1. Earliest sign after IUFD is ?
A. Overlapping of skull bones
B. Hyperflexion of spine
C. Gas in great vessel
D. Over crowding of ribs
Answer: C
2. True about Gartners cyst is ?
A. Retention cyst in remnants of Wolffian duct
B. Arises from mullerian duct
C. Commonly arises from cervix
D. Impulse on coughing
Answer: A
3. If the anal spincter is injured, it is which degree of Perineal Tear ?
A. First
B. Second
C. Third
D. Fourth
Answer: C
4. If the rectal mucosa is injured, it is which degree of Perineal Tear ?
A. First
B. Second
C. Third
D. Fourth
Answer: D
5. Cryptomenorrhea occurs in ?
A. Fibroids
B. PCOS
C. Imperforate hymen
D. All of the above
Answer: C
6. Best indicator for ovarian reserve is ?
A. AMH
B. LH/FSH ratio
C. FSH
D. Estradiol
Answer: A
7. HPL has activity similar to which hormone ?
A. Oxytocin
B. Growth hormone
C. Insulin
D. All of the above
Answer: B
8. