Friday, May 21, 2010

395 - AIIMS May 2010 Obstetrics and Gynaecology Mcqs

158. Pain of ovarian carcinoma is referred to
a) Back of thigh
b) Gluteal region
c) Anterior surface of thigh
d) Medial surface of thigh

159. A woman with primary infertility with CA-125 level 90 iu. She has bilateral palpable mass. USG shows mass in pelvis. Diagnosis may be
a) Ovarian CA
b) TB
c) Endometrioma
d) Borderline ovarian tumor

160. Causes of primary amenorrhea are A/E
a) Rokitansky syndrome
b) Sheehan syndrome
c) Kallman syndrome
d) Turner syndrome

161. Test for ovarian reserve
a) LH
b) LH/FSH ratio
c) FSH
d) Estradiol

162. Clomiphene citrate – True statement is
a) Euclomiphene is antiestrogenic
b) Pregnancy rate is 3 times as compared to placebo
c) Incidence of twins is 5-6%
d) It has been shown to increase fertility in oligospermic males

163. At what gestational age should a pregnancy with cholestasis of pregnancy be terminated?
a) 34 weeks
b) 36 weeks
c) 38 weeks
d) 40 weeks

164. A lady with placenta previa delivered a baby. She had excessive bleeding. After resuscitation most likely complication is
a) Galactorrhoea
b) Diabetes insipidus
c) Loss of menstruation
d) Cushing’s syndrome

165. Which of the following treatments for menorrhagia is not supported by evidence?
a) Tranexemic acid
b) Ethamsylate
c) Combined OCP
d) Progesterone

166. Vaginal delivery can be allowed in A/E
a) Monochorionic monoamniotic twins
b) Mento-anterior
c) Extended breech
d) Dichorionic twins – First vertex, second breech

167. A 35 yr old P3+0 is observed to have CIN grade III on colposcopic biopsy. Best treatment will be
a) Cryosurgery
b) Conization
d) Hysterectomy

168. Lady undergoes total radical hysterectomy for Stage Ib Ca Cervix. It is found that Ca extends to lower part of body of uterus and upper part of cervix. Next step of management
a) Chemotherapy
b) Radiotherapy
c) Chemoradiotherapy
d) Follow-up

169. All are seen in gestational diabetes except
a) Previous macrosomic baby
b) Obesity
c) Malformations
d) Polyhydramnios

170. A pregnant female at 35 wks of pregnancy is diagnosed with SLE. Drugs that can be used to treat are A/E
a) Corticosteroids
b) Sulphasalazine
c) Methotrexate
d) Hydroxychloroquine

171. Ideal contraceptive for lactating mothers
a) Barrier method
b) Combined OCP
c) Lactational amenorrhoea
d) Progesterone only pills

172. The presence of increased levels of which of the following in amniotic fluid is an indicator of open neural tube defect in the fetus?
a) Phosphatidylesterase
b) Acetylcholinesterase
c) Pseudocholinesterase
d) Butyrylcholinesterase

173. A pregnant lady had no complaints but mild cervical lymphadenopathy in 1st trimester. She was prescribed spiramycin but she was non compliant. Baby was born with hydrocephalus &
intracerebral calcification. Which of these is likely cause
a) Toxoplasmosis
b) CMV
c) Cryptococcus
d) Rubella

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