Mcq Subject: Gynaecology & Obstetrics

A 26-year-old primigravida with juvenile myoclonic epilepsy comes to you at 4 months with concern regarding continuing sodium-valproate treatment. Your advice is:

A. Add lamotrigine to sodium valproate

B. Taper sodium valproate and add lamotrigine

C. Switch on to carbamazepine

D. Continue sodium valproate with regular monitoring of serum levels

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Transmission of herpes is maximum in-

A. IInd trimester

B. IIIrd trimester

C. During parturition

D. 1st trimester

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A pregnant female delivered a baby with normal expulsion of an intact placenta. After half hour she staed bleeding per vaginaly. On examination she was hypotensive and boggy mass is palpated per abdomen. USG showed retained placental tissues. what is the likely diagnosis?

A. Placenta succenturiata

B. Adenomyosis

C. Placenta accreta

D. Membranous placenta

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Maximum strain of parturient heart occurs during:

A. At term

B. Immediate postpartum

C. Ist trimester

D. IInd trimester

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A pregnant woman with G3P2L0 presented to you with a pregnancy at period of gestation of 9 weeks. She has a history of conization one year back currently on follow up with no recurrence on PAP smean She also has the history of preterm bihs at 30 and 32 weeks during her last 2 pregnancy. What is your next step in the management of this patient?

A. USG to see cervical length

B. Cervical cerclage

C. Complete bed rest

D. Abdominal cerclage

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All are features of infant born to diabetic mother except:

A. Obesity

B. Learning disability

C. Ketotic hypogylycemia

D. Future diabetes mellitus

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Drugs preventing PPH, all except:

A. Misoprostol

B. Dinoprostone

C. PGF-2 alpha

D. Oxytocin

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DOC for bacterial vaginosis in pregnancy

A. Clindamycin

B. Erythromycin

C. Rovamycin

D. Metronidazole

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A pregnant, diabetic female on oral hypoglycemics is shifted to insulin. All of the following are true regarding this, except:

A. Insulin does not cross placenta

B. During pregnancy insulin requirement increases and cannot be provided with sulphonylureas

C. Tolbutamide crosses placenta

D. Tolbutamide causes PIH

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Which of the following statements is true about Swyer svndrome?

A. Can be feile with surrogacy

B. Can be feile with ovum donation

C. Presents with primary feility

D. Gonadectomy is indicated for all patients

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