Assistant Professor / Lecturer • 2017 • Paper-II
Aetiological factors in spontaneous preterm labour is
A)
Delivery before 34 weeks occurs in 20% of twins
B)
Spontaneous preterm labour is more common in the presence of fetal compromise.
C)
Uterine abnormalities such as fibroids or müllerian abnormalities are a cause of first-trimester miscarriage, but not preterm delivery.
D)
Cervical surgery and recurrent terminations of pregnancy protect against preterm delivery
Fetal compromise and multiple pregnancy are associated with spontaneous preterm birth; the other statements are incorrect.
Assistant Professor / Lecturer • 2017 • Paper-II
Prelabour, term rupture of the membranes: which of the following is true?
A)
The incidence of membrane rupture before the onset of labour after 37 weeks is 50%.
B)
Risk of neonatal infection is reduced by vaginal examinations, the presence of group B streptococcus and increased duration of membrane rupture
C)
Induction of labour does not increase the risk of Caesarean section, and is associated with a lower chance of maternal infection.
D)
Erythromycin should be prescribed
Routine erythromycin is not indicated for uncomplicated term rupture; management focuses on infection prevention and induction when appropriate.
Assistant Professor / Lecturer • 2017 • Paper-II
The statement appropriate for Placenta praevia:
A)
Placenta praevia complicates about 0.4% of pregnancies at term.
B)
Placenta praevia cannot be diagnosed with ultrasound
C)
The majority of ‘low-lying’ placentas diagnosed at 20 weeks will remain so at term
D)
The patient should be routinely managed under in-patient care with delay of delivery until the patient labours, at which time an emergency Caesarean section will be performed
Participatory Rural Appraisal emphasizes incorporating local people's knowledge, experience and priorities.
Assistant Professor / Lecturer • 2017 • Paper-II
The agravating factor for subinvolution of uterus
A)
retained products of conception
B)
uterine sepsis
C)
(a) & (b)
D)
all of these
Retained products and uterine infection both promote subinvolution.
Assistant Professor / Lecturer • 2017 • Paper-II
Common causes of antepartum haemorrhage (APH, bleeding from the genital tract from 24 weeks gestation) include which of the following?
A)
Vasa praevia
B)
Uterine rupture
C)
Placental abruption
D)
None of these
Placental abruption is a major recognized cause of antepartum haemorrhage.
Assistant Professor / Lecturer • 2017 • Paper-II
Mifepristone is used in
A)
ectopic pregnancy
B)
fibroid uterus
C)
molar pregnancy
D)
none of these
Mifepristone is used for medical termination of pregnancy and medical abortion; none of the listed gynaecological conditions is the standard indication.
Assistant Professor / Lecturer • 2017 • Paper-II
Which one of the following is a typical biochemical and haematological abnormality in Pre-eclampsia?
A)
Reduced haemoglobin
B)
Rise in platelets as part of the acute systemic response
C)
Low uric acid
D)
Impaired renal and liver function
Magnesium sulfate is the preferred anticonvulsant and has fewer fetal/neonatal adverse effects than diazepam or barbiturates.
Assistant Professor / Lecturer • 2017 • Paper-II
The prolonged pregnancy: which of the following is true?
A)
A pregnancy is prolonged if e”40 weeks’ gestation is completed.
B)
Perinatal mortality and morbidity starts increasing between 41 and 42 weeks.
C)
Although stillbirth is increased post dates, neonatal illness, encephalopathy and meconium passage and a clinical diagnosis of fetal distress are less common.
D)
Routine dating scans increase the incidence of induction for post dates.
Perinatal risk rises after 41 weeks and becomes more important as gestation extends toward 42 weeks.
Assistant Professor / Lecturer • 2017 • Paper-II
The Induction of labour: which one of the following is false?
A)
Hyperstimulation is more common with misoprostol than prostaglandin E2 (PGE2).
B)
Cervical ‘sweeping’ from/ after 40 weeks reduces the chance of induction and postdates pregnancy.
C)
Absolute contraindications include acute fetal compromise, abnormal lie, placenta praevia or pelvic obstruction such as a pelvic mass or pelvic deformity causing cephalo-pelvic disproportion
D)
The risk of cord prolapse is decreased with induction of labour.
Induction can increase, not decrease, cord-prolapse risk in susceptible presentations; thus that statement is false.
Assistant Professor / Lecturer • 2017 • Paper-II
Down’s syndrome (trisomy 21) is
A)
Trisomy 21 is the most common chromosomal abnormality among live births.
B)
It usually occurs as a result of a balanced chromosomal translocation in the parents.
C)
One hundred per cent of affected infants have cardiac defects.
D)
The fetal heart is always abnormal.
Trisomy 21 is the most common autosomal chromosomal abnormality among live births; not all cases are due to translocation and not all have heart defects.
Assistant Professor / Lecturer • 2017 • Paper-II
Which of the following is NOT a symptom of postpartum depression?
A)
Energy depletion
B)
Sudden bursts of energy
C)
Mood swings
D)
Anxiety
Sudden bursts of energy are not a typical symptom of postpartum depression.
