OBG

Obs Gynae DIAMS1. Which of the following is correct for the

calculation of pearl indexa. No. of accidental pregnancies X

1200No. of patient observed X months of

use

b. No. of accidental pregnancies X 1200 No. of patient observed X 2400

c. No. of patient observed X months of use No. of accidental pregnancies

d. No. of patient observed X 2400 No. of accidental pregnancies X 2400

2. All of the following are used for induction of labour, except

a. PG F2 tabletb. PG E1 tabletc. PG E2 geld. Misoprostol

3. Minimum effective dose of Ethinyl estradiol in combination oral pills is

a. 20 gmb. 35 gmc. 50 gmd. 75 gm

4. The use of combined oral contraceptive pill is associated with an increased incidence of

a. Bacterial vagionsisb. Chlamydial endocervicitisc. Vaginal wartad. Genital herpes

5. A drop in fetal heart rate that typically lasta less than 2 minutes and usually associated with umbilical cord compression is called.

a. Early decelerationb. Late decelerationc. variable decelerationd. Prolonged Deceleration

6. Use of Levo – Norgestrel releasing, intrauterine contraceptive device is helpful in all of the following conditions except

a. Menorrhagia b. Dysmenorrheac. Premenstrual symptomsd. Pelvic inflammatory disease

7. As per vaginal examination anterior fontanelle and supraorbital ridge is felt in the second stage of labour. The presentation is

a. Brow presentationb. Deflexed headc. Flexed headd. Face presentation

8. Which of the following tests is most sensitive for the detection of iron depletion in pregnancy?

a. Serum ironb. Serum ferritinc. Serum transferrind. Serum iron binding capacity

9. What is menometrorrhagic a. Heavy bleeding + intermenstrual

bleedingb. Duration of menstrual cycle is increased

c. Polymenorrhea + metrorrhagiad. Oligomenorrhea + polymenorrhia

10. In a young female of reproductive age with regular menstrual cycle of 28 days ovulate occurs around 14th day of periods when is the first polar body extended

a. Accompained by ovulationb. Before ovulationc. After ovulationd. None

11. All of the following are contraindications to TCRE except

a. Young womanb. Enlarged uterus, fibroidc. Endometrial carcinomad. Premenopausal woman

12. What is placental polyp?a. Polyp formation in placentab. Seen in incomplete abortionc. Seen in tubal abortiond. Benign tumor of placenta

13. All are contraindication to radiotherapy for cancer cervix except

a. Sepsisb. Tubo ovarian massc. Hydronephrosisd. Genital fistulae

14. Sex chromatin absent in a. Turner’s syndromeb. Super femalec. Klienefelter’s syndromed. Testicular feminization’s syndrome

15. Which of the following is not a cause for 2nd trimester abortion

a. Cervical incompetenceb. Uterine anomaliesc. Leuteal phase defectsd. Germ plasma defects

16. T1/2 of oxytocin isa. 2 minutes b. 10 minutesc. 3 minutesd. 15 minutes

17. All of the following test are done to diagnose premature rupture of membranes except

a. Nitrazine testb. Fern testc. Alpha feto protein testd. Absent fibronective

18. All of the following are correct statement regarding cephalhematoma except

a. Develops few hours after birthb. Disappear in 2-3 monthsc. Crosses suture lined. No treatment needed

19. Prophylactic anti D injection in nonimmunized Rh Negative women should be given at

a. 28 weeks, 32 weeks, within 72 hours after delivery

b. 28 weeks, 36 weeks, within 72 hours after delivery

c. 28 weeks, 34 weeks, within 72 hours after delivery

Helplines: 9891436206 / 9891334352e-mail:[email protected]

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Obs Gynae DIAMSd. 28 weeks, term pregnancy, within 72

hours after delivery20. All of the following statement are correct about

Frommel Chairi syndrome except:a. Amenorrheab. Galactorrheac. Obesityd. FSH LH

21. All of the following can be used as postcoital contraceptive except: -

a. Diethylstibestrolb. RU-486c. Levonorgestrald. Misoprostol

22. Most common site of metastasis of choriocarcinoma: -

a. Brainb. Vaginac. Ovaryd. Liver

23. All are true regarding sheehan’s syndrome except: -

a. Hypotension is most common presentation

b. Failure to lactatec. Amenorrhead. Hirsuitism seen

24. Spot out wrong statement: -a. Testicular feminization causes

female pseudo hermaphroditismb. In testicular feminization gonadectomy is

donec. 21 hydroxylase deficiency is seen in

congenital adrenal hyperplasiad. Chromosomal pattern of testicular

feminization is 46 XY25. All of the following are criteria for giving

methotrexate in unruptured ectopic pregnancy except:

a. HCG<10,000 Miu/mLb. Absent cardiac activityc. Size of gestational sac is not more

than 4.5 cmd. Actinomycin D can be used

26. Which of the following is not absolute contraindication of hormonal replacement therapy: -

a. Breast cancerb. Endometrial cancerc. Liver,gall bladder diseased. Ischemic heart disease

