Test Your Knowledge - Free MCQ PRACTICE
OBSGYN
by Dr K Chaudhry
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A fresh set of 20 random questions is generated every time you open this page and every time you refresh it.
For each of the following multiple choice questions, choose the most appropriate answer :

1. Maternal blood, fetal blood difference test?
A. ATP test
B. Kleihouer-Betka Test
C. Bubblin Test
D. Osmotic of Fragility test

2. A Cesarian section was done in the previous pregnancy. All of the following would be indications for elective Cesarean section except
A. Breech
B. Macrosomia
C. Polyhydramnios
D. Post-term

3. One of the following forms the basis for sex chromatin testing?
A. Barr body
B. Testosterone receptors
C. Hormone levels
D. Phenotypic features

4. All of the following can be administered in acute hypertension during labour except
A. IV labetalol
B. IV nitroprusside
C. IV dihydralazine
D. IV diazoxide

5. Hysteroscopic myomectomy scores over open myomectomy in all of the following except
A. Less recurrence
B. Less post-operative pain
C. Less bleeding
D. Early ambulation

6. Female present with single elevated painless ulcer with 3cm on labia majora with everted margins
A. Chlamydia
B. Herpes
C. Papilloma virus
D. Syphilis

7. All of the following indicate superimposed pre-eclampsia in a pregnant female of chronic hypertension except
A. New onset proteinuria
B. Platelet count < 75,000
C. Increase in systolic BP by 30 mm Hg and diastolic by 15 mm Hg
D. Fresh retinal hypertensive changes

8. Which test is used to differentiate maternal and fetal blood cells?
A. Apt Test
B. Kleihauer-Betke test
C. Bubblin Test
D. Osmotic Fragility Test

9. A woman has an instrumental delivery of a baby weighing 3950 g in her first pregnancy. A Grade 3C tear of the anal sphincter is identified. An appropriate overlapping repair using 3/0 PDS is performed. Prior to discharge, she asks about the long-term risk of faecal or flatal incontinence. What percentage risk would you advise?
A. 10%
B. 20%
C. 30%
D. 40%

10. Duncan method of separation of placenta, all are true except:
A. Commonest mode of separation of placenta
B. Maternal surface of placenta presents at vulva
C. Peripheral separation of placenta occurs
D. Blood accumulates between placenta and membranes and escapes through vagina

11. Female with normal pubic and axillary hair, with primary amenorrhe Diagnosis:
A. Androgen insensitvity syndrome
B. Mullerian agenesis
C. 47XYY
D. 45XO

12. A girl with short stature widely spaced nipples and primary amennorhe Karyotype
A. 47XXX
B. 47XYY
C. 45XO
D. 46XX

13. A 20 year old average weight female complains of oligomenorrhoea along with facial hair. Preliminary investigation reveals raised free testosterone levels. On Ultrasound, ovaries were normal. Which of the following could be likely etiology?
A. Idiopathic Hirsutism
B. PCOD
C. Adrenal Hyperplasia
D. Testosterone secreting tumor

14. A woman presented with carcinoma cervix FIGO STAGING II-III, which of the following treatment is recommended?
A. Trichelectomy
B. Radiotherapy plus HPV vaccine
C. Chemo-radiotherapy
D. Hysterectomy

15. At which time in the pregnancy, woman has maximum cardiac strain?
A. 2nd Trimester
B. At the time of delivery
C. Immediately following delivery
D. After delivery

16. A woman has had a recent uncomplicated vaginal delivery but has developed a significant post-partum pyrexia and tachycardia. She is thought to be allergic to penicillin. You suspect puerperal sepsis and are keen to commence treatment prior to the investigations coming back. What is the antibiotic regime of choice?
A. Cefuroxime
B. Clindamycin
C. Co-amoxiclav
D. Erythromycin

17. A Pregnant female feeling dizziness in supine position; feels better on lateral position and after getting up. This must be due to
A. IVC Compression
B. Raised intra-abdominal pressure
C. Decreased blood flow to placenta
D. Compression of Sympathetic Chain

18. Endometrial Cancer involving 50o of endometrium, extending to vagina, lymph nodes negative with positive peritoneal cytology is staged as
A. Stage IIIA
B. Stage IIIB
C. Stage IIIC1
D. Stage IIIC2

19. A young lady has history of recurrent abortion. Which test should be done?
A. Russel Viper Venom Test
B. Prothrombin Time
C. Bleeding time
D. Clotting Time

20. You are asked to see a 21-year-old woman for preconceptual care. She was diagnosed with generalised tonic-clonic epilepsy four years ago. This is poorly controlled. She is currently on sodium valproate and levetiracetam. What is the next step in her management?
A. Arrange MRI
B. Arrange an EEG
C. Commence aspirin 75 mg
D. Review medication

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