Gyn and Obs MCQs

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					                                           Gyn & Obs

1. Management of PPROM
a) Vaginal examination is done to diagnose
b) CRP to exclude chorioamnionitis
c) Tocolytics until fetal viability reached - T
d) Antibiotics
e) Dexamethasone is started

2. Group B streptococcal in pregnancy
a) 10% of mothers have the infection - T
b) Vaginal delivery is contraindicated - F
c) Causes purperal sepsis
d) Associated with congenital cardiac anomalies
e) Cephalosporin is the preferred drug. – F (Penicillin)

3. Features of obstructed labour
a) Maternal tachycardia seen
b) Bandel’s rings
c) Seperation of fetal skull bones - F
d) Haemorrhoids seen
e) Oedematous lower genital tract seen - T

4. IUGR
a) >3kg birth weight excludes IUGR. - F
b) Pre-eclampsia causes symmetrical IUGR
c) Oligihydramnios occur due to placental insufficiency. - T

5. Physiological changes during pregnancy
a) Reduced respiratory rate - F
b) Increased pulse rate - T        ( Not significant )
c) Increased GFR - T
d) Increased haematocrit - F
e) Increased renal threshold for glucose - F

6. Baby of a diabetic mother
a) Hyperglycemia - F
b) Hypothermia – T     ( Prematurity )
c) Hypocalcemia - T
d) Retinopathy – T      ( ROP)
e) Jaundice - T
7. Endometriosis
a) May present with worsening of 1ry dysmenorrhoea - F
b) Highly resistant to medical management - T
c) Caused by retrograde menstruation - T
d) Causes early pregnancy loss - T
e) Treated with Danazole - T

8. Regarding leiomyosarcoma
a) Associated with parity
b) Mainly haematogenous spread
c) 5 year survival is equal to endometrial carcinoma
d) Arises commonly from benign lesions
e) Commonly causes post menopausal bleeding

9. Regarding Cu T 380
a) Prevents implantation – F ( Spermicidal mechanism )
b) Replaced every 2 years - F
c) Can be used as an emergency contraceptive method - T
d) Causes heavy menstrual bleeding – T ( Initial few periods )
e) Contraindicated in active PID - T

10. An otherwise healthy primigravida had dilatation from 4cm to 6cm in 8 hours. What
interventions can be done?
a) Pain relief -            ( can pain relief aggravate this )
b) Improve hydration - T
c) Asses the position of the head - T
d) Ergometrine IV infusion - F
e) Asses uterine contractions - T

11. Increased prolactin levels seen in
a) Hypothyroidism
b) Bronchial asthma
c) Meningioma
d) Pituitary neoplasm
e) Tri cyclic antidepressants

12. Premalignant lesion of cervix
a) Can be visualized by naked eye examination –F ( red patches not sure )
b) Is symptomatic - F
c) Smoking is a risk factor - T
d) Colposcopy directed biopsy useful for diagnosis. - T
e) Falls under 1a of FIGO classification. - F
13. Geatatiol trophoblastic disease
a) Common in nulliparity - F
b) Is associate with poor prognosis if preceding pregnancy deliver at term – T (20%)
c) Is treated with Methotrexate alone in recurrent disease - T
d) Diagnosed by USS - T
e) Associated with Triploidy - T

14. Germ cell tumours of ovary include
a) Dysgerminoma - T
b) Granulosa cell tumour - F
c) Androblastoma -
d) York sac tumour - T
e) Adenofibroma

15. Regarding SFA
a) Sperm count of 25-30 million/ml need further investigation - T
b) Active progressive motility of less than 10% is abnormal - T
c) Teratospermia is abnormal sperm - T
d) Should be done only when there is no abnormality in female - F
c) Abstinence of sexual intercourse for 3 days, need prior to investigation - T

16. Trichomonas
a) Male will not get the infection because it is washed away in urine.
b) Treated with metronidazole 1g single dose.
c) Male partner treatment is essential
d) Diagnosed by wet saline mount of posterior fornix.

17. Chlamydia in female
a) Foul smelling vaginal discharge
b) Causes tubal infertility - T
c) Causes PID - T
d) Male partner need not to be treated
e) Treated with Doxicycline - T

18. Endometriosis
a) Recognized course for 1ry dysmenrrhoea.
b) Causes recurrent miscarriages - T
c) Causes tubal infertility -T
d) Due to retrograde flow of menstruation - T
e)Highly resistant to medical management
19. 18 year, phenotypically female, not menstruated, no breast development, high FSH and
LH, low oestradiol
What are the management required
a) Karyotyping
b) Trans abdominal USS
c) X ray kidney
d) Reassurance about fertility
e) Oestradiol therapy

20. Complications of induction of labour includes
I. Cord prolapsed - T
II. Placental abruption - T
III. Hypernatremia
IV. Prematurity
V. Increased incidence of unconjugated hyperbilirubinaemia

21. Causes of transverse lie includes
I. Placenta praevia
II. Fibroids
III. IUGR
IV. Oligohydramnios
V. Grand multipara

22. Regarding OP position in pregnancy
I. It occurs in 50%of early labour
II. Majority changes to OA position - T
III. Majority needs assisted vaginal delivery
IV. Doesn’t causes prolonged 1st stage of labour - T
V. Causes deep transverse arrest

23. PPH due to genital tract trauma
I. Cervical tears are treated by packing the vagina - F
II. Uterus is hard - T
III. OP position is more related to the trauma than others - T
IV. Wait till 500ml of blood loss - F
V. Cervical tears are treated by IV ergometrine - F

24. Bleeding in early pregnancy
I. Indication of high risk for pre eclamsia in late pregnancy
II. Doppler is indicated
III. Better assed by trans vaginal USS
IV. Treated with vaginal pesseries
25. Investigations done to find the aetiology of recurrent miscarriages
I. Karyotype of both partners
II. Pelvic USS
III. Maternal rubella status
IV. Sonohysterography
V. Varicella zoster antibody status

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26. In newborn to a diabetic mother
I. Hyperglycaemia
II. Hypothermia
III. Hypocalcaemia
IV. Jaundice
V. Retinopathy

27.following drugs are harmful to be given during first trimester of pregnancy
I. Penicillin
II. Gentamicin
III. Warfarin
IV. Thyroxine
V. Sodium valproate

28. Regarding urinary incontinence
I. Cystourethrocoele is a cause
II. GSI is commoner than urge incontinence
III. Surgery is preferable for GSI
IV. Pelvic floor exercises are useful in the management
V. Oxybutalin for detruesor instability

29. Regarding oestrogen
1. Plays a role in epiphyseal closure of long bones.
2. If given to women with ovarian agenesis results in growth of breast tissue.
3. Estrone is predominate in menopause.
4. Mainly metabolised in kidney.
5. Is teratogenic

30. Drug treatment in management of PPH
1. Ergometrine 0.5mg IM - T
2. Synto 5U IV
3. IV synto 20U in 500 ml N/S - T
4. Intramyometrial inj. Of prostaglandin E2 . – F (F2 alpha )
5. Pervaginal PG E2. - F


31.Maternal anaemia causes
a.foetal anomalies
b.At 8weeks of POA is physiological
c.Gives rises to sinusoidal pattern in CTG

32.Recommended investigations to find ourt the cause of subfertility
a.HSG
b.Rh status in both parents
c.Rubella status in the female
d.Investigation for Chlamydia infection in male

33.Regarding breech delivery
a.Lovset manoure used to deliver extended arms
b.Cord prolapsed common in footling than flexed
c.Breech extraction done for prolonged second stage
d.Keillands forceps used to deliver the head

				
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