| Post Name | Associate Professor/Reader in Obstetrics and Gynaecology |
|---|---|
| Question Paper Code | 066/2024/OL |
| Category Code | 170/2023 |
| Date of Test | 19 June 2024 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
Fetal blood erythrocytes are produced initially by the
Answer
C. Yolk sac
2
Iron is transported across the placenta by ___________
Answer
B. Facilitated Diļ¬usion
3
Volume of amniotic ļ¬uid at 34 weeks is _________
Answer
D. 1000 ml
4
Hormone responsible for preparation of endometrium for implantation ___________
Answer
C. Progesterone
5
Measurement of Symphysio fundal height to estimate the gestation of pregnancy is used at
Answer
C. 20-32 weeks
6
High levels of human chorionic gonadotropin is seen in all except
Answer
D. Ectopic pregnancy
7
Excessive weight gain during pregnancy is associated with all except
Answer
D. Pre-term labour
8
External cephalic version is oļ¬ered to woman with breech presentation at _________
Answer
C. 36 weeks
9
The most accurate estimate of gestational age in ultrasound can be obtained by measuring
Answer
B. Crown-rump length
10
Most common cause of postpartum hemorrhage is
Answer
A. Uterine atony
11
A patient with hyperemesis gravidarum develops ataxia and diplopia. What other treatment should be given for this patient other than normal saline?
Answer
B. Vitamin B1
12
Sodium valproate in early pregnancy is linked with
Answer
A. Neural tube defects
13
Absence of accelerations in non stress test is seen in
Answer
C. Fetal acidosis
14
In prenatal screening Serum markers for quadruple test are all except
Answer
C. PAPP-A
15
Fetal factor indicating poor prognosis for successful vaginal delivery is
Answer
B. Occiptito posterior position
16
In contemporary obstetrics the dialatation of cervix in which the active phase begins according to the WHO.
Answer
C. 5cm
17
Third degree perineal tear involves
Answer
D. Vaginal mucosa and anal spincter
18
Timing of history indicated cerclage for cervical incompetence is at
Answer
B. 12-14 weeks
19
Septic abortion is of ___________ grade when there is extension to the adnexae and pelvic structures
Answer
B. Grade 2
20
Couvalaire Uterus
Answer
D. Can cause uterine tetany and foetal hypoxia
21
The most important treatable cause for recurrent pregnancy loss is
Answer
C. Antiphospholipid syndrome
22
Which is the most valuable diagnostic test in case of unruptured ectopic pregnancy
Answer
C. Trans vaginal ultra sound
23
Single most important cause of perinatal morbidity and mortality in multiple pregnancy is
Answer
C. Preterm delivery
24
The corticosteroid that is best for reducing neonatal mortality and morbidity in preterm labour
Answer
C. Dexamethasone
25
Crumpled up spine seen in intrauterine fetal demise is called
Answer
C. Ball sign
26
The fetal urine production rate at term is ___________ ml/day
Answer
C. 1000-1200
27
Marginal insertion of the umbilical cord is seen in
Answer
A. Battledore placenta
28
All of these are important changes seen in pregnancy except
Answer
D. Peripheral resistance increases
29
The most common condition associated with Pulmonary Hypoplasia in the fetus is
Answer
C. Oligohydramnios
30
In patients with prosthetic heart valves warfarin is recommended during
Answer
C. 14-36 weeks
31
Most common fetal complication seen in Gestational Diabetes Mellitus is
Answer
A. Macrosomia
32
Marfan syndrome is associated with
Answer
B. Aortic root dialatation
33
Level of glycosylated haemoglobin more than _________ in the ļ¬rst trimester booking visit is diagnostic of overt diabetes
Answer
C. 6.5%
34
Antihypertensive of choice in preeclampsia
Answer
A. Labetalol
35
Therapeutic range of magnesium sulphate in eclampsia is _____________ mEq/L
Answer
B. 4-8
36
The test that reļ¬ects the iron stores is
Answer
A. Serum Ferritin
37
Cerebral calciļ¬cation is seen in
Answer
B. Congenital Toxoplasmosis
38
In woman with sickle cell anaemia the most common complication in pregnancy is
Answer
A. Acute painful sickling crisis
39
Features of Gestational Thrombocytopaenia are all except
Answer
C. Associated with neonatal thrombocytopaenia
40
BFHI is a programme launched by WHO and UNICEF in the year
Answer
D. 1992
41
Contra indication to outlet forceps application include all except
Answer
C. Completely dialated cervix
42
Post partum blues is seen in _________ % of women within 3-5 days of delivery
Answer
D. 50%
43
Parametrial Plegmon is
Answer
B. an area of intense cellulitis in the parametrium
44
Proper repair of third or fourth degree perineal tears is essential to prevent
Answer
C. Rectovaginal ļ¬stula
45
Bandl ring is seen
Answer
A. at the junction of upper and lower uterine segment
46
The absence of Nitabuch layer results in
Answer
D. Placenta Accreta
47
Anaphylactoid syndrome of pregnancy is
Answer
C. Amniotic ļ¬uid embolism
48
Sheehan syndrome is due to failure of
Answer
B. Pituitary gland
49
Stepwise devascularisation in postpartum heamorrhage includes, ligation of all except.
Answer
C. Internal pudendal artery
50
Drug contra indicated for treatment of auto immune disorders of pregnancy
Answer
B. Methotrexate
51
Which of the following immunizations is NOT contraindicated during pregnancy
Answer
D. Tetanus, diphtheria, pertussis (DAP)
52
Patient with oligomenorrhea and suspected polycystic ovarian syndrome (PCOS) is evaluated. She does not demonstrate clinical or laboratory evidence of hyperandrogenism, on evaluation with TVS. Formula to calculate ovarian volume, where A, B and C are the ovarian diameters in centimeters is
Answer
C. (Ļ/6 ) Ć(A Ć B Ć C)
53
Enzymes involved in synthesis of steroid hormones in females, TRUE statement is?
Answer
D. 20,22-Desmolase converts cholesterol to pregnenolon
54
Woman who delivered vaginally 3 months ago complains of urine leakage from her vagina. You suspect that she has developed a vesicovaginal ļ¬stula. Which of the following radiologic tests is most appropriate in her evaluation?
Answer
B. Voiding cystourethrography (VCUG)
55
A bicornuate uterus is the result of the failure of which embryonic structures to correctly fuse?
Answer
D. Paramesonephric ducts
56
Which organism is responsible for the majority of cases of tubal disease leading to infertility?
Answer
A. Chlamydia trachomatis
57
An anxious 38-year-old pregnant woman undergoes a combined test for Down syndrome screening. The risk comes back as 1 in 1000. What is the appropriate course of action?
Answer
A. Advise that diagnostic tests are not indicated
58
What is the single best description for the histological appearance of the endometrium soon after ovulation?
Answer
B. Glands with subnuclear vacuolation in oedematous stroma
59
A woman is admitted with threatened preterm labour and is commenced on atosiban. What is the mechanism of action of atosiban?
Answer
D. Oxytocin antagonist
60
What is the risk of uterine perforation at hysteroscopy?
Answer
C. 1%
61
Following a forceps delivery, a woman is found to have extensive vaginal and perineal tears. When she is examined in theatre by the obstetric registrar, it is noted that approximately 50% of the external anal sphincter is torn, although the internal anal sphincter is intact. What degree of tear is this?
Answer
C. 3b
62
The inferior epigastric artery is a branch of which artery?
Answer
A. External iliac artery
63
Primordial germ cells originate in which structure in the embryo?
Answer
D. Yolk sac
64
A number of cytogenetic methods can be employed in prenatal genetic screening. Which screening method examines interphase chromosomes?
Answer
B. Fluorescence in situ hybridisation
65
A 24-year-old woman presents with recent onset of painless vulvar nodules that have evolved into red ulcers that bleed easily. Inguinal lymphadenopathy is minimal on examination. She has been in a mutually monogamous, heterosexual relationship or 2 years. Wright-Giemsa stain of swab from one of the lesions shows Donovan bodies. What is her diagnosis?
Answer
C. Granuloma inguinale
66
Newly diagnosed patient with vulvar lichen sclerosus complains o mild- to-moderate vulvar pruritus on most days. She has not tried any therapeutic interventions yet. First-line therapy or lichen sclerosus includes which of the following topical agents?
Answer
C. Ultrapotent topical corticosteroid ointment
67
A 35-year-old woman presents to family planning opd for initiation of contraception. Her medical history is notable of migraines with aura. She wishes to use combination oral contraceptive pills (COCs). Which United States Medical Eligibility Criteria (US MEC) guidelines does this drug belong?
Answer
D. Method poses an unacceptable high health risk
68
Of mĆ¼llerian duct anomalies, which has the lowest associated risk of pregnancy loss?
Answer
B. Arcuate
69
Which is the most common side eļ¬ect of methotrexate?
Answer
D. Transient liver dysfunction
70
According to the American College of Obstetricians and Gynaecologists, endometrial sampling to assess abnormal uterine bleeding is NOT recommended or a woman with which of the following characteristics?
Answer
A. Is 35 years old
71
What are the most important hormones for the successful maintenance of lactation?
Answer
D. Prolactin and oxytocin
72
What compound forms the major constituent of pulmonary surfactant?
Answer
A. Dipalmitoylphosphatidylcholine
73
HPV-16 and HPV-18 are the most common high-risk types of infection leading to cervical cancer. What are the key cellular proteins targeted by HPV E6 and E7 proteins?
Answer
D. p53 and pRb
74
In the new WHO manual for semen analysis, what is the minimum normal total sperm in the ejaculate?
Answer
D. 39 Ć 10ā¶
75
Severe ovarian hyperstimulation syndrome (OHSS), all except,
Answer
A. The pathophysiological hallmark is decrease vascular permeability
76
Which of the following tumor antigens is correctly paired with its ovarian tumor or malignancy?
Answer
C. -fetoprotein (AFP)-Endodermal sinus tumor
77
Which of the following is the focus of the classiļ¬cation system developed by the American Society for reproductive medicine?
Answer
C. Anatomic extent of endometriosis
78
Most benign and malignant breast diseases occur within the breast structures that are most sensitive to ovarian hormones and prolactin. Which structures are these?
Answer
D. Terminal ducts and acini
79
At present, which of the following is considered primary therapy or psychological symptoms of premenstrual syndrome?
Answer
C. Selective serotonin-reuptake inhibitors
80
Which of the following statements is FALSE regarding the development of the hypothalamic-pituitary ovarian axis in the female fetus and neonate
Answer
B. The gonadotropin-releasing hormone (GnRH) "pulse generator" remains functionally dormant until several months after birth
81
Pubarche, with development of axillary and pubic hair, is stimulated by the androgens derived primarily from which of the following?
Answer
D. Physiology continues to be poorly understood
82
A 28-year-old woman presents to the emergency room reporting acute onset of pelvic pain. Her urine pregnancy test result is positive; she reports her last menses was 8 weeks ago; and intrauterine pregnancy is seen sonographically with a large ovarian cyst that has underwent torsion and the ovary containing a corpus luteum cyst must be removed. Until what gestational age must this patient receive progesterone replacement?
Answer
A. 12 weeks
83
A 30-year-old woman presents for evaluation of amenorrhea. Her examination is remarkable for severe acne and hirsutism. During evaluation for polycystic ovarian syndrome, she is noted to have an elevated dehydroepiandrosterone sulfate (DHEAS) level of 750 g/dL. What is the best test to order next?
Answer
D. Computed tomography of the abdomen
84
The hymen is the partition that remains between which structures?
Answer
B. Sinovaginal bulb and urogenital sinus
85
Which of the following are seen in oļ¬spring of women who took diethylstilbestrol (DES) during the associated pregnancy?
Answer
D. All of the above
86
Which of the following tests can diļ¬erentiate between dead and alive nonmotile sperm?
Answer
C. Hypoosmotic swelling test
87
Which of the following women does NOT need to be reļ¬erred to a gynaecologic oncologist?
Answer
A. A 35-year-old women with a complex 7-cm adnexal mass and a cancer antigen 125(CA125) level of 75 U/Ml
88
A 27-year-old primigravida has failure to progress in the ļ¬rst stage of labour and is commenced on an oxytocin infusion. The resident calls the senior obstretician because of a suspicious CTG. The women is found to be 6 cm dilated and fetal blood sampling was done. The sample has a Ph of 7.15. What is the appropriate course of action?
Answer
A. perform an immediate caesarean section
89
What percentage of fetuses with trisomy 21 would be expected to be detected by a nuchal translucency scan alone (assuming a 5% false-positive rate)?
Answer
D. 70-75%
90
The motor supply of the levator ani muscle is derived predominantly from which spinal segment?
Answer
D. S4
91
With respect to ECG changes during pregnancy, WRONG statement is?
Answer
B. May show high-voltage QRS complexes
92
The following are true regarding maternal hepatitis C infection.
Answer
B. Caesarean section reduced the risk of transmission to the fetus
93
What type of joint is formed at the symphysis pubis?
Answer
A. Cartilaginous
94
An obese, but otherwise healthy, 30-year-old woman undergoes an oral glucose tolerance test at 28 weeks of gestation The results are as follows : Fasting serum glucose 90 mg/dL 2-hour serum glucose 180 mg/dL What is the diagnosis?
Answer
B. Gestational diabetes mellitus
95
A woman who has been taking the combined oral contraceptive pill for many years is commenced on phenytoin following a seizure. She then becomes pregnant. Through what mechanism is the contraceptive pill likely to have failed?
Answer
C. Liver enzyme induction by phenytoin
96
A woman is admitted with threatened preterm labour. Two doses of corticosteroids are administered to promote fetal lung maturity. Over what time period after the second dose are the corticosteroids most eļ¬ective in reducing respiratory distress syndrome if delivery occurs?
Answer
C. 24 hours to 7 days
97
A woman is admitted with threatened preterm labour and is commenced on niļ¬dipine. What is the mechanism of action of Niļ¬dipine?
Answer
A. Calcium channel blocker
98
Regarding laparoscopic entry technique, which type of injury is likely to be reduced by the open (Hasson) technique as opposed to the closed (Veress needle) technique?
Answer
C. Major vessel injury
99
A 21-year-old woman with a new sexual partner attends the Accident and Emergency department with fever, lower abdominal pain and vaginal discharge. She is otherwise well. She is examined and appropriate swabs are taken. A pregnancy test is negative and an ultrasound scan is organised which is unremarkable. What is the appropriate course of action?
Answer
D. Commence treatment with antibiotics and manage as an outpatient
100
The pregnant uterus is viewed as immune privileged. What is the cellular basis for this phenomenon?
Answer
A. Extravillous trophoblasts do not express higher levels of the MHC-1 antigens HLA-A and HLA-B but do express HLA-E and HLA-G
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