Mcq Subject: Gynaecology & Obstetrics

lnfants of diabetic mothers are likely to have the following cardiac anomaly

A. Coarctation of aoa

B. Fallot's tetralogy

C. Ebstein's anomaly

D. Transposition of great aeries

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For a woman with history of prior two molar pregnancies, the risk of having a third molar pregnancy is

A. 1%

B. 5%

C. 10%

D. 20%

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To diagnose well being of fetus, most reliable method :

A. L:S ratio

B. HPL levels

C. Kick test

D. Ultrasound

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Caudal regression syndrome is seen in babies of mother having :

A. Gestational diabetes

B. PIH

C. Cardiac disease

D. Anaemia

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In deep transverse arrest the delivery of baby is conducted by :

A. Cesarean section

B. Vacuum extraction

C. Keilland forcep and Manual rotation and forcep delivery both

D. All of the above

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Couvelaire uterus is present :

A. Placenta prae

B. Abruptio placenta

C. Vasa pre

D. All of he above

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A 32-year-old second gravida who had an LSCS in her first pregnancy is admitted in labor. The fetus is in the cephalic presentation. The head is engaged. This estimated fetal weight is 3 kg. Uterine contractions are 2 per 10 minutes. The fetal heart rate is 140 bpm. The cervical dilation is 5 cm. The vertex is felt 1 cm above the ischial spines. The posterior fontanelle is felt. Pelvis is adequate. The membranes are intact. What is the best management option?

A. Do an amniotomy and allow labor to progress

B. Do an amniotomy and commence an infusion of oxytocin

C. Perform a cesarean section

D. Perform a ventous delivery in the second stage

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Vulval carcinoma metastasizes to which lymph group :

A. Para aoic nodes

B. Superficial inguinal nodes

C. Internal iliac nodes

D. External iliac nodes

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Two weeks later, the results of the patient’s prenatal labs come back. Her blood type is A, with an anti D antibody titer of 1:4. What is the most appropriate next step in the management of this patient?

A. Schedule an amniocentesis for amniotic fluid bilirubin at 16 weeks

B. Repeat titer in 4 weeks

C. Repeat titer in 28 weeks

D. Schedule PUBS to determine fetal hematocrit at 20 weeks

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You have initiated ‘Magpie’ regime for a patient with eclampsia. Later you notice that the respiratory rate is 6/minute and the tendon reflexes are not elicitable. What is the next appropriate step?

A. Inject naloxone at the rate of 0.01 mg/kg over 5 minutes

B. Inject calcium gluconate 10 ml over 10 minutes

C. Inject 0.4 mg Atropine IV

D. Inject 5 mEq/kg sodium bicarbonate IV over 10 minutes

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