec' of bladder and pro#i$al urethra

). Penile urethra,. Me$branous urethra

0. E#ternal urethral openin%

6. /e%ardin% elbow joint:

1. Capsule deficient posteriorl&

. Covered all around b& $uscles

). -in%e joint

,. *upination occurs here

0. +oint between hu$erus3 radius3 ulna

9. A needle when inserted c$ below and lateral to pubic tubercle will be closel& related to on:

A. =bturator nerve

B. !lioin%uinal nerve

C. *ciatic nerve

D. Fe$oral nerve

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). /e%ardin% Pter&%opalatine /aphe:

A. Buccinator

B. !nferior constrictor

C. Parts fro$ all constrictors

D. Middle constrictor

)1. Most i$portant characteristic of 2l&co%en *tora%e diseases are:

A. -&per%l&ce$ia with -epato$e%al&

B. -&per%l&ce$ia with sple$o$e%al&

C. -&po%l&ce$ia with -epatospleno$e%al&

D. -&po%l&ce$ia with -epato$e%al&

). Buccophar&n%eal Me$brane:

A. *to$odiu$ fro$ Fore%ut

B. ose fro$ Phar&n#

C. "ar&n# fro$ cricoid

D. (on%ue fro$ phar&n#

)). P(:

A. inhibits s&nthesis of th&roid hor$ones

B. inhibits release of th&roid hor$ones

C. inhibits upta'e of th&roid hor$one

),. Most co$$on position of appendi#:

A. /etrocecal

B. Pelvic

C. !leal

D. Absent

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)0. Pretracehal fascia infections spreads to:A. Anterior $ediastinu$

B. Posterior $ediastinu$

C. Middle

). *ensations fro$ tip of fin%ers b&:

A. a fibers

B. a beta fibers

C. a delta fibers

D. c fibers

)5. *hiverin% center is located in:

A. Anterior h&pothala$us

B. Posterior h&pothala$us

)6. 7hich tu$or involves e#tension to nerve sheath:

1. Mo$as

. Adeno$as

). -e$an%ioperic&to$a

,. Carcino$a e#pleo$orphic adeno$a

)9. Anterior epitheliu$ of cornea is:

1. *tratified s>ua$ous 'eratinied

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. *i$ple s>ua$ous

). *i$ple colu$nar

,. *tratified *>ua$ous non 'eratinied

,. A ) &ear old wo$an in aad 'ash$ir was injured $ildl& in an earth>ua'e that 'illed $an&

people apart fro$ her distant uncle. *he would $ost probabl& be in

1. *ocial crisis

. Personal crisis

). *ituational crisis

,. Develop$ental crisis

,1. 7hile a sur%er& on sub$andibular %land which has $ore chances of injur&:

1. *uperior th&roid arter&

. "in%ual nerve

) Mandibular nerve

,. Facial nerve

,. Function e#clusivel& lin'ed with vit E:

1. Carboh&drate $etabolis$

. Endothelial protection

). *'in inte%rit&

,. Di%estion

0. hor$one re%ulation

,). 7hich one co$bination is correct:

1. (hiopental reduces heart rate

. Profofol increases cerebral blood flow

). Morphine reduces apnoeic threshold

,. eta$ine causes bronchodilation

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,,. A )1 &ear old &oun% $an has heaviness in his scrotu$ for si# $onths. =n e#a$ination a solid0c$ $ass is palpated. =n labs his alpha feto protein level was 61n%?$l while b-C2 level was 10

!?l. *a$e side orchiecto$& was done and 7hich of followin% could be the cause

1. "e&di% cell tu$or

. E$br&onal carcino$a

). Choriocarcino$a

,. (erato$a

,0. 7hich li%a$ent supports odontoid process of a#is on atlas ste$ not sure

A. Posterior lon%itudinal li%a$ent

B. Anterior lon%itudinal li%a$ent

C. (ranverse li%a$ent

D. "i%a$entu$ nuchae

,. A patient ca$e in E/3 with bleedin% fro$ i %uess Fe$oral Arter& so$ethin%. and due to

h&povole$ia which will be "EA*( affected:

A. M&ocardiu$

B. Brain

C. /etina

D. *'eletal Muscles

E. !ntestines

,5. Medial %eniculate bod&

A. /eceives oculo$otor fibers

B. =ptic tract fibers

C. Fibers ascend to thala$ocortical areas

D. *olel& to thala$us

E. Project to 4isual Corte#

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,6. Cerebral Malaria caused b&:A. Plas$odiu$ Falciparu$

B. Plas$odiu$ Malariae

C. Plas$odiu$ =vale

D. Plas$odiu$ viva#

,9. C5 4ertebrae has:

A. "on%est spine

B. Broad bod&

C. Most co$$onl& fractured

D. 1st vertebrae to develop

0. P( !s indicated b&:

A. !!!

B. 4!!!

C. !

D. !!

E. !

01. Percenta%e of Plas$a out of ECF:

A. )GB. G

C. 0G

D. 10G

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0. Direct !n%uinal -ernia:

A. Medial to epi%astric Arter&

B. "ateral to epi%astric arter&

C. *uperior to epi%astric arter&

D. !nferior to epi%astric arter&

0). ewborn with a Er&throblastosis Fetalis havin% Blood%p Bpos what is best for $ana%e$ent:

A. 2ive an& blood

B. 2ive blood of fetal blood %roup

C. 2ive =8ve

D. 2ive Blood of Maternal blood %roup

0,. A $an durin% fastin% his urine beco$e concentrated because of:

A. Decrease inta'e of water

B. Adh secretion

C. 2rowth hor$one

D. !nsulin

00. /e%ardin% (halese$ia

A. Defect in ratio of chains

B. Defect in %lobin production

C. Defect in er&thropoietin secretion

D. Defect in /BC se>uestration

0. For assess$ent of nutritional status of a person alon% with wei%ht loss what u will assess: A.

Minerals

B. 4ita$ins

C. Albu$in

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D. Electrol&tes

05. Most radiosenstive tu$our:

A. 2lioblasto$a $ultifor$e

B. 2lio%lio$a

C. Craniophar&n%io$a

D. Astroc&to$a

06. !f a person is ta'in% Protein in his diet which will be necessar&:

A. /iboflavin

B. (hia$ine

C. 4ita$in B1

D. Ascorbic acid

09. /e%ardin% AD- secretion:

A. /eleased in increased Plas$a os$olarit&

B. /eleased in decreased plas$a os$olarit&

C. Decreased durin% sleep

. *cenario bif on Marfans wid $itral valve prolapse died and on autops& is prolapse this was

due to defect in

A. FibrillinB. *pectrin

C. 2lobin

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1. 2roup of &oun% $en bathin% n beech ne#t da& develop blisters on bac' shoulder li$bs re%ion

cause is:

A. Mast cell destruction

B. Endotheliu$ venules destruction

C. Platelet destruction

D. !(P

. =bstruction to /CA after %ivin% Mar%inal branch will affect:

A. A4 ode

B. *A node

C. A4 bundle

D. Bundle of -is

). /e%ardin% -EA/( what is appropriate:

A. *A ode %enerates spontaneous i$pulses

B. A4 node

C. Bundle of -is

,. *econd -eart sound produced b&:

A. Closure of aortic and pul$onar& valve

B. Fillin% of ventriles

C. Contration of ventricles

D. Contraction of atria

0. "eft Atriu$ supplied b&:

A. "C

B. /CA

C. "CA

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. !nferior 7all M! arter& involved:A. /i%ht Mar%inal Arter&

B. /CA

C. "eft $ar%inal arter&

D. "C

5. Aortic valve closure outsets:

A. /apid fillin%

B. !sovlu$ic /ela#ation or !sovolu$etric rela#ation

C. !sovoul$etric Contraction

D. Contraction of ventriles

6. -i%hest Cardiac =utput in:

A. Ane$ia

B. Pre%nanc&

C. Beri Beri

D. awashior'er

9. Most suitable *A!D durin% "actation:

A. !buprofen

B. Pero#ica$C. apro#en

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5. Mali%nant tu$our $esench&$al in ori%in:

A. *arco$a

B. ADeno$a

C. Melano$a

D. Menin%io$a

51. /enal Colu$n:

A. Collectin% Duct

B. !nterlobar arter&

C. !nterlobular arter&

D. Minor cal&ces

5. 16 &ear old %irl has fever tenderness in ri%ht ileac fossa. =n labs 7BC 15cells?$$).

