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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&