O/Gyn(AIMS nov2007)

1.In a patient with post partum hemorrhage with rheumatic heart disease , which is contraindicated:
a. Misoprostol
b. Methyl ergometrine
c. Oxytocin
d. Carboprost

Ans—B Methyl ergometrine


2.The BEST agent used for fixation of Pap smear is:
a. Ethyl alcohol
b. Acetone
c. Formalin
d. Xylol

Ans--A Ethyl alcohol


3.Post-operative radiotherapy in a patient operated for Ca-endometrium is indicated in all of the following except: a
. Deep myometrial invasion
b. Pelvic lymph node involvement
c. Enlarged uterine cavity
d. Poor tumour differentiation

Ans—C Enlarged uterine cavity


4.Polyhydramnios is associated with all except:
a. .
. b. ..
c. Bilateral renal agenesis
d. ..

Ans—C Bilateral renal agenesis


5.A 18 year old primigravida complained of decreased fetal movements. She delivered a baby weighing 2000gms at 30 weeks of gestation. The APGAR scores of the baby were 4 and 5 at 1 and 5 minutes respectively. The baby died in an hour. Post-mortem examination revealed multiple, peripheral, radially arranged cysts in the kidney. Most common associated finding in the baby would be:
a. Holoprosencephaly
b. Hepatic cysts and hepatic fibrosis
c. Ureteral agenesis
d. Medullary sponge kidney

Ans—B Hepatic cysts and hepatic fibrosis


6.In which of the following heart diseases is maternal mortality during pregnancy is found to be the highest?
a. Coarcatation of aorta
b. Eisenmenger’s complex
c. Aortic stenosis
d. Mitral stenosis

Ans—B Eisenmenger’s complex


7.Clomiphene citrate is associated with all except:
a. Polycystic ovarian disease
b. Multiple pregnancies
c. Ovarian cancer
d. Teratogenecity

Ans—D Teratogenecity


8.Following is associated with maximum risk of invasive carcinoma of cervix:
a. Low grade squamous intraepithelial lesion
b. High grade squamous intraepithelial lesion
c. Squamous intraepithelial lesion associated with HPV-16
d. Squamous intraepithelial lesion associated with HIV

Ans--C Squamous intraepithelial lesion associated with HPV-16


9.According to the new WHO criteria, all are true in a normal person except:
a. Sperm count > 20 million
b. Volume > 1 ml
c. Normal morphology in > 15 % (strict criteria)
d. Aggressive forward motility in > 25 %

Ans—D Normal morphology in > 15 % (strict criteria)


10.A gravida3 female with a history of 2 previous 2nd trimester abortions presents at 22 weeks of gestation with funneling of the cervix. Most appropriate management would be:
a. Administer Dinoprostone and bed rest
b. Administer mifipristone and bed rest
c. Apply Fothergill’s stitch
d. Apply McDonald’s stitch

Ans—D Apply McDonald’s stitch


11.Internal Podalic Version done in cases of transverse lie is associated with the following complication:
a. Uterine rupture
b. Vaginal laceration
c. Uterine atony
d. Cervical laceration

Ans—A Uterine rupture


12.Increase in maternal serum AFP levels is seen in:
a. Down’s syndrome
b. Molar pregnancy
c. Over estimated gestational age
d. Congenital Nephrotic Syndrome

Ans—D Congenital Nephrotic Syndrome


13.A 18 year old girl presents with amenorrhoea, weight loss and milky discharge from the pages . Most likely diagnosis is:
a. Anorexia nervosa
b. Occult carcinoma
c. Hypothyroidism
d. HIV

Ans—A Anorexia nervosa


14.Goniometry is measurement of:
a. Number of gonococci
b. Length of the genital hiatus
c. Urethrovesical angle
d. Genital secretion

Ans—C Urethrovesical angle


15. Asherman’s syndrome is diagnosed by all except:
a. HSG
b. Hysteroscopy
c. Endometrial culture
d. Saline infusion USG

Ans—C Endometrial culture