1] A 22 year old woman , gravida 2, Para 1,presents for a routine perinatal visit. She is 42-1/2 weeks gestation by dates . She is 170 cms tall & weighs 67 kgs . Her total weight gain is 19 kgs . She has a positive H/O chronic hypertension . She has had 5 USG's performed at this pregnancy at 10,20,25,30 & 40 weeks. Which of the following USG's gives the most accurate duration of pregnancy ?

1. 10 weeks
2. 20 weeks
3. 25 weeks
4. 30 weeks

Ans : A

2] A 21 year old gravida 1 ,para0,presents at 39 weeks of gestation in active labor. Clinical pelvimetry shows her pelvic dimensions as follows : Pelvic sidewalls are straight; ischial spines are not prominent ; pubic arch is wide ; sacrum is hollow ; & sacro-sciatic notch is well rounded . Based on the general bone architecture , which is the type of pelvis this patient has ?

1. Obsetric
2. Android
3. Antropoid
4. Gynecoid

Ans : D

3] A 16 year old woman , gravida 1 , para 0 , presents at your OPD  for a routine examination at 24 weeks. Her BP is 150/95mmHG & remains elevated when repeated after 10 minutes of rest & in left lateral position. On urine dipstick , she has 1+ glucose & 2+ albumin. Her BP on her initial perinatal visit was 120/75 mm HG. Her maternal granddad has h/o NIDDM  . Which of the following is the most likely explanation in this patient ?

1. Blunted angiotensin response
2. Elevated beta-endorphins
3. Acute Diffuse vasoconstriction
4. Primary renal disease

Ans : C

3] An USG on an 22year old G2P1 at 30 weeks of gestation revels a single fetus with its head in the rt upper quadrant & back to the mothers left. Both fetal thighs are flexed  & legs extended. Which of the following is the correct fetal presentation ?

1. Frank breech
2. complete breech
3. Incomplete breech
4. Double-footing breech

Ans : A

4] A 34 year old G3 P2 with H/O 2 preterm deliveries comes in labor at 32 years of gestation. Her contractions are regular & cervical dilatation is is 3 cms. She is given a tocolytic which increases her blood glucose levels  from from 90 to 160 mg/dl. Which is the most likely pharmacological agent used in her ?

1. Terbutaline
2. Magnesium sulfate
3. Nifedapine
4. Indomethacin

Ans : A

5] A 31 year old is 6 days post emergency c-section for active phase arrest. She has a persistent temperature of 39.4 degree Celsius despite 3 days of appropriate antibiotics. Her lochial flow in normal. Diagnosis is :

1. Septic pelvic thrombophlebitis
2. Acute PID
3. Retained placenta
4. Pelvic abscess

Ans : D

6] A 32 year old woman with H/O infertility conceived after after treatment with Clomiphene citrate. USG at 16 weeks at 16 weeks reveled twin gestation with a membrane dividing the uterine cavity into 2 sacs. Further 2 placentas were  visualized , one anterior & one posterior. This woman has an increased risk of :

1. UTI
2. PIH
3. Gestational diabetes
4. Low maternal serum alpha- fetoprotein

Ans : B

7] A 29 year nulliparous complains of severe menstrual pain & inability to conceive after 1 year of marriage . O/E Uterus is retroverted with nodularity of uterosacral ligaments . Next course will be :

1. History
2. HSG
3. Laproscopy
4. Culdocentesis

Ans : C

8] A female child is exposed to "diethylstelbestrol " in-utero. She is at increased risk of getting :

1. Vaginal adeno CA
2. Vaginal Sq cell CA
3. Breast CA
4. Mullarian agenesis

Ans : A

9] A 65 year old lady with 12 years menopause comes with H/O daytime urinary incontinence since 10 years. It is aggravated on coughing , sneezing  laughing. . There is no H/O burning micturation . O/E there is a protrusion on the anterior vaginal wall . Most likely diagnosis :

1. Cystocele
2. Rectocele
3. Enterocele
4. Urethral diverticulum

Ans : A

10] A 26 year old lady comes to you with H/O increase in her facial hair, deepening of her voice . O/E you find a mass over the left ileac Fossa along with an enlarged clitoris. Likely diagnosis :

1. Granulosa-theca cell tumor
2. Brenner tumor
3. Sartoli-leydig tumor
4. Dysgerminoma

Ans : C

11] A 20 year old unmarried (sexually inactive) female comes with C/O 5 months amenorrhea . Her menarche was at 12 years. She feels that she has gained weight. Physical examination shows normal secondary sexual characteristics . Serum Prolactin , Estradiol & HCG levels are normal. Diagnosis is :

1. Ashermann's syndrome
2. Anorexia nervosa
3. Pregnancy
4. None of the above

Ans : B

12] In pregnancy GFR increases by :

1. 10%
2. 20%
3. 30%
4. 50%

Ans : D

13] Most common symptom in endometrial CA :

1. Weight loss
2. Post menopausal bleeding
3. Vaginal discharge
4. Bloating

Ans : B

14] Battle gore placenta is a condition in which :

1. There is an accessory lobe in the placenta
2. Cord is attached to the margins of the placenta
3. Cord is attached to the membranes
4. Placenta develops both from chorion frondosum & chorion larve

Ans : B

15] Commonest cause of bacterial vaginosis :

1. Mycoplasma hominis
2. Trachomonas vaginalis
3. Gardenella vaginalis
4. Staphy aureus

Ans : C

16] TB of the genito urinary tract in women commonly involves :

1. Uterus
2. Vagina
3. Ovaries
4. Fallopian tubes

Ans : D

17] Engaging diameter of a fully extended head :

1. Ment-occipital
2. Submento-bregmatic
3. Biparital
4. Mento-vertical

Ans : B

. .

Site last Updated on :  Thursday July 10, 2008 09:27 AM

All logos and trademarks at this site are the property of their respective owner (s).
© 2003- 2004 by "The E-Doctor" All rights reserved.
Any queries, feed back or clarifications may be mailed to webmaster@edoctor.cjb.net
By using this website you are agreeing to have read and accepted the Disclaimer and abide by our copyright laws. "