Mcq Subject: Gynaecology & Obstetrics

25 year old female patient is referred from a PHC with history of expanding vulvar mass, during first hour post partum. She delivered normally and without perineal laceration. She complains of severe pain. On examination her BP is 90/40 mmHg, pulse = 130bpm and no fever. what is your approach in treatment of patient

A. Ice packs placed and plan observation.

B. Angiographic embolization of supra levator hematoma.

C. Incise the point of maximum expansion, evacuate clots, and ligate bleeding points.

D. Laparotomy to evacuate retroperitoneal hematoma as it is connected to ischioanal fossa.

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Bilateral metastatic ovarian tumor from gastrointestinal malignancies is known as:

A. Theca cell tumour

B. Fibromas

C. Granulosa cell tumour

D. Krukenberg tumor

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Which one of the following is not a sign of early pregnancy?

A. Goodell's sign

B. Hegar's sign

C. Cullen's sign

D. Palmer sign

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Independent risk factors for endometrial hyperplasia are all except

A. Obesity

B. Diabetes

C. Hypertension

D. Tamoxifen

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An infeile woman underwent hysterosalphingogram. It showed bilateral beaded tubes with enlargement at ampulla, The organism responsible is :

A. Chlamydia

B. Gonococci

C. Tuberculosis

D. None

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Recurrent miscarriage is :

A. 4 or more pregnancy losses at any weeks

B. 3 or more consecutive losses < 20 weeks

C. >2 pregnancy losses >12 weeks

D. >3 pregnancy losses, after 24 weeks

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The use of combined oral contraceptive pill is associated with an increased incidence of

A. Bacterial vaginosis

B. Chlamydial endocervicitis

C. Vaginal was

D. Genital herpes

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Enzyme responsible for conversion of androgen into estrogen –

A. Aromatase

B. Sulphatase

C. Fumarase

D. 3 beta hydroxy steroid dehydrogenase

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α and β subunits are not seen in:

A. FSH

B. HCG

C. Prolactin

D. Insulin

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Spiegelberg criteria is used for the diagnosis of:

A. Tubal pregnancy

B. Ovarian pregnancy

C. Cervical pregnancy

D. Abdominal pregnancy

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