Mcq Subject: Gynaecology & Obstetrics

A 15-year-old girl c/o failure to attain menarche. Her height is 4 feet. She has not yet developed secondary sexual characteristics. If USG shows uterus and vagina. FSH and LH levels are high. What is the best step in confirming the diagnosis?

A. Perform a CT

B. Perform a Karyotype

C. Perform a buccal smear

D. Perform progesterone withdrawal test

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Which out of these is the cause of menopause?

A. Ovarian failure secondary to cessation of pituitary secretion of gonadotropins

B. Ovarian failure secondary to cessation of hypothalamic secretion of GnRH

C. Deranged hypothalamic-pituitary-ovarian axis functioning

D. Primary ovarian failure

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The treatment of leukoplakia of vulva is:a) Irradiationb) Simple vulvectomyc) Radical vulvectomyd) Estrogen cream.

A. c

B. d

C. ab

D. bd

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A 29-year-old G3P2 woman at 34 weeks’ gestation is involved in a serious car accident in which she lost consciousness briefly. In the emergency department she is awake and alert and complains of a severe headache and intense abdominal and pelvic pain. Her blood pressure is 150/90 mm Hg, heart rate is 120/min, temperature is 37.4°C (99.3°F), and respiratory rate is 22/min. Fetal heart rate is 155/min. Physical examination reveals several minor bruises on her abdomen and limbs, and vaginal inspection reveals blood in the vault. Strong, frequent uterine contractions are palpable. Which of the following is most likely a complication of this pts present condition:

A. DIC

B. IUGR

C. Subarachnoid hemorrhage

D. Vasa previa

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A hypeensive woman has come for preconception counseling. Which of the following antihypeensive is advised to continue once she becomes pregnant?

A. Enalapril

B. Chlohiazide

C. Nifedipine

D. Losaan

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All of the following are associated with breech presentation at normal full term pregnancy, EXCEPT:

A. Placenta accreta

B. Fetal malformation

C. Uterine anomaly

D. Cornual implantation of placenta

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A 35 year old female P3 + 0 is observed to have CIN grade III on colposcopic biopsy. Which of the following would be the best initial management?

A. Cryosurgery

B. Conization

C. LEEP

D. Hysterectomy

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Which of the following drugs reduces efficacy of combined OCPs

A. Diazepam

B. Griseofluvin

C. Aspirin

D. Paracetamol

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Aboion is defined as “expulsion of fetus” less than………………..gms :

A. 500

B. 800

C. 900

D. 1000

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Teenage pregnancy is associated with all except:

A. Caesarean Section is more common

B. Eclampsia more common

C. Post dated pregnancy

D. | Maternal moality rate

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