Mcq Subject: Gynaecology & Obstetrics

Late deceleration in fetal hea rate monitoring is suggestive of: March 2012

A. Fetal hypoxia

B. Head compression

C. Cord compression

D. Fetal death

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A primipara with a breech presentation is in the second stage of labor for 2 hours. The fetal heart rate is 140 beats per minute. She is getting 3 uterine contractions per 10 minutes. The breech is felt at the level of the ischial spines. The membranes are absent. The pelvis is adequate. The estimated fetal weight is 3 kg.What is the most appropriate management?

A. Commence an infusion of oxytocin

B. Improve maternal hydration with intravenous fluids

C. Observe for a further period of 1 hour for spontaneous delivery to occur

D. Perform a lower segment cesarean section

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Regarding outpatient hysteroscopy all are true except :

A. Abnormal uterine bleeding is an indication

B. Normal saline as distension medium can be used

C. It is less accurate than saline infusion sonography (SIS)

D. It is not reliable to exclude endometrial carcinoma

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Anti tubercular drug contraindicated in pregnancy is –

A. Streptomycin

B. Isoniazid

C. Rifampicin

D. Pyrazinamide

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Endometriosis is commonly associated with :

A. B/L chocolate cyst of ovary

B. Adenomyosis

C. Fibroid

D. Luteal cyst

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All of the following structures forms the boundary of the urogenital triangle, EXCEPT:

A. Pubic rami

B. Ischial tuberosity

C. Ischiocavernosus muscle

D. Superficial transverse perineal muscle

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Postpartum decidual secretions present are referred to as:

A. Lochia

B. Bleeding per vaginum

C. Vasa-previa

D. Decidua-capsualris

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Which among the following is TRUE about MIRENA?

A. Levonorgestrel IUCD

B. Hormonal implant

C. Anti progesterone

D. Used for MTP

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All the following can be used in the medical management of fibroid uterus except

A. Mifepristone

B. NSAIDS

C. Leuprolide

D. Danazol

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True statements regarding DMPA includes all the following except

A. 3% failure rate

B. Useful in treatment of menorrhagia

C. Can be given in women with seizures

D. Protects against ovarian cancer

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