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. 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
2. A woman who is rhesus negative undergoes amniocentesis at 16 weeks. What dose of anti D immunoglobulin should she receive immediately after the procedure?
A. 250 IU
B. 500IU
C. 1000IU
D. 1500IU
3. A 28-year-old woman attends the mental health antenatal clinic at 12 weeks for a booking assessment. This is her first baby. Which condition gives her the highest risk of puerperal psychosis?
A. Anorexia nervosa
B. Bipolar affective disorder
C. Moderate depression
D. Obsessive compulsive disorder
4. 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
5. Female present with single elevated painless ulcer with 3cm on labia majora with everted margins
A. Chlamydia
B. Herpes
C. Papilloma virus
D. Syphilis
6. 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
7. 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
8. 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%
9. 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
10. Which of the following is not a part of HELLP syndrome?
A. Hemolysis
B. Elevated liver enzyme
C. Thrombocytopenia
D. Reteroplacental hemorrhage
11. 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
12. Treatment of Ca Cervix IIIB include
A. Wertheims Hysterectomy
B. Schauta's Hysterectomy
C. Chemotherapy
D. Intracavity Brachytherapy followed by External Beam Radiotherapy
13. 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
14. 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
15. In order to help plan the capacity required for providing future maternity services you are asked to design a study to establish the incidence of vaginal birth following previous caesarean section. The study will require establishing the mode of delivery in women who have either had only vaginal delivery or have had a caesarean section in at least one previous pregnancy. You review the epidemiological study methods that may be appropriate for this type of study. Which type of research study should you choose?
A. Case control
B. Cohort
C. Cross sectional
D. Ecological
16. 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
17. Female with normal pubic and axillary hair, with primary amenorrhe Diagnosis:
A. Androgen insensitvity syndrome
B. Mullerian agenesis
C. 47XYY
D. 45XO
18. 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
19. 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%
20. Which is not included in 3rd stage of labor to prevent PPH?
A. Oxytocin injection with shoulder injury
B. Early cutting with cord clamp
C. Prophylactic Misoprostol
D. Controlled and sustained cord traction
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