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. Which of the following is responsible for pubertal growth in females?
A. Decreased level of adrenal androgens at puberty
B. High level of estrogen at puberty
C. Pulsatile release of GnRH during sleep
D. Increased sensitivity of HPO axis to estrogen
2. A girl with short stature widely spaced nipples and primary amennorhe Karyotype
A. 47XXX
B. 47XYY
C. 45XO
D. 46XX
3. 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
4. A couple, both aged 32, wish to start a family. They have stopped using contraception and are having regular sexual intercourse. How likely are they to conceive within one year?
A. 70-74%
B. 75-79%
C. 80-84%
D. 85-89%
5. 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
6. A female from hilly region, of poor socioeconomic status, coming with amenorrhea, weight loss, low grade fever. no pain abdomen. diagnosis:
A. Pelvic inlammatory disease
B. Urogenital tuberculosis
C. Bacterial cystitis
D. Bacterial vaginitis
7. You have just examined a 28-year-old primigravida in spontaneous labour. Examination findings are 0/5 palpable per abdomen, cervix is 7 cm dilated, cephalic presentation, -1 station, anterior fontanelle palpable with orbital ridges and nasal bridge felt anteriorly. What is the presenting diameter of the fetus?
A. Mentovertical
B. Occipitofrontal
C. Submentobregmatic
D. Suboccipitobregmatic
8. Hormone replacement in post menopausal woman is done for all except:
A. Prevent genito-urinary atrophy
B. Cardiovascular protection
C. Prevention against osteoporosis
D. Imprevent of vasomatar symptoms
9. A 21-year-old woman, who is known to have beta thalassemia major, attends the clinic for preconception counselling. What is the most relevant initial pre-pregnancy investigation to predict maternal complications of pregnancy?
A. Cardiac MRI
B. Chest X-Ray
C. ECG
D. Echocardiogram
10. A 34-year-old woman attends for her booking in her third pregnancy. She had a caesarean section in her first pregnancy 4 years ago and has had a successful vaginal birth after caesarean section (VBAC) 2 years ago. She has a BMI OF 26. What is the best predictor for a successful VBAC?
A. BMI of less than 30
B. Less than 35 years old
C. Previous vaginal birth
D. Short inter-pregnancy interval
11. 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
12. Maternal blood, fetal blood difference test?
A. ATP test
B. Kleihouer-Betka Test
C. Bubblin Test
D. Osmotic of Fragility test
13. 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
14. 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
15. 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
16. 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
17. Treatment of Ca Cervix IIIB include
A. Wertheims Hysterectomy
B. Schauta's Hysterectomy
C. Chemotherapy
D. Intracavity Brachytherapy followed by External Beam Radiotherapy
18. 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
19. Female present with single elevated painless ulcer with 3cm on labia majora with everted margins
A. Chlamydia
B. Herpes
C. Papilloma virus
D. Syphilis
20. 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
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