Appendicecto$& was prefor$ed. 7hich of the followin% would be seen on histolo%&

1. ( l&$phoc&tes in wall of appendi#

. Pol&$orphonuclear neutrophills

). 2lissenin% $ass at ape# of appendi#

5). Mo$as $ost co$$on location:

A. "eft Atriu$

B. /i%ht Atriu$

C. !nterventricular septu$

D. Pur'inje $i#ed fibers

5,. /e%ardin% Bain Brid%e /efle#:

A. !ncreases -/

B. Decreases -/

C. Maintains posture and balance

D. !ncreases s&ste$ic resistance

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50. *ur%eons injects d&e durin% sur%er& throu%h:A. "i%a$entu$ (eres

B. "i%a$entu$ flavu$

C. (rian%le of safet&

D. pper outer deltoid re%ion

5. Appendicular Arter& is a branch of:

A. Posterior Cecal Arter&

B. !liocolic Arter&

C. Anterior Cecal Arter&

D. !nferior Mesenteric Arter&

56. Bladder carcino$a:

A. *chistoso$a he$atobiu$

B. CM4

C. -P4

D. (o#oplas$a %ondii

59. /e%ardin% (h&$us:

A. -assals corpuscles

B. s&nthesis of t l&$phoc&tes within lobuleC. /each $a#i$u$ sie at birth

D. /each $a#i$u$ sie in old a%e

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6.!nion is:

A. Part of pterion

B. Posteroinferior pro$inent part of occipital bone

C. Posterior to frontal bone

D. !nternall& to occipital bone

61.Function e#clusivel& lin'ed with vit E:

A. Carboh&drate $etabolis$

B. Endothelial protection

C. *'in inte%rit&

D. 2er$inal epithelial protection

6.-eterophile antibod& is seen in:

A. !nfectious $ononucleosis

B. -erpes si$ple#

C. 2onorrhea

D. Down *&ndro$e

6).Deep to post di%astric and near palato%lossus a structure runs obli>uel& upwards

A. Facial arter&

B. "in%ual arter&

C. Ma#illar& arter&

D. *uperior th&roid

6,.ucleus of %eneral visceral efferents of tenth nerve to palate $uscles is present in:

A. "ocus ceruleus

B. (ractus solitarius

C. ucleus a$bi%uous

D. ucleus raphe

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60.7hich tu$or involves e#tension to nerve sheath:1. Mo$as

. Adeno$as

). -e$an%ioperic&to$a

,. Carcino$a e#pleo$orphic adeno$a

6. "oss of abduction and adduction of fin%ers and adduction of thu$b with intact s'in

sensations involves:

1. /ecurrent branch of $edian

. Deep branch of ulnar

65.A 0 &ear old $an underwent coronar& arter& b&pass %raft two wee's a%o and now presents

with purpuric patches on s'in. =n labs his P( and aP(( were nor$al. Followin% is true:

A. -eparin induced thro$boc&topenia

B. Dru% induced thro$boc&topenia

C. !(P

D. ((P

66./e%ardin% pneu$oto#ic center followin% is true:

A. !ncreases inspirator& potential

B. Fires d&na$ic respirator& driveC. !ncreases respirator& rate while sleepin%

D. /esponsible for neonatal /D*

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69. 7hat is correct about th&roid:

A. *upplied b& ) paired arteries

B. *urrounded b& prevertebral fascia

C. !sth$us attached to cricoid

D. 4enous draina%e in bracheocephalic vein

9. /e%ardin% Pituitar& %land:

A. *ecretes (*-

B. *ecretes (/F

C. *ecretes Epinephrine

D. *ecretes /enin

91. Color differentiation due to red and %reen:

A. Protonopia

B. (ritanopia

C. -e$ianopia

9. Dental carries due to: or infection due to

A. Bacillus

B. "actobacillus

C. *retptococcus

D. *taph aureus

9). "a&er of the viscera fro$ outer$ost to inner$ost:

A. serosa subserosa $uscularis $ucosa sub$ucosa $ucosa

B. serosa sub$ucosa $ucosa subserosa $uscularis $ucosa

C. subserosa $uscularis $ucosa sub$ucosa $ucosa serosa

D. sub$ucosa $ucosa serosa subserosa $uscularis $ucosa

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9,. D&spha%ia due to li>uids onl&:A. Plu$$er 4inson s&ndro$e

B. euro$uscular bloc'ade

C. *tro'e

D. Esopha%eal tu$or

90. Cholan%iocarcino$a spread b&:

A. Clonorchs sinuses

B. Portal circulation

9. Post 1?) of the ton%ue supplied b&:

A. Cranial nerve 9

B. Cranial nerve 1

C. Cranial nerve 11

D. Cranial nerve 1

95. Blood %roup AH transfusions reaction due to:

A. AH

B. BH

C. =8

D. A8

96. -= found in:

A. Pero#iso$e

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B. Mitochondira

C. "&soso$e

D. /E/

99. !CAM and 4CAM are for:

A. "eucoc&te adhesion

B. Platelet adhesion

C. eutrophil adhesion

D. Activation of $ast cells

1. Breast atroph& in &oun% fe$ale is due to:

A. Estro%en

B. Estro%en and Pro%esterone

C. Pro%esterone

D. F*-

11. /e%ardin% cancer3 it is caused b& $utations in:

A. Protoonco%en

B. =nco%en

C. $itochondrial DA

D. onl& %er$ cells

1. Essential a$ino acid:

A. Phen&lalanine

B. Acarbine

C. listerine

D. alpha lenoleic acid

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1). Fecal incontinence after trau$a da$a%e to:

A. E#ternal anal sphincter

B. /ectu$C. !nternal anal sphinter

D. 2luteus $a#i$us

1,. +oinin% of !CA and Basilar arter&:

A. Posterior co$$unicatin% Arter&

B. Anterior co$$unicatin% Arter&

C. "ateral co$$unicatin% arter&D. Median Arter&

10. /e%ardin% Beta A%onists:

A. !ncrease -/

B. Causes Bronchoconstriction

C. o effect on heart

1. Polio$&elitis:

A. Anterior horn cell defect

B. Dorsal colu$n disease

15. *cenario about C-F than as'ed about reason for ede$a:

A. Dec Colloid os$otic pressure

B. !nc Colloid os$otic pressure

C. Dec h&drostatic pressure

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16. /e%ardin% P 4alue:A. Chec's probabilit&

B. Percentile so$ethin%

C. is sa$e as $edian value

19. /e%ardin% - Bloc'ers:

A. !nhibits both %astric acid secretion and paras&$pathetic sti$ulation

B. !ncrease %astric acid secretion

C. binds per$anentl& to receptors

11. Mechanis$ of 4ibro cholera:

A. Cl channel

B. dec -C=)

C. inc a upta'e

111. (wo point discri$ination least at:

A. *capula

B. "ips

C. Pal$s

D. Fin%ers

11. *pread of renal tu$or will be throu%h:

A. /enal 4ein

B. /enal l&$phatics

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11). About an'le joint:A. *upplied b& superficial arter&

B. *upplied b& superficial paroneal nerve

C. Fibrocartila%e on hialine surfaces

D. lateral $allaeolar li%a$ent on $edial side

E. Deltoid is on $alleolar side

11,. /e%ardin% "esser =$entu$:

A. Contains -epatic DC( and arter&

B. Attaches to second part of duodenu$

C. is a bila&er structure

D. have no attach$ent to liver

110. ucleous Pulposus herniation will cause co$pression of:

A. "08*1 =/ ",8"0

B. *8*)

C. *)8*,

,. *, onl&

11. /etention of C:

A. /espirator& failureB. -eart failure

C. M&ocardial infarction

D. h&perventilation

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115. "&$ph draina%e of (estes:

A. Paraaortic "

B. *uperficial !n%uinal "

C. !nternal iliac "

D. Deep in%uinal "

119. Antiseptic for s'in:

A. Phenol with clorhe#idine

B. G %lutaraldeh&de

C. 1G alcohol

D. *oap

1. Cardiac disease scenario wad there and the& as'ed about the fluid accu$ulation3 proteins

$ore than ). %?dl:

A. E#udative

B. (ransudative

1). *cenario was %iven about $assive spleno$e%al&:

A. Acute "eish$anias

B. Chornic Malaria

C. &ellow fever

D. -ep C

1,. /e%ardin% %ra& $atter foot processes:

A. Protoplas$ic Astroc&tes

B. $enin%ioc&tes

C. *chwan cells

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10. Most i$portant renal tubular buffer is:A. hB

B. hC)

C. Protein

D. Phosphate

1. Cause of %lobal blindness:

A. -erpes *i$ple#

B. /ubella

C. Chla$&dia (rocha$atis

15. 7hich is nor$al -B:

A. -bA

B. -bF

C. -bC

16. (halese$ia carrier percenta%e in Pa'istan:

A. 0G

B. 1G

C. 10G

19. *ur%er& for re$oval of ovar& done which is da$a%ed:

A. !nternal !liac Arter&

B. E#ternal !liac Arter&

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C. terine Arter&