Mcq Subject: Gynaecology & Obstetrics

A 25 year old nulliparous woman at 35 weeks’ gestation comes to the labor and delivery ward complaining of contractions, a headache, and flashes of light in front of her eyes. Her pregnancy has been uncomplicated except for an episode of first trimester bleeding that completely resolved. She has no medical problems. Her temperature is 37 C (98.6 F), blood pressure is 160/110 mm Hg, pulse is 88/minute, and respirations are 12/minute. Examination shows that her cervix is 2 centimeters dilated and 75% effaced, and that she is contracting every 2 minutes. The fetal hea tracing is in the 140s and reactive. Urinalysis shows 3+ proteinuria. Laboratory values are as follows: leukocytes 9,400/mm3, hematocrit 35%, platelets 101,000/mm3. Aspaate aminotransferase (AST) is 200 U/L, and ALT 300 U/L. Which of the following is the most appropriate next step in management?

A. Administer oxytocin

B. Discharge the patient

C. Encourage ambulation

D. Sta magnesium sulfate

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Which natural family planning method is based on Ogino Knauss theory ?

A. BBT method

B. Rhythm method

C. Lactational aneronhea

D. Withdrawal method

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The weight of placenta and fetus are equal at

A. 14 weeks

B. 16 weeks

C. 17 weeks

D. 21 weeks

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Oestrogen in pre-menopausal women has following effect on lipid profile

A. Decreased high-density lipoproteins

B. Increased low-density Lipoproteins

C. Increased high-density Lipoproteins

D. Increased total cholesterol

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Contraindications to tranexamic acid in management of heavy menstrual bleeding are all except

A. Concurrent combined oral contraceptives use

B. Colour blindness

C. Disseminated intravascular coagulation

D. Intermenstrual bleeding

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Incidence of scar rupture in a pregnant lady with previous LSCS is:

A. 0.2

B. 0.5

C. 0.7

D. 0.9

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Fetal cardiac activity is detected with Trans vaginal USG as early as?

A. 6 weeks

B. 8 weeks

C. 10 weeks.

D. 12 weeks

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A 36-year-old G1P0 woman presents for her first prenatal visit late in her first trimester of pregnancy; she complains of persistent vaginal bleeding, nausea, and pelvic pain. Physical examination is notable for a gravid uterus larger than expected for gestational age. Fetal heart tones are absent. The patient has a medical history significant for herpes and gonorrhea infections.Which of the following is most likely to be true:

A. β hcg levels will be higher than normal

B. β hcg levels will be lower than norma

C. uterus will be of normal levels

D. TSH levels will be increased

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A 25 years old female was diagnosed to have choriocarcinoma, management is :

A. Chemotherapy

B. Radiotherapy

C. Hysterectomy

D. Hysterectomy and then radiotherapy

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Caudal regression syndrome is specifically seen in babies of mother having

A. Diabetes

B. PIH

C. Cardiac disease

D. Anaemia

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