27. Nulliparous female presents with unruptured ectopic pregnancy. Best surgical management includes

a. Salpingostomyb. Salpingotomyc. Milking d. Resection reanastomois

28. About tibolone all re correct excepta. It is estrogenicb. Has no androgenic side effectc. Main use is cadioprotectiond. Relieve vasomotor symptoms

29. Which of the following does not secrete HCG

a. Polyembryomab. Endodermal sinus tumorc. Embryonal cell carcinomad. Choriocarcinoma

30. 25-yrs-old presents with amenorrhea 6 weeks pallor 3 +. Systolic BP 50 mmHg urine pregnancy test positive specific line of management will be :

a. Blood transfusionb. Diagnosis by TVSc. Immediate laparotomyd. Diagnostic laparoscopy

31. Spot out wrong statement about mayer rokitansky syndrome

a. Karyo type is 46 XXb. Normal secondary sexual charactersc. Sketetal and renal anomalies 30%d. Vaginoplasty should be done at the

time of puberty32. Which is not included in the classification of

severe endometriosis?a. Ovarian endometriosis exceeding 2 cmb. Bowel involvementc. Urinary tract involvementd. Pouch of dougles involvement

33. All are true regarding TB of female genital tract except:

a. Fallopian tubes are involved in 90 percent

b. Menorrhagic is the most common clinical feature

c. Produces frozen pelvisd. In a proven case of genital TB HSG is

contraindicated34. Which of the following is not true:

a. Nulliparous uterine prolapse Shirodkar sling operation

b. Pregnancy with prolapse:pessary treatment

c. Prolapsed pouch of Douglas: posterior colpoperineorrhaphy

d. None of the above35. False statement regarding femilon is:

a. Contains 20 ug EE + 150 ug desogestrelb. Lowest does OCPc. Has good cycle controld. Cannot be used as post coital pill

36. 25 –yrs-old female G2P1L1A0 with 6 MA diagnosed as secondary abdominal pregnancy an laprotomy. Also placenta is seen attached to vascular organ. What is the appropriate management?

a. Remove fetus and placentab. Remove fetus and leave placenta

after clamping the cordc. Remove fetus and inject methotrexate

into the cord.d. Remove fetus and placenta and do

hysterectomy.37. Which of the following is not a criteria for

diagnosis of Twin – twin transfusion syndromea. Only one placenta seen on USGb. 30% discripency in weightc. Twins are always of same sexd. Different length of umbilical cord


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Obs Gynae DIAMS38. One dose of anti D immunoglobulin given after

delivery of Rh-positive baby born to Rh- negative mother will be able to neutralize how much amount of fetal blood?

a. 20 ml of fetal bloodb. 25 ml of fetal bloodc. 50 ml of fetal bloodd. 30 ml of fetal blood

39. All are true about macrosomic baby excepta. Weight is 4 kg on USGb. Abdominal circumference is more than

95th percentile for that gestational age on USG

c. Cause shoulder Dystociad. Can be a feature of DOPE

40. All of the following statements are true excepta. Oxytocin sensitivity is increased during

deliveryb. Prostaglandins may be given for

inducting labour III trimesterc. In lactating women genital stimulation

enhances oxytocind. Oxytocin is used for inducing

abortion in 1st trimester 41. Heterophic pregnancy is

a. Pregency occurring is both tubesb. Extrauterine and intrauteuine

pregencyc. Ovarian and tubel pregencyd. Cervical pregency

42. Prolonged 1st stage of labour is not due to all except

a. CPDb. weak uterine contractionsc. rigid perineum, d. None

43. Most common form of multiple pregnancya. monochorionic monoamnioticb. monochorionic diamnioticc. dichorionic diamnioticd. dichorionic monoamniotic

44. The distance from the upper end of sacrum to lower border of pubis corresponds to

a. obstetric conjugateb. diagonal conjugatec. true conjugated. transverse conjugate

45. Contraindication for applying forcepsa. CPDb. crowning of headc. head station +1d. maternal cardiac disease

46. Contraindicated during laboura. Oxytocinb. Misoprostolc. Mifepristoned. Methergin

47. 18 yrs old girl presented with primary amenorrhea, normal breast development, absent pubic and axillary hair

a. testicular feminizing syndromeb. turner syndromec. mullerian agenesisd. premature ovarian failure

48. Not seen in anorexia nervosaa. Menorrhagiab. weight lossc. Amenorrhead. Hypotension

49. MC ovarian tumor in younger age groupa. Dysgerminomab. Dermoidc. Mucinous cystadenomad. Fibroma

50. Evaluation of a pt. With post menopausal bleeding done by all except

a. Pap smearb. USGc. Endometrial biopsyd. Dilation & curettage

51. Fallopian tube patency is checked bya. Hystrosalpingographyb. Laparoscopyc. USGd. CT scan

52. Infertility is seen in all excepta. Fibroid uterusb. Endometriosisc. Adenomyosisd. PID

53. In a patient with pelvic inflammatory disease due to tuberculosis, all of the following statement is true, except

a. Mycobacterium can be grown from menstrual blood

b. Associated with infertilityc. Ectopic pregnancy is commond. Dysmenorrhea is a common

presentation 54. “Swiss – cheese” endometrium is seen in

a. Simple endometrial hyperplasiab. Cystic glandular hyperplasiac. Proliferative endometriumd. Endometriosis

55. Bishop’s score include following, excepta. Dilatation of Cx

b. Effacement of Cx

c. Contractions of uterusd. Station of head

56. Drug strictly contraindicated in lactationa. Lithiumb. Carbamazepinec. Penicillind. Cephalosporin

57. Assessment of progress of labour is best done bya. Station of headb. Rupture of membranec. Contraction of uterusd. Partogram

58. Diabetic mother will have the following complications in foetus except

a. Hydramniosb. Macrosomiac. Cardiac anomalyd. Dimorphic anemia

59. Blood supply to uterus is froma. Uterine arteryb. Ovarian artery


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Obs Gynae DIAMSc. Vaginal arteryd. All of the above

60. Best evidence of ovulation isa. Secretory type of endometriumb. Basal body temperaturec. Cervical mucous studyd. Pap smear

61. LH surge precedes ovulation isa. 12 hrsb. 24 hrsc. 36 hrsd. 48 hrs

62. First investigation to be done for post menopausal bleeding

a. Endometrial biopsyb. Dilation & Curettagec. Fractional curettaged. Hysterosalpingography

63. The common cause of hirsutism in the female isa. Androblastomab. Luteoma ovaryc. Adrenal hyperplasiad. Stein Levanthal syndrome

64. Post partum VVF is best repaired aftera. 6 weeks b. 8 weeksc. 3 monthsd. 6 months

65. The effective sperm count normally isa. 20 million/mlb. 30 million/mlc. 40 million/mld. 50 million/ml

66. Mestranol acts as a contraceptive bya. Inhibiting FSH secretionb. Inhibiting LH secretionc. Inhibiting tubal motilityd. Inhibiting nidation

67. IUCD acts by all mechanisms excepta. Ovulation inhibitionb. Chronic endometritisc. Uterine endometrial atrophyd. Tubal dysmotility

68. In which part of Fallopian tube does ectopic pregnancy occur most frequency

a. Ampullab. Isthmusc. Fimbriad. Cornu

69. The commonest cause for secondary amenorrhoea is

a. Pregnancyb. Tuberculosisc. Thyrotoxicosisd. None of the above

70. Total blood volume increased during pregnancy’s is about

a. 10 %b. 20 %c. 30 %d. 60 %

71. Drug of choice in HTN e- pregnancy a. Hydrallazineb. ACE inhibitors

c. Labetalol d. agonists

72. Ovarian artery is a branch ofa. Internal iliacb. External iliacc. Abdominal aortad. Uterine artery

73. Pseudo bubo is seen ina. Chancroid b. LGVc. Syphilisd. Donovanosis

74. All of the following are cardinal features of rupture tubal pregnancy, except

a. Menorrhagiab. Sudden abdominal and pelvic painc. Unilateral tenderness of adnexal massd. Shock

75. Serum α fetoprotein level is elevated in a. Dysgerminoma b. Endodermal sinus tumourc. Immature teratomad. Chorio carcinoma

76. Drug of choice for chlamydia infectiona. Tetracyclineb. Doxycycline c. Cephozolined. Ciprofloxiacin

77. The shape of cervical canal suggesting preterm delivery is

a. T shapedb. Y shapedc. U shapedd. O shaped

78. In sterilization operation (tubectomy) the site which is commonly preffered is

a. Ampullab. Infundibulumc. Isthmusd. Cornea

79. Abortions due to cervical incompetence usually occur at

A. First month B. Third monthC. Fifth month D. Eighth month

80. All are features of carcinoma of cervix except A. Usually arises in portio vaginalis of

cervixB. More common in multiparous,

promiscuous femalesC. Associated with hypertension,

obesity and diabetesD. Commonest histological type is

squamous cell variety81. Following procedure is carried out to differentiate

between vesicovaginal and ureterovaginal fistula:

A. Intravenous pyelography B. Micturating cystographyC. Three swab testD. Indigo carmine test

82. About polycystic ovary disease, wrong statement is:


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Obs Gynae DIAMSA. Anovulation B. EstrogenC. LH D. Testosterone

83. A female patient getting treatment for secondary infertility develops amenorrhea, severe abdominal pain & slight bleeding pervaginally. It indicates

A. H. mole B. Ectopic pregnancyC. Normal pregnancy D. Fibroid 3

84. The commonest cause of failed forceps is:A. Undiagmised cervixB. Undiagnosed hydrocephalusC. Undiagnosed occipitoposterior

position D. Brow presentation

85. Primary amenorrhoea can result from all except: A. Mullerian dysgenesis B. Wolffian dysgenesisC. Ovarian dysgenesis D. Imperforate hymen E. Turner's syndrome

86. Oxytocin causesA. ed Intestinal peristalsisB. Uterine relaxation C. Milk ejectionD. Ted Urine excretion

87. All are true regarding Rh incompatibility except: A. Mother is Rh negative B. Baby is Rh positiveC. Occurs commonly in primisD. ABO incompatibility is protective

88. Ovulation occurs: A. 14 days after menstruationB. 14 days before menstruation C. 7 days after mensesD. None of the above

89. All of the following pelvic structures support the vagina, EXCEPT

a. Perineal bodyb. pelvic diaphragmc. Levator ani muscled. Infudibulopelvic ligament

90. All of the following are the indications for myomectomy in a case of fibroid uterus, except

a. Associated infertilityb. Recurrent pregnancy lossc. Pressure symptomsd. red degeneration

91. Conservative management is contraindicated in a case of Placenta previa under the following situations, except

a. Evidence of fetal distressb. fetal malformationsc. Mother in a hemodynamically unstable

conditiond. women in labour

92. Basanti devi 45 yrs old women present with hot flush after stopping of menstruation. Hot flush can be relived by administration of following agents

a. Ehinyl estradiol

b. Testesteronec. Fluoxymesterond. Danazol

93. A case of carcinoma cervix is found in altered sensorium and is having hiccups. likely cause is

a. Septicemiab. Uremiac. raised ICTd. None of the above

94. All are absolute contraindication of Cut excepta. Undiagnosed vaginal bleedingb. Nulliparumc. Heart diseased. Diabetes mellitus

95. Composition of MALA D includesa. 30g EE + 1mg desogestrelb. 30g EE + 0.3mg d norgestrelc. 30g EE + 1mg d- norgestreld. 20g EE + 1.5mg d- norgestrel

96. All are seen in postmaturity excepta. Meonium aspiration syndromeb. Fetal brady cardiac. Oligohydramniosd. Golden yellow liquor

97. Which of the following is not included in high risk factors for choriocarcinomas poor prognosis:

a. Duration of disease less than 6 months

b. BHCG>40,000MIU/MIc. Brain, Liver metastasisd. Following full term pregnancy

98. Which is false statement regarding ovarian factor infertility?

a. Most treatable form of infertilityb. TVS is non-invasive investigation for

ovulationc. Secretory pattern of endomentrium is

confirmatory for ovulationd. All are true

99. About “Polymenorrhea” which of the following statement is wrong

a. OCPs for 3 cycle helpb. PID is important causec. Proliferative phase is shortened d. D & C is curative

100. Normal value for fetal ponderal indexa. 8.325 + 2.5b. 9.32 + 1.5c. 7.325 + 1.5d. 8.325 + 1.5

101. Kalka a 48 yrs old lady underwent hysterectomy. On the seventh day, she developed fever, burning microriton and urinary dribbling. She can also pass urine voluntarily. The diagnosis is

a. Uretero vaginal fistulab. Vesico vaginal fistulac. Urge incontinenced. Stress incontinence

102. which of the following antihypertensive drugs is contraindicated in pregnancy

a. Labetalolb. Hydralazinec. Nifedipine


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Obs Gynae DIAMSd. ACE inhibitors

103. Twin pregnancy shows an increase in the following complications except

a. Pre – eclampsiab. Post partum hemorrhagec. Antepartum hemorrhaged. Maternal valvular heart disease

104. Which is the typical clinical feature of vaginmal discharge due to bacterial vagionosis

a. Frothy yellowish disc argeb. Sweet fruity odour when mixed with 10 %

KOHc. Intense pruritisd. Fishy odour when mixed with 10 %

KOH105. Complications of episiotomy can be of

the following excepta. Vulval hematomab. Complete perineal tearc. Recto – vaginal fistulad. Vesico – vaginal fistula


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