Mcq Subject: Gynaecology & Obstetrics

A 26-year-old G2P2 woman underwent a normal vaginal delivery 10 days ago. She comes into the doctor’s clinic complaining of a large amount of bright red bleeding beginning since 5 PM the previous day. Which of the following is the most likely diagnosis

A. Uterine atony

B. Subinvolution of the uterus

C. Vaginal laceration

D. Cervical laceration

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All of the following statements are true regarding comparison between vacuum delivery and forceps delivery, EXCEPT:

A. Retinal hemorrhage, intracranial hemorrhage and subgaleal hemorrhage are more common in ventouse delivery than forceps

B. Intracranial pressure rises during traction

C. Cephalohematoma is more common with vacuum extraction

D. Less maternal trauma by vacuum as compared with forceps

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A 35-year-old pregnant female at 40 weeks gestational age presents with pain and regular uterine contractions every 4-5 min. On arrival, the patient is in a lot of pain and requesting relief immediately. Her cervix is 5 cm dilated. What is the most appropriate method of pain control for this parent?

A. Intramuscular Morphine

B. Pudendal block

C. Local block

D. Epidural block

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A para II poorly compensated cardiac patient has delivered 2 days back. You will advice her to :

A. Undergo sterilization (tubectomy) after 1 week

B. Undergo sterilization after 6 weeks

C. Suggest her husband to undergo vasectomy

D. Take oral contraceptive pills after 6 months

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Delayed cord clamping in preterm neonate has following effects except

A. Higher red cell volume

B. Higher rate of NEC

C. Lower rate of intraventricular hemorrhage

D. Lowers need of blood transfusion

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When in labor, a diagnosis of occipito posterior presentation is made. The most appropriate management would be :

A. Emergency CS

B. Wait and watch for progress of labor

C. Early rupture of membranes

D. Sta oxytoicn drip

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A 35wks POG, USG parameters more or less corresponding to POG. Doppler showing absent end diastolic flow Management:

A. Monitor till it becomes reverse diastolic flow or 37 weeks

B. Monitor till 37 weeks

C. Give steroids and wait for 48 hours

D. Plan for immediate termination

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In twin pregnancy delivery by cesarean section is advocated in all the above conditions except :

A. Second twin in transverse lie position

B. First twin in transverse lie position

C. Monoamniotic twins

D. Weight less than 1500 gm.

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A 40 year old woman who presented with severe abdominal pain, fever and nausea was taken up for explorative laparotomy. It revealed a purple red tumour on the uterus with fishy odour. On careful examination some of the large veins on the tumour were thrombosed. What is the possible diagnosis?

A. A sarcomatous change in a pre existing myoma

B. Fatty degeneration of a myoma

C. Red degeneration of a myoma

D. Hyaline degeneration of a myoma

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Maximum cardiac output during pregnancy is seen at :

A. 20 weeks

B. 30 weeks

C. 34 weeks

D. 36 weeks

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