Mcq Subject: Gynaecology & Obstetrics

A cervical Pap smear repo stating that “koilocytic atypia is present” indicates the:-

A. Presence of high-grade cervical intraepithelial neoplasia

B. Cytologic effect of herpesvirus type 2

C. Cytologic effect of human papillomavirus

D. Presence of chlamydial infection

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The nerve root blocked in pudendal block is

A. L 1,2,3

B. L 2,3

C. S 2,3,4

D. S 4

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Earliest fetal anomaly to be detected by USG :

A. Hydrocephalous

B. Anencephaly

C. Achondroplasia

D. Spina bifida

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A pregnant lady at 32 weeks of gestation presents with a BP of 160/110 mmHg, proteinuria with retinal haemorrhage. What is the definitive treatment of choice in this patient?

A. Ritodrine

B. Nifedipine

C. Magnesium sulphates

D. Termination of pregnancy

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A 45 year old woman develops abdominal and pelvic discomfo. Physical examination reveals a large mass in the right lower quadrant, which is surgically resected. The mass consists of a large (25 cm) cystic sac containing thick mucinous fluid within a thin wall. On careful inspection, the pathologist finds an area of increased thickness in the cyst wall, which is sampled for histology. Microscopically, the tumor appears to be composed mostly of a single layer of nonciliated columnar cells arranged in papillary projections. The thickened area, however, displays stratification of epithelial cells, increased cytologic atypia, and high mitotic activity. Neveheless, no stromal invasion is found. Which of the following is the most likely diagnosis?

A. Borderline mucinous tumor

B. Mucinous cystadenocarcinoma

C. Mucinous cystadenoma

D. Serous cystadenocarcinoma

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Cyst seen in vagina are all except:

A. Nebothian cyst

B. Gartner's cyst

C. Bartholin's cyst

D. Inclusion cyst

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Not an indication for blood transfusion

A. Moderate anemia at 24-30 weeks

B. Severe anemia at 36 weeks

C. Blood loss anemia

D. Refractory anemia

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Risk of scar rupture in previous LSCS with lower segment scar is –

A. 1%

B. 5%

C. 10%

D. 50%

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Concerning the gastrointestinal (GI) tract during pregnancy, which of the following is true?

A. Gastric emptying time is increased in each trimester

B. Epulis is a systemic highly vascular swelling of mucosal membranes

C. Gastric emptying time is shoened during labor

D. Pyrosis is caused by reflux of acidic secretions into the lower esophagus

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A young lady presents to your office with complain of copious vaginal discharge, but there is no cervical discharge on per speculum examination. Which of the following should be given for the management

A. Metronidazole and fluconazole

B. Metronidazole and azithromycin

C. Metronidazole and doxycycline

D. Fluconazole only

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