Mcq Subject: Gynaecology & Obstetrics

A patient who underwent surgery for stage IA grade 3 Ca endometrium was brought to you for postoperative adjuvant therapy. What is the preferred mode of treatment in the above mentioned case?

A. External pelvic radiation

B. External field radiation

C. Vaginal brachytherapy

D. Observation

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Softening of the vaginal poion of the cervix:

A. Goodell's sign

B. Chadwick's sign

C. Hegar's sign

D. Piskacek's sign

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All of the following support uterus except

A. Cardinal ligament

B. Round ligament

C. Pubocervical ligament

D. Mackenrodt's ligament

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All of the following mechanisms might account for a reduce-risk of upper genital tract infection in users of progestin – releasing lUDs, except:

A. Reduced retrograde menstruation

B. Decreased ovulation

C. Thickened cervical mucus

D. Decidual changes in the endometrium

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Indications for Colposcopy include following except:

A. Abnormal Pap smear of cervix

B. Diagnostic directed biopsy

C. Follow up of cases treated conservatively

D. Obvious Visible growth

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During foetal lite maximum growth is caused by :

A. Growth harmone

B. Insulin

C. Coisol

D. Thyroxin

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Impoant post operative managment of case of VVF is :

A. Continuous bladder drainage

B. Antibiotics

C. Complete bed rest

D. Early ambulation

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Yuzpe and Lance regimen for ‘post — coital’ contraception :

A. 100 mg of ethinyl oestradiol and 0.5 mg of levonoregestel initially followed by the same dose after 12 hours

B. Same as above but followed by same dose after 24 hours

C. Use of 150 mg of DMPA every 3 months

D. 200 mg NET -- EN every 60 days

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A multipara with previous LSCS comes at 38 weeks pregnancy in shock. Differential diagnosis includes:

A. Placenta previa

B. Abruptio placenta

C. Rupture uterus

D. All of the above

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Most sensitive test for acute fetal distress :

A. Fresh meconium on induction of labour

B. Loss of beat to beat variation of hea beat

C. Increased fetal movements

D. Type 1 dips in second stage

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