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4. The best time of the menstrual cycle to sample LH and FSH levels in a case of PCOS are :
(1) Days 2 to 4
(2) Days 12 to 14
(3) Days 6 to 8
(4) Days 24 to 26
5. A 28 year old married woman with PCOS is anxious for conception. Her hormonal assays
are within normal limits. The treatment of choice is :
(1) Laparoscopic ovarian drilling
(2) Ovulation induction with Clomiphene citrate
(3) Ovarian Wedge resection
(4) IUI
13. In IVF, the embryos are usually transferred back to the uterine cavity on _________ day
after oocyte retrival.
(1) Day 1
(2) Day 2
(3) Day 5
(4) Day 7
15. 30 yrs old P1L1 wants contraception for 6 months. She has dysmenorrhoea & is a k/c/o
complicated migraine. On USG, uterus has multiple fibroids. Contraception of choice is :
(1) Cu-T 200
(2) OC pills
(3) Vaginal diaphragm
(4) Tubal sterilisation
18. 30 yrs old P1L1 had Cu-T inserted 2 years back. O/E-Cu-T threads not seen. USG shows
CuT partly in abdominal cavity. Method of removal is :
(1) Hysteroscopy
(2) No need to remove it(wait and watch)
(3) IUCD hook
(4) Laparoscopy
33. 16 years old presents with primary amenorrhea. O/E breasts are well developed,
absence of axillary & pubic hair. Lump felt in the inguinal region. USG reveals absent
uterus. The diagnosis is :
1) Androgen insensitivity syndrome
2) RMKH syndrome
3) Turner’s syndrome
4) Kallman’s syndrome
36. 35 years old Radha aborted 5 months back at 17 weeks of a gestation. She has not got
her periods yet. Urine pregnancy test is negative. Estrogen + progesterone withdrawl test
negative. The likely diagnosis is :
(1) Pituitary failure
(2) Ovarian failure
(3) Anorexia nervosa
(4) Asherman’s syndrome
37. 15 years old Ritu c/o heavy periods . O/E : wt 40 kg & BP – 120/80 mm Hg. All of the
following investigations are indicated, EXCEPT :
(1) S.TSH
(2) platelet count
(3) Bleeding & clotting time
(4) None of the above
38. 46 years Rinku complains of menorrhagia for 3 months. Next line of management is :
(1) D&C
(2) Progesterone x 6 months
(3) OC pills x 6 months
(4) Hysterectomy
39. All of the following are included in Hormone replacement therapy, EXCEPT :
(1) Estrogen
(2) Progesterone
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(3) Tibolone
(4) Alendronate
42. Prolapse of the upper one third of the posterior vaginal wall is called as :
(1) Rectocele
(2) Enterocele
(3) Lax Perineum
(4) Ureterocele
43. 26 years old, P1L1, with third degree uterine prolapse is best treated with :
(1) Conization of cervix
(2) Fothergill’s operation
(3) A-P repair
(4) Vaginal hysterectomy
44. A 28 years old, no living issue with second degree uterine propalse and cervical elongation
with good anterior abdominal wall tone, is treated with :
(1) Le fort’s colpoclesis
(2) Fothergill’s repair
(3) Cervicopexy
(4) hysterectomy
45. Fothergill’s repair is associated with all the following complications, EXCEPT :
st
(1) 1 trimester abortions
(2) Cervical dystocia
(3) Preterm labor
(4) Cervical factor of infertility
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46. 84 year old lady, with history of MI and on therapy for severe hypertension & cardiac
failure is also having procidentia. The ideal surgery for her is :
(1) Theirsch’s stitch
(2) Vaginal hysterectomy
(3) Le forte’s repair
(4) Cervicopexy
47. All of the following are the risk factors for CIN & Ca cervix, EXCEPT :
(1) Early age at intercourse
(2) HPV infection
(3) Smoking
(4) Monogamy
48. 38 years old Mala has Pap smear with HSIL. Colposcopy directed biopsy can reveal all,
EXCEPT :
(1) CIN-1
(2) CIN-2
(3) CIN-3
(4) Ca insitu
49. 50 yrs. Nagdevi has Pap smear showing HSIL and colposcopic directed biopsy normal.
Next line of management is :
(1) Repeat punch biopsy
(2) Wait & watch
(3) Cone biopsy
(4) Hysterectomy
50. 30 Years old nulliparous lady with Pap showing HSIL, underwent colposcopy with
biopsy. It revealed CIN-III. Next line of management is :
(1) Repeat Pap & Colposcopy > 6 months
(2) diagnostic conization
(3) hysterectomy
(4) LEEP
51. Advantages of surgery over Radiotherapy in Ca Cervix treatment are all, EXCEPT :
(1) Preservation of vaginal function
(2) Conservation of ovaries
(3) Lesser surgical mortality
(4) None of the above
57. 35 yrs old Lata, P2L2 with Rt sided ovarian mass c/o bleeding PV. Her FBS 72mg%. and
S. inhibin levels raised. On histopathology, likely picture is :
(1) Call Exner bodies
(2) Crystalloids of Reinke
(3) Psammoma bodies
(4) Hobnail cells
59. 38 yrs old Nilofer, on USG shows 34 cm, clear ovarian cyst on right side. She c/o low
backache. Next best line of management is :
(1) Laparoscopy
(2) O.C pills
(3) Wait & watch
(4) CA-125 estimation
60. 56 yrs old Kruti c/o pain in abdomen with USG showing 4 cm bilateral ovarian mass with
increased vascularity, Next line of management is :
(1) USG guided ovarian tapping
(2) Wait & watch
(3) Surgery
(4) OC pills 3 cycles
61. True and false broad ligaments fibroids differentiated by anatomic position of :
(1) Ureter
(2) Internal iliac vein
(3) External iliac artery
(4) Descending cervical artery.
63. 30 years old Kamla, P2L2 with 3.2 4.1 cm fibroid uterus c/o menorrhagia & is on
hormonal therapy since 6 months. Pt refuses surgery. Next line of management
is :
(1) Hysterectomy
(2) Danazol
(3) Myomectomy
(4) Uterine artery embolisation
73. In a ureterovginal fistula, the ‘three swab’ test shows the following result :
(1) Upper swab wet with methylene blue
(2) Upper swab wet with urine
(3) Lower swab wet with urine
(4) Lower & mid swab wet with methylene blue
76. 24 year old married lady with galactorrhea, visual defects and headache. The most likely
diagnosis is :
(1) Microadenoma of pituitary
(2) Macroadenoma with extrasellar extension
(3) hypothyroidism
(4) Chronic renal failure
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77. Branches of internal iliac artery include all of the following, EXCEPT :
(1) Uterine Artery
(2) Middle rectal artery
(3) Obturator artery
(4) Inferior epigastric artery
87. A 16 weeks pregnant lady with previous history of Down’s syndrome should be best
evaluated by:
(1) CVS
(2) Triple marker test
(3) Amniocentesis
(4) Color Doppler
91. In asymmetric IUGR, color doppler shows the following findings, EXCEPT :
(1) S/D Ratio in umbilical artery
(2) MCA flow
(3) Notching of uterine artery
(4) Reversed flow in Ductus Venosus
99. All of the following are outcomes of occipito posterior position, EXCEPT :
(1) Deep transverse arrest
(2) Occipito sacral arrest
(3) Face to pubis delivery
(4) None of the above
101. All of the following are involved in complicated vaginal breech delivery, EXCEPT :
(1) Loveset manoevre
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(2) Pinard’s manoevre
(3) Prague method
(4) Burns Marshall method
103. Treatment of cord prolapse is based on all of the following factors, EXCEPT :
(1) Fetal viability
(2) Fetal maturity
(3) Fetal weight
(4) Cervical dilatation
106. Post partum haemorrhage is associated with all of the following, EXCEPT :
(1) Abruption
(2) Multiple pregnancy
(3) HELLP syndrome
(4) Methergin use
108. 29 years Radha is in labour since 12 hours & c/o frequent blood stained urine passage.
She is a c/o previous LSCS. O/E = P-130b/m, BP-100/60, P/A - Uterus tender, FHR
feeble, fresh bleeding PV. Diagnosis is:
is :
(1) Abruptio placentae
(2) Placenta praevia
(3) rupture uterus
(4) None
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109 Incidence of scar rupture in a pregnant lady with previous LSCS is ____%
(1) 2.5-3 (2) 0.5-1.5
(3) 3.5-4.5 (4) 4-5
113 A 28 year old, primigrarida with 34 weeks of pregnancy suddenly complains of headache
and blurred vision& oliguria. Her BP is 180/110 and urine albumin is +4 The Bishop’s
score is 10 :
The line of further management is :
(1) wait & watch
(2) LSCS
(3) Induction of labor
(4) Anticonvulsant + Antihypertensive therapy
115 In the Pritchard’s regime the therapeutic level of serum MgSO4 to be achieved is :
(1) 1 – 2 meq/L
(2) 4 – 7 meq/L
(3) 12 – 15 meq/L
(4) 30 – 35 meq/L
116 A pregnant women developed obstetric Hepatosis, all of the following are associated,
EXCEPT :
(1) SGOT can be raised to 100 IU
(2) S. Bilirubin > 7 mg/dL
(3) Meconium stained amniotic fluid
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(4) Intense pruritus
117. 20 years old,G4 P3 L3 with MS is in labor, all of the following are indicated, EXCEPT :
(1) proped up position
(2) Prophylactic forceps
(3) i.m. methergin after placental delivery
rd
(4) IV frusemide after 3 stage of labor
120 The ideal time to perform the O’Sullivans Blood sugar screening test in the ante natal
period :
(1) 8 – 10 weeks
(2) 16-20 weeks
(3) 24 – 28 weeks
(4) 32 – 36 weeks
121 G2P1L1, Diabetic pregnant lady with 32 weeks pregnancy,blood sugars are well
controlled and the on USG the fetal weight is 3.11 kg. The previous pregnancy was
terminated by emergency LSCS for fetal distress. The best plan of action is :
(1) Induce at 38 weeks
(2) Elective LSCS at 36 weeks
(3) Elective LSCS at 38 weeks
(4) Elective LSCS at 40 weeks
st
122 The congenital anomaly specifically associated with uncontrolled DM in 1 trimester is :
(1) Edward’s syndrome
(2) NTD
(3) sacral agenesis
(4) Conradi syndrome
125 37 weeks primigravida in labor, with uterine contractions. Pv= 3 cm dilated. Transverse lie,
with IUFD. BEST plan of action is
1) LSCS
2) Internal podalic version
3) Evisceration
4) Craniotomy,Decapitation
126 G6P5L5, all home deliveries, is 8 weeks pregnant and has procedentia, treatment is :
(1) AP prepair
(2) Pessary
(3) Cerclage
(4) Bed rest
127 G2P1 with 11 weeks pregnancy on USG shows a right sided ovarian cyst measuring 12
cm 10 cm. Best management is :
(1) Immediate cystectomy
nd
(2) Cystectomy in 2 trimester
(3) Cystectomy after delivery
(4) MTP
128. All are true about red degeneration of fibroid in pregnancy, EXCEPT :
(1) Leucocytosis
(2) Vomitting
(3) Myomectomy
(4) Micronecrothrombosis
129. All of the following are known complications of fibroid in pregnancy, EXCEPT :
(1) Abortion
(2) Preterm labor
(3) PROM
(4) PPH
130. 32 years old patient with 36weeks pregnancy comes to OPD as profuse painless PV bleeding
since 1 hour. O/E patient is pale & BP-110/70mmHg. P/A uterus relaxed . All of the followng
can be done to diagnose the condition, EXCEPT :
(1) USG
(2) MRI
(3) Internal examinations in OT
(4) None of the above
131 35 weeks pregnant lady is admitted I/V/O first episode of painless bout of bleeding yesterday.
O/E=Hb10gm%, BP-120/70mmHg, uterus relaxed, cephalic floating. FHS regular. Next line of
management is :
(1) Caesarean section
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(2) Induction of labour
(3) Wait and watch
(4) Blood transfusion
132. 37 weeks pregnant lady is admitted with pain in abdomen since 2 hours. O/E : Hb= 11gm%,
BP-150/90mmHg, urine albumin +. P/A – 36 weeks, fetal heart rate good with minimal
contraction of uterus. P/V-7cm dilated. ARM reveals blood stained liquor. Next line of
management is :
(1) Caesarean section
(2) Wait and watch
(3) oxytocin augmentation
4) blood transfusion
133 36 weeks pregnant lady C/O bleeding PV since 4 hours. O/E=Hb 6gm%, BP-90/60, P/A-
uterus tonically contracted, FHR absent. BT=7min & CT= 14min. The likely diagnosis as per
Page’s classification is :
(1) Grade I Abruptio
(2) Grade II Abruptio
(3) Grade III Abruptio
(4) Grade IV Abruptio
134 Simi with 34 weeks pregnancy is in labour with 3cm dilatation & minimal uterine contraction.
On ARM, fresh bleeding noted with late fetal decceleration upto 50 b/m. The patient was
taken for CS but fetus could no be saved. NO abruptio or placenta praevia seen. The likely
diagnosis is :
(1) Placenta praevia
(2) Revealed abruptio
(3) Circumvallate placenta
(4) Vasa previa
135 24 years Mala C/O 4 & half weeks amenorrhoea & PV spotting 15 days back. O/E=P-96b/m,
BP-120/80, beta HCG is positive but transabdominal sonography reveals empty uterine cavity.
Likely diagnosis could be :
(1) Ectopic pregnancy
(2) Abortion
(3) Early intrauterine pregnancy
(4) All of the above
136 19 years old Neeta presents to emergency ward as 2 months amenorrhoea with pain in
abdomen & shock. BP – 90/60mm Hg & Hb 6gm%. Urine pregnancy test is found positive.
Next immediate line of treatment is :
(1) Laparotomy
(2) Blood transfusion
(3) Medical management
(4) Laparoscopy
137 All of the following are risk factors for ectopic pregnancy, EXCEPT :
(1) PID
(2) LNG-20 IUCD
(3) Tubal surgery
(4) IVF
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138 Neelu with 3 months amenorrhoea c/o hyperemesis and vaginal bleeding since one month.
O/E=uterus 16 weeks with absent fetal heart sound. USG shows snowstorm appearance The
diagnosis is :
(1) Vesicular mole
(2) Ectopic pregnancy
(3) IUFD
(4) Abruptio placentae
139. 34 years old Lalti with H/O previous two first trimester abortions comes for evalution. All of the
following are implicated in cause, EXCEPT :
(1) DM
(2) chromosomal abnormality
(3) thyroid disorder
(4) Cervical incompetence
140. 30 years Radha is 14 weeks pregnant. She had 2 painless deliveries at 16 weeks earlier. Next
line of management is :
(1) Cervical encirclage
(2) Progesterone supplementation
(3) Cervical length assessment
(4) Tocolytics
141. All of the following are legal grounds for Medical Termination of pregnancy, EXCEPT :
(1) Rape
(2) Failure of contraception
(3) Eugenic causes
(4) Financial causes
142. Malti with 32 weeks pregnancy C/O leaking since pervaginum 1hour. O/E=uterus relaxed with
regular FHS. All of the following can be done to establish PROM, EXCEPT :
(1) Nitrazine paper test
(2) Fetal Fibronectin levels
(3) AFP
(4) Sugar levels
143 Sandhya with 33 weeks pregnancy was admitted in preterm labour. O/E=Minimal uterine
contraction felt & fetal heart regular. P/V-1cm dilated with poor effacement. No leaking of
liquor seen. Management includes all, EXCEPT :
(1) Tocolytics
(2) Steroid therapy
(3) Immediate delivery
(4) Bedrest
144 29 years old Neeta comes to the OPD with c/o postdatism by 4 days. All of the following are
advocated in the management,
EXCEPT :
(1) Confirm postdatism
(2) Modified BPP
(3) PV examination
(4) Fetal lung maturity
145 G2P1L1 comes to OPD as a case of twin pregnancy. All of the following details elicited in her
history can be etiological factors for her twin pregnancy, EXCEPT :
(1) She is 39 years old
(2) Her mother had twin pregnancy
(3) She is a Mongol by race
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(4) She was treated for infertility
148 Shilu with 18 weeks of pregnancy is diagnosed as severe oligohydramnios. The most likely
fetal consequence expected is :
(1) Cord compression
(2) PPROM
(3) Fetal limb deformities
(4) Fetal cardiac anamolies
149 33 weeks pregnant Rhima is diagnosed as mild IUGR on USG. All of the following can be
done in treatment of IUGR ,EXCEPT :
(1) Bed rest
(2) BPP
(3) Colour Doppler
(4) Delivery immediately
150 Malti with 36 weeks pregnancy is diagnosed with IUFD on USG. She is bleeding PV since 2
hours. O/E - Hb 7gm%, BT = 9min, CT = 16min, platelets = 40,000/cu.mm. All of the following
are treatment, EXCEPT :
(1) Blood transfusion
(2) Induction of labour
(3) FFP transfusion
(4) Immediate Caesarean section