Assistant Professor / Lecturer • 2017 • Paper-II
The most common cause of PPH is
A)
uterine atonicty
B)
cervical tear
C)
vaginal lacerations
D)
coagulation disorder
Uterine atony is the commonest cause of postpartum haemorrhage.
Assistant Professor / Lecturer • 2017 • Paper-II
Conservative management is contraindicated in a case of placenta praevia under the following situation except
A)
evidence of fetal distress
B)
fetal malformations
C)
mother in a haemodynamic condition
D)
woman in labour
In DIC, PT and aPTT are prolonged and thrombocytopenia develops; PCV is not a coagulation test.
Assistant Professor / Lecturer • 2017 • Paper-II
A 48 year old woman presents with intermenstrural bleeding for two month and episodes of bleeding occuring any time in the cycle .there is no associated pain . the differential diagnosis for intermenstrual bleeding does not include :
A)
endocervical polyp
B)
cervical malignancy
C)
endometrial polyp
D)
ovarian teratoma
An ovarian teratoma is not a typical direct cause of intermenstrual uterine bleeding.
Assistant Professor / Lecturer • 2017 • Paper-II
A 20 year old lady is referred with a problem of postcoital bleeding .It has occour six times over past two month with no pain in association . The investigation which she has to undergo is
A)
colposcopy
B)
ultrasonography
C)
cervical smear
D)
none of these
Persistent postcoital bleeding requires cervical assessment, commonly with colposcopy.
Assistant Professor / Lecturer • 2017 • Paper-II
Methods used in identification of high-risk pregnancy:
A)
Use of history as a screening tool in identification of high-risk pregnancy is very sensitive
B)
Use of history as a screening tool in identification of high-risk pregnancy is specific.
C)
The uterine circulation normally develops a very high resistance in normal pregnancy
D)
Low levels of pregnancy-associated plasma protein A (PAPP-A) increase the risk of IUGR, pre-eclampsia and stillbirth
Low PAPP-A is associated with adverse placental outcomes including IUGR, pre-eclampsia and stillbirth.
Assistant Professor / Lecturer • 2017 • Paper-II
The risks involved in prolonged retention of placenta are
A)
hemarrahge
B)
shock
C)
risk of its recurrence in next pregnancy
D)
all of these
Retained placenta can cause severe haemorrhage and shock; recurrent retention risk may also be increased.
Assistant Professor / Lecturer • 2017 • Paper-II
Among the following drugs the one most commonly used to reduce the blood loss in the management of postpartum heamoraghe is
A)
oxytocin
B)
methergin
C)
prostaglandins
D)
progesterone
The correct choice is oxytocin.
Assistant Professor / Lecturer • 2017 • Paper-II
Pregnant woman is found to have excessive accumulation of amniotic fluid .Such polyhydramnios is likely to be associated with all the following conditions except
A)
twining
B)
microanecephaly
C)
oesophageal atresia
D)
bilateral renal agenesis
Bilateral renal agenesis causes oligohydramnios because fetal urine production is absent, so it is the exception.
Assistant Professor / Lecturer • 2017 • Paper-II
Injection glucogen is effective for management of persistant hypoglycemia in all except
A)
lage for date baby
B)
galactosemia
C)
infant of diabetic mother
D)
nesidioblastosis
The selected option is the exception/incorrect statement: galactosemia.
Assistant Professor / Lecturer • 2017 • Paper-II
The complications of multiple pregnanc is :
A)
First trimester miscarriage is more common in multiple pregnancy, but late miscarriage is not
B)
In twin–twin transfusion syndrome, with optimal treatment, survival of both twins occurs in 85%.
C)
Childhood handicap is more common with twins.
D)
In the majority of pregnancies, the presenting twin is breech
Neurodevelopmental and childhood disability is more common in twins than singletons, especially with prematurity.
Assistant Professor / Lecturer • 2017 • Paper-II
Ectopic pregnancy is best diagnosed by
A)
trans vaginal USG
B)
serial HCG
C)
X-ray
D)
none of these
Transvaginal ultrasound combined with beta-hCG is the key diagnostic approach; TVUS provides direct localization.
Assistant Professor / Lecturer • 2017 • Paper-II
Persistant , severe pain on the peritoneal region and presence of rectal tenesmus or bearing down efforts when extension occurs to the ischiorectal fossa with retention of urin are the symptoms of
A)
abdominal hematoma
B)
pelvic hematoma
C)
uretral hematoma
D)
cervical hematoma
The correct choice is pelvic hematoma.
Assistant Professor / Lecturer • 2017 • Paper-II
The commonest cause of breech presentation
A)
prematurity
B)
hydrocephalus
C)
placenta praevia
D)
polyhydramnios
Breech presentation is associated with a higher incidence of fetal abnormality and complications.
Assistant Professor / Lecturer • 2017 • Paper-II
For manual removal of placenta the hand is introduce into the uterus in the shaped of
A)
cone
B)
vertical
C)
straight
D)
none
The correct choice is cone.
