Mcq Subject: Gynaecology & Obstetrics

A 30-year-old G2P1L1 at 37 weeks gestational age is here for a routine visit. Her first was a vaginal delivery of a 4.3 kgs baby boy after 30 min of pushing. This fetus is breech. Vaginal exam demonstrates that the cervix is 50% effaced and 1 to 2 cm dilated. The presenting breech is high out of the pelvis. The estimated fetal weight is about 3.2 kgs. A sonogram confirms a fetus with a frank breech, normal amniotic fluid present, and the head is well flexed. The following are possible management plans except:

A. Allow the patient to undergo a vaginal breech delivery whenever she goes into labor

B. Cesarean section now

C. Pinard's maneuver can be done for delivery of extended legs

D. Schedule an external cephalic version in the next few days

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Which one of the following biochemical parameters is the most sensitive to detect open spina bifida ?

A. Maternal serum alpha fetoprotein

B. Amniotic fluid alpha fetoprotein

C. Amniotic fluid acetyl cholinesterase

D. Amniotic fluid glucohexaminase

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Most commonly veically transmitted organism of the following is?

A. Herpes simplex

B. CMV

C. Rubella

D. Human papilloma virus

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Time required for ovulation from the onset of LH surge is

A. 12 hours

B. 24 hours

C. 36 hours

D. 48 hours

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Benefits of surgical induction (ARM) are all except

A. Enhances progress of active labor

B. Relieves the maternal distress in hydramnios

C. Decreased incidence of amnionitis

D. Reduces the need of caesarean section

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Drug of choice to delay preterm labour:

A. Ritodrine

B. Nifedipine

C. Progesterone

D. Indomethacin

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Most common symptom of ectopic pregnancy:

A. Bleeding

B. Pain

C. Abortion

D. Infection

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All of the following statements about Androgen Insensitivity Syndrome are true except :

A. Patients have an XY genotype

B. Pubic hair are abundant

C. Sho vagina may be present

D. Ovaries are absent

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Total amount of iron needed by the fetus during entire pregnancy

A. 500 mg

B. 1000 mg

C. 800 mg

D. 300 mg

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Contraceptive to be avoided in epilepsy:

A. OCPs

B. Condom

C. IUCD

D. Mirena

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