| Questions>Karnataka>2003>OBG |
1] Abnormal Uterine bleeding associated with MYOMATA UTERI is characterized by all the following except:
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A gradual increase in bleeding
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Excessively long menstrual bleeding
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Excessive bleeding during menses
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Irregular cycles with menorrhagia
=d
2] A 5 year old girl presents with foul smelling vaginal discharge, most likely cause is.
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Foreign body
-
Candidiasis
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Trichomoniasis
-
Vesicorectal fistula
=a
3] A 35 year old woman was referred to a gynec OPD with c/o vaginal irritation, greenish yellow discharge & intense pruritis of recent origin . Physical examination was normal , but for diffuse vaginal erythema . Microscopic examination of the discharge reveled motile flagellated organism. one of the following statements regarding this case is false
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Its a STD
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Oral metronidazole is the drug of choice
-
Vaginal pH is usually less than 2.5
-
Even her sexual partner needs to be treated
= c
4] A laboring patient has progressed through labor without any analgesia. She pushes effectively & brings the vertex to the perineum. Effective anesthesia will be needed for episiotomy and repair. Where should be the needle be placed?
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Through the perineum
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Into the hypogastric plexus
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Into the utero sacral ligament
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Through the sacrospinous ligament.
= a
5] A woman delivers a 9 lb baby with midline episiotomy & develops a 3rd degree tear. Inspection shows that the following structures are intact.
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Anal sphincter
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Perineal body
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Rectal mucosa
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Perineal muscles
=c
6] All the following statements regarding beta -HCG are true except.
-
Measurements of serum concentration of 2000I.U/liter indicates a normal intra uterine pregnancy can be identified on trans vaginal USG.
-
Measurements of serum concentrations are useful for the diagnosis of partial hyditiform mole
-
Serial serum concentrations may be used to monitor the medical treatment of ectopic pregnancy.
=?
7] A woman in her 1st pregnancy reports that she smokes 1 pack of cigarettes per day. An USG is ordered at 32nd week of gestation to evaluate the following....
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Amniotic fluid volume
-
Fetal size
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Fetal anomalies
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Fetal motion
= B
8] The following hormone is not produced by the placenta...
-
HCG
-
HPL
-
Prolactin
-
Estriol
= C
9] Which of the following explanations IS NOT an explanation of decreased variability of fetal heart tracing?
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Fetal "sleep state"
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Prematurity
-
Barbiturate poisoning
-
Fetal stimulation
= D
10] Which of the following factors is a poor prognostic indicator for "METASTATIC GESTATIONAL TROPHOBLASTIC DISEASE"?
-
Lung metastasis
-
Patient age is 35 yrs
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Diagnosis of disease at 6 weeks post partum
-
Presence of a fetus
= C
11] Regarding contraception for the woman over 35yrs all the following are true except.....
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Healthy women of 35 yrs without coronary heart disease risk factors , can use low dose OCP's with confidence.
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The use of combined OCP's results in significant decrease in the incidence of ovarian cysts.
-
The ratio of ectopic pregnancy to total pregnancies conceived is higher with progestin only IUD that with copper containing IUD's.
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Due to considerable risk of CA Breast , the use of combined ocp's should be discouraged .
= C
12] Engagement is said to occur when.......
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The fetal head is within the maternal pelvis
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The biparietal diameter of the fetal head is through the plane of the inlet.
-
The presenting part is just above the level of ischial spines.
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The vertex is in transverse position.
= B
13] Which of the following is not indicative of ovulation?
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Rise in BBT
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Progesterone level of above 5-6ng/ml
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Secretary endometrium
-
The occurrence of menses
= D
14] The most likely site of implantation of endometriosis is:
-
Small bowel serosa
-
Omentum
-
Appendix
-
Peritoneum of CUL-DE-SAC.
= D
15] Post menopausal bleeding does not occur in....
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Use of combined OCP's
-
Atrophic vaginitis
-
Endometrial hyperplasia
-
CA-Endometrium
= B
| [Explanation - Carcinoma of endometrium - is associated with post menopausal bleeding Endometrial hyperplasia is also associated with post menopausal bleeding Use of OCP's - stimulates and maintains the function of the endometrium so bleeding, so that bleeding will occur Atrophic vaginitis - indicates loss of hormonal support to the vagina (so that the endometrium will also show effects - bleeding does not occur)] source netmedicos |
16] Earliest USG sign of pregnancy in trans abdominal USG is
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Visible gestational sac
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Apparent embryonic structures
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Fundal endometrial thickening
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Identifiable cardiac movements
= A
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