Mcq Subject: Gynaecology & Obstetrics

At 28 weeks gestation, amniocentesis reveals a AOD 450 of 0.20 which is at the top of third zone of the liley curve. The most appropriate management of such a case is:

A. Immediate delivery

B. Intrauterine transfusion

C. Repeat Amniocentesis after 1 week

D. Plasmapheresis

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Which of the following drug is not used for medical management of ectopic pregnancy:

A. Potassium Chloride

B. Methotrexate

C. Actinomycin D

D. Misoprostol

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G3 with previous second trimester abortion presents with 22 week of gestation, abdominal pain, USG shows funneling of internal os. What is the ideal management?

A. Dinoprost and bed rest

B. Misoprost and bed rest

C. Fothergills stitch

D. Mc Donald stitch

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A pregnant lady develops chickenpox. During which part of her pregnancy will it lead to highest chance of neonatal infection:

A. Last 5 days

B. 12-16 week

C. 8-12 week

D. 16-20 week

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Fetal adrenals release which hormone predominantly:March 2009, September 2010

A. Oestrogen

B. Testosterone

C. Aldosterone

D. Coisone

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Dose of dexamethasone given to mother in anticipated preterm delivery:

A. 12 mg 12 hourly 2 doses

B. 12 mg 24 hourly 4 doses

C. 6 mg 24 hourly 2 doses

D. 6 mg 12 hourly 4 doses

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Best test for fetal maturity in a diabetic mother is :

A. L:S ratio

B. Lecithin-cephalin ratio

C. Phosphatidyl choline

D. Phosphatidyl glycerol

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A 34-year-old primigravida at 11 weeks gestation presents to her obstetrics clinic with chief complain of exposure to a rash. Her husband is HIV+ve and has broken out on a rash in his left buttock which consists of a grouped vesicles on a maculopapular base, 4 days back. She has got her HIV testing done which is negative. Her P/R is 86/min, B/P = 100/60 mm of hg, resp rate 10/min and temp = 98.7F.FHS is heard via Doppler.What is the next step in the management:

A. Administer high dose acyclovir to the infant at birth.

B. Administer high dose acyclovir to the patient now.

C. Administer varicella immunoglobulin to the infant at birth.

D. Administer varicella immunoglobulin to the patient

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Comprehensive emergency obstetric care does not include:

A. Manual removal of placenta

B. Hysterectomy

C. Blood transfusion

D. Cesarean section

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An episiotomy is to be performed in a primigravida in labor. Which of these is an advantage of mediolateral episiotomy over midline episiotomy?

A. Less chance of extension

B. Can be repaired at ease

C. Fewer breakdown

D. Lesser blood loss

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