OBS_GYNMAY2000.doc

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AMC 2000A MAY MCQ EXAMINATION.

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OBSTETRICS AND GYNAECOLOGY

1 On third day after birth, a 2 kg baby had bilirubin level of 250 mmol ( 8g, with nooedema. All of the following are true EXCEPT.

a MgSo4 infusion should be started prophylacticaly.b Methyldopa 500mg tds should be given.c She should be delivered within 48 hrs.d Betamethesone should be given.e Continuous CTG monitoring has to be done.

3 On examination of a pregnant woman, the foetus was term, with vertex presentation, longitudinal lieand head at3 station. ARM done, clear liquor, and she was also started on Oxytocin drips. Fiveminutes after commencing oxytocin, on auscultation with pinards fetoscope FHS was


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c Rescan the patient in two wks time.de

5. A 22 yr old lady married for one year has come to consult you because of infertility. She is been

having regular intercourse for the last six months. What is your management regarding this patient?

a Gamete intra fallopian transfer (GIFT).b Give her a temperature chart and explain her about ovulation time, fertile period, and review her

after 4 wks.

c Do a hysterosalphingography.de6. All of the following can cause Hyperprolactinemia EXCEPT.

a Pituitary adenoma.b Phenothiazines.c Breast engorgement.d Oestrogen.e Renal failure.

7. A 26 yr old lady with irregular cycles for a longtime had cycles once in 410 wks intervals.

Her LMP at that time was 6/52 before. On routine examination for her amenorrhea

FSH 3 IU (13)

LH 850 IU (4-10 follicular phase, 20-100 midcycle)

Prolactin 450 (50-500)

What is the most likely cause for amenorrhea?

a Premature ovarian failure.b Polycystic ovarian disease.c Stress due to recent marriage.d Early pregnancy.e LH secreting pituitary.

8. A 42 yr old lady had menorrhagia and was anaemic, for which she under went a D&C three weeks

ago and no abnormality was seen. She has never had hormonal treatment before.

All of the following can be given to her EXCEPT

a Tranexamic acid.


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b Prostaglandin synthetase inhibitors.c Norethesterone.d LHRH.e GnRH.

9. All of the following are side effect of Progesterone EXCEPT

a Weight gain.b Menstrual irregularities.c Amenorrhea after 2-3 injections.d Reduced chance of fertility for 6-12 months after last injection.e10. A 50 yr old female attained menopause two yrs back. Now, she had bleeding for three days

duration. What is the MOST LIKELY cause for her bleeding?

a

Endometrial carcinoma.b Atrophic vagina.c Cervical carcinoma.d Spontaneous development of a cyst.e

11. Which is the LEAST LIKELY cause for purulent vaginal discharge in a 60 yrs old lady.

a Carcinoma of cervix.b Candidiasis.c Carcinoma of endometrium.d Foreign body.e

12. All are beneficial effects of oral contraceptive pill taken for more than ten years EXCEPT.

a Reduce incidence of endometrial carcinoma.b Reduce incidence of Pelvic inflammatory disease.c Reduce incidence of breast carcinoma.d Reduce incidence of Iron deficiency anaemia.e Reduce incidence of menstrual blood loss.

13. All are risk factors for endometrial. Ca EXCEPT.

a Hormone replacement therapy with oestrogen alone.b Polycystic ovarian disease.c Hyperstimulation.d Obesity.


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e

14. Asymptomatic bacteriuria in a pregnant woman.

a The incidence is 3-7% of all pregnancies.b Defined arbitrarily as >100,000 bacteria / Ml.c Commonest organism is Streptococcus.d About 30% will develop symptoms.e Responds to short course of antibiotics.

15. Regarding vasectomy all are true EXCEPT.

a It is an easy and safe method.b Takes three months period to achieve sterility.c Recanalisation less than 3-5 yrs is more successful.d

Anti sperm antibodies are usually formed within 5 yrs.e Success rate is more with recanalisation after tubectomy than vasectomy.

16. A young couple has decided to achieve contraception by using billing method (Ovulation

method). What is your advice to them?

a During the follicular phase they can have intercourse as long as the vagina is dry.bcde17. About Diabetes mellitus in pregnancy which of the following is NOT true.

a Routine testing should be done in all pregnant women between 28-30 weeks of gestation becauseof the risk factors poorly correlate with the incidence.

b Management can be initially with diet control alone.c Neonatal hypoglycaemia is uncommon with diabetes.d Blood glucose level should be maintained with insulin if blood sugar is more than 5.5 mmol.e

18. Neonatal hypoglycaemia can be caused by all of the following EXCEPT.

a Gestational diabetes.b Post maturity.c Growth retardation.d Mother treated with Salbutamol during pregnancy.e Mother treated with Propranalol during pregnancy.


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19. Regarding two embryos implanted in the uterus, all are true EXCEPT.

a Acute polyhydramnios.b Pregnancy induced hypertension.c Premature labour.d Anaemia if haematinics not taken.e Asymmetrical growth of twins.

20. Regarding polyhydramnios, all are true EXCEPT

a Acute polyhydramnios occur in monozygotic twins.b Acute polyhydramnios is more common than chronic polyhydramnios.cde21. Five days after delivery, a mother developed fever of 38C. Which is the MOST COMMON cause.

a Endometritis.b Breast abscess.c Severe breast engorgement.d Deep venous thrombosis.e

22. After delivery, a patient had bright red vaginal bleeding. On examination her uterus was firm,

well contracted, placenta and membranes appears to be completely removed. Patients B/P was70/50 mmHg. Pulse rate 120 / min. What would be the MOST LIKELY cause for her bleeding?

a Retained products of conceptions.b Atonic uterus.c Laceration of cervix and vagina.de

23. A Gravida two, Para one females first child was 4400g birth weight, and had shoulder dystocia

during delivery. Regarding this pregnancy all can be true EXCEPT.

a Do a glucose tolerance test at 20-28 weeks gestation.b Apply a mid cavity forceps if head is at ischeal spine and occipital anterior position.c Do an Ultra sonogram at 34 weeks to Asses fetal size.d Caesarian section.e


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