Mcq Subject: Gynaecology & Obstetrics

During pregnancy baby can be affected in utero in all except:

A. Candida

B. Syphilis

C. Toxoplasmosis

D. Polio

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A midwife at a PHC did per vaginal examination of a women in labor with 8 cm cervical dilation and 70% cervical effacement with the fetal head at +1 station. This +1 station implies the position of fetal head is-

A. 1 cm above the ischial spine

B. 1 cm below the ischial spine

C. At the level of ischial spine

D. 1 cm below the cervical os

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A 38-years old patient who had a total abdominal hysterectomy presents 2 months postop complaining of leakage of urine from the vagina. On examination, no fistula can be identified. Dilute methylene blue (100mL) is injected into the bladder through a Foley catheter and a tampon is placed in the vagina. The patient is asked to walk for about 15 minutes, after which the patient is found to be wet, but there is no blue stain anywhere on the tampon. Which of the following is true:-

A. 100mL was probably not enough methylene blue, and the test should be repeated with a higher volume

B. The patient probably has stress incontinence not a fistula

C. The patient probably has a ureterovaginal fistula

D. The patient most likely has small apical vesicovaginal fistula that was too small to leak the dye in 15 minutes

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Kamlesh, a 2 year old girl, has Down’s syndrome. Her karyotype is 21/21 translocation. What is the risk ofrecurrence in subsequent pregnancies if the father is a balanced translocation carrier :

A. 100%

B. 50%

C. 25%

D. 0%

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Best parameter for ultrasound evaluation of IUGR is:

A. Placental membrane

B. Length of femur

C. Abdominal circumference

D. BPD

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Which statements is true regarding VENTOUSE :

A. Minor scalp abrasions and subgaleal hematomas in new born are more frequent than forceps

B. Can be applied when foetal head is above the level of ischial spine

C. Maternal trauma is more frequent than forceps

D. Can not be used when fetal head is not fully rotated

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In Galactorrhoea–amenorrhea syndromes, which is the investigation you should advise (apa from serum prolactin)?

A. TSH

B. LH

C. hCG

D. Urinary ketosteroids

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The following test may be abnormal in disseminated intravascular coagulation except:

A. Prothrombin

B. Activated partial thromboplastin time

C. D-timer levels

D. Clot solubility.

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A child born with multiple congenital defect including cleft palate, neural tube defect, atrial septal defect and microcephaly which of the following drug is used by mother during pregnancy:

A. Erythromycin

B. Isotretinoin

C. Ibuprofen

D. Metronidazole

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A 14 year girl presented with absent thelarche.On examination uterus was present. Investigations showed high FSH. karyotype is XY.What is the probable diagnosis?

A. Gonadal dysgenesis

B. Kallman syndrome

C. Androgen insensitivity syndrome

D. Adrenal hyperplasia

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