| Post Name | Assistant Professor Obstetrics and Gynaecology - Government Homoeopathic Medical Colleges |
|---|---|
| Question Paper Code | 061/2023/OL |
| Category Code | 054/2020 |
| Date of Test | 4 June 2023 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
The smallest diameter of true pelvis is
Answer
B. Interspinous diameter
2
The uterine blood ļ¬ow at term is
Answer
C. 500 ā 700 ml/min
3
Cardiac output during pregnancy is maximal at
Answer
Question Cancelled
4
Pain of uterine contraction is distributed along the following dermatomes
Answer
A. T10 ā L1
5
Commonest type of vertex presentation in an unengaged head is
Answer
C. Left occipito transverse
6
Commonest diameter of engagement I. Mentovertical diameter II. Biparietal diameter III. Suboccipitobregmatic IV. Suboccipito frontal
Answer
A. Both II and III
7
About Litzmann Asynclitism I. Also called posterior asynclitism II. Also called anterior asynclitism III. Common in multipara IV. Common in primipara
Answer
B. I and IV
8
Which is not a surgery for inversion of uterus ?
Answer
D. Fenton
9
Death in acute inversion of uterus is due to
Answer
A. Hemorrhage
10
Role of amniotic ļ¬uid turnover is
Answer
D. 500 ml/day
11
pH of amniotic ļ¬uid is
Answer
C. 7.2
12
Therapeutic level of magnesium to prevent seizure in eclampsia
Answer
B. 4-7 meq/L
13
Contraindication for the use of regime in eclampsia
Answer
A. Myasthenia gravis
14
The fetal thyroid begins to produce insulin from
Answer
B. 12 weeks
15
Division of fertilized ovum at 4-8 days result in which type of placentation
Answer
B. MCDA
16
According to Quintro staging for twin to twin transfusion syndrome, development of hydrops in one twin refers to which stage
Answer
C. Stage IV
17
Preterm labour is associated mainly with genital treat infection by
Answer
A. Bacterial vaginosis
18
Which type of antigen does not produce erythroblastosisfertelis ?
Answer
D. Lewis
19
Full does of anti D should be given in a Rh-Negative mother with Rh positive except in
Answer
C. Spontaneous abortion at 10 weeks
20
Buddha position of fetus is seen in
Answer
B. Immune hydrops
21
300 Ī¼g of Anti D neutralises ______ fetal blood.
Answer
C. 15 mL
22
First sign of fetal demise is
Answer
A. Robert sign
23
Internal podalic version for transverse lie can result in
Answer
C. Uterine rupture
24
Minimal cervical dialation required for ventouse application
Answer
D. 10
25
Deep transverse arrest is associated with which type of pelvis
Answer
B. Android
26
In Mento posteriorpresentation, internal rotation of head occur through
Answer
C. circle
27
Funnel shaped pelvis is seen in
Answer
A. Tuberculosis
28
Obstetric conjugate is said to be critical if it is measuring below
Answer
D. 10 cm
29
Vasaprevia is seen in which type of placenta
Answer
B. Velamentous
30
Obstructed labour occurs at
Answer
A. Plane of least pelvic dimension
31
First sign of uterine rupture
Answer
A. Fetal heart variation
32
Worst prognosis of heart disease is seen in
Answer
C. Pulmonary artery hypertension
33
According to Mississippi class system a platelet count of less than 1.5 lakh is classiļ¬ed as
Answer
C. III
34
The antidote for magnesium sulfate in eclampsia is
Answer
B. 10% calcium gluconate
35
Vaccine contraindicated in pregnancy
Answer
A. Oral polio
36
The risk of development of anencephaly after one aļ¬ected child is
Answer
B. 5%
37
Nerve roots blocked in pudendal nerve block is
Answer
C. S2, 3, 4
38
Half life of oxytocin
Answer
B. 3-4 min
39
The ļ¬rst test to become abnormal in iron deļ¬ciency anemia
Answer
A. Serum ferritin
40
Following 1 pint blood transfusion, the hematocrit rises by
Answer
C. 3%
41
Single umbilical artery is associated with all except
Answer
B. Post maturity
42
Transmission of Rubella infection is maximum in
Answer
A. trimester
43
The commonest intrauterine infection in pregnancy is
Answer
A. Cytomegalovirus
44
Which of the following drug do not cross placenta ?
Answer
B. Heparin
45
Reduced maternal serum alpha fetoprotein is seen in
Answer
A. Trisomy 21
46
Sinusoidal pattern in cardiotocography denotes
Answer
B. Fetal anemia
47
Lanugo hair appears at
Answer
A. 4 months
48
Implantation bleeding is also called
Answer
B. Hartmann sign
49
In active phase of labour, the role of cervical dialation in a primi gravid is
Answer
A. 1 cm/hr
50
1 pint cryoprecipitate measures
Answer
A. 50 ml
51
True about Ovary is
Answer
B. Main blood supply is from Aorta
52
In bimanual palpation
Answer
A. One or two ļ¬ngers can be inserted into vagina
53
Which gynecological cancer has got highest association of hereditary cancer ?
Answer
B. Ovarian Cancer
54
What is responsible for dramatic increase in local rise in prosta glandins and proteolytic enzymes in follicular wall for ovulation ?
Answer
B. Midcycle LH surge
55
Most common cause of secondary dysmenorrhoea is
Answer
A. Endometriosis
56
In an adoloscent, obese girl with infrequent menstrual cycles and heavy ļ¬ow, BMI. 25, which investigation is not investigation as ļ¬rst step ?
Answer
C. Serum Estradiol
57
What is the most eļ¬ective treatment for vasomotor symptoms in a menopausal lady ?
Answer
D. Estrogen Therapy
58
Which is wrong regarding Enhanced Recovery After Surgery (ERAS) protocol ?
Answer
C. Patients undergoing pelvic surgery should be kept nil per orally after midnight
59
Schuchardt Incision
Answer
C. may be used in vaginal hysterectomy
60
The recurrence rate of ecotopic pregnancy after one ectopic pregnancy
Answer
C. 10-15%
61
Which is a cause of hypergonadotrophic hypogonadism ?
Answer
A. 17 -hydroxylase deļ¬ciency in XX individual
62
Which is not a sign put forward by International Federation for Cervical Pathology and Colposcopy in CIN III ?
Answer
D. Rope sign
63
In a 35 years old P1L1 treatment of choice for CIN 3 is
Answer
B. LEEP
64
In Paget's disease of Vulva, which malignancy should be ruled out ?
Answer
A. Adenocarcinoma of anorectum
65
Which is true about HPV vaccination ?
Answer
A. Maximum protection occurs when girls are given HPV vaccine at 9-15 yrs. of age
66
Which is true about "Fertile Window" in a couple trying for conception ?
Answer
B. Fertile window is the 6-day interval ending on the day of ovulation and does not extend post Ovulation
67
Which is not true regarding POP-Q classiļ¬cation ?
Answer
D. In Procidentia Aa can be ā 5cm
68
Surgical Intervention may not be necessary to evaluate
Answer
D. Unilocular clear ovarian cyst of 3cm in a perimenopausal lady
69
Which of the following HPV vaccines is indigenously developed in India ?
Answer
A. CERVAVAC
70
Most common degeneration in ļ¬broid is
Answer
B. Hyaline degeneration
71
Which is true regarding Semen Analysis Criteria (WHO 2010) ? i. Volume should be ā„ 1.5 mL ii. Sperm motility > 50% progressive iii. White blood cells < 1 million/mL iv. Morphology > 15% normal forms
Answer
A. i and iii are correct
72
Regarding use of Gonadotropins for treatment of infertility in women i. In PCOS patients, gonadotropins is associated with increased incidence of OHSS ii. Gonadotropins are contraindicated for ovulation induction in women with primary ovarian failure with high FSH iii. In certain hypothalamic causes like Kallman's Syndrome, gonadotropins can be used iv. Sequential use of gonadotropins and aromatase inhibitors is associated with lower number of follicles
Answer
D. All are correct
73
All of the following are indications for myomectomy except
Answer
C. 6cm subserous ļ¬broid with primary infertility
74
All of the following are common presentation of adenomyosis except
Answer
D. Lower abdominal lump up to umbilicus
75
All are true regarding gynecological examination of a Pediatric patient except
Answer
C. Speculum examination may be performed in pre pubertal girl in oļ¬ce
76
All are medical conditions associated with increased risk of osteoporosis after menopause except
Answer
D. Hormone replacement therapy
77
The access techniques of laparoscopy in Gynecology are all except
Answer
C. Lateral entry
78
Operative Hysteroscopy alone may be used often in all except
Answer
B. Removal of Figo type 3 myoma
79
All of the following are true except
Answer
C. "Flexion" is the angle between uterine corpus and upper vagina
80
Regarding chemotherapy for malignant ovarian tumors, all are true except
Answer
B. BEP regimen is for serous tumors
81
In a PCOS woman, all are beneļ¬ts of exercise except
Answer
D. Does not have an eļ¬ect on hirsuitism
82
All are sites of ureteral injury during abdominal hysterectomy except
Answer
D. Medial to infundibulopelvic ligament above pelvic brim
83
Robotic Surgery all are true except
Answer
C. The surgeon sits on patient's right side
84
Uterine Artery Embolization (UAE) may be done in all except
Answer
C. 32 years old nulliparous lady with 10 cm submucus ļ¬broid
85
With metastatic Gestational Trophoblastic Neoplasia, 80% may have visible lung involvement in Chest radiography. All are principal pulmonary patterns except
Answer
B. Characteristic B-lines
86
Treatment of Hirsuitism includes all except
Answer
C. Norethisterone acetate
87
In HIV positive women, all are true except
Answer
C. Patients with CD4 + T cells count more than 200, should receive prophylaxis against opportunistic infections
88
Contraindications to medical abortion with MIFEPRISTONE/MISO PROSTOL include all except
Answer
D. Previous history of unsuccessful medical abortion
89
Regarding Pelvic Inļ¬ammatory Disease (PID) all are true except
Answer
D. Percutaneous drainage of TO abscess under USG guidance should be tried before starting antibiotics
90
Regarding laparoscopic Sterilization technique i. Silastic rubber band, electrocautery, spring clip etc. can be used to occlude fallopian tube. ii. Reversal of sterilization is more successful following falope ring than electrocoagulation. iii. Unipolar electrocoagulation is recommended as it is associated with lesser complications.
Answer
A. i and ii are true
91
In Gential Tuberculosis which is the most common part aļ¬ected in a woman ?
Answer
B. Fallopian tube
92
Which is contraindication for medical management of ectopic pregnancy with Methotrexate ? i. Breast feeding ii. Severe anemia iii. 5 cm diameter ectopic mass by TVS iv. HCG a value of 4000 mlU/mL
Answer
B. i, ii and iii
93
In surgical prevention of hereditary cancers in gynecology i. Gold standard and most eļ¬ective method of preventing ovarian cancer in high risk women is Risk Reducing Salpingo Oophorectomy (RRSO) ii. RRSO reduces ovarian cancer risk by 80-96% in BRCA1/BRCA2 Carriers iii. RRSO is useful in BRCA1/BRCA2 and Lynch syndrome in almost similar degrees
Answer
A. i and ii are true
94
About Condoms which is true
Answer
D. Polyurethane and Tactylon condoms should be oļ¬ered to men with latex allergy
95
In diļ¬erent methods to extract sperm from Seminal plasma, in IUI which method yields the best motile sperms ?
Answer
C. Density gradient centrifugation
96
Regarding imaging in Gynecology which is not true
Answer
B. Trans abdominal ultrasound transducer operates at 2.5 ā 3.5 MHz and hence has got better resolution for normal sized ovaries within pelvis
97
Regarding Vulvovaginal Candidiasis (VVC) which is not true ?
Answer
D. pH of vagina in women with recurrent VVC is 6 or above
98
Which is not true regarding classiļ¬cation of Female Genital Mutation (FGM) ?
Answer
D. Type IV - Radical procedure involving removal of clitoris, Labia majora and Labia minora leaving an opening
99
Regarding tubal recanalization which is not true
Answer
D. Success rate is almost similar when done for Hydrosalpinx correction
100
Which is not a Surgical procedure described for Stress Urinary Incontinance (SUI) ?
Answer
C. Distal Urethral Plication Stitch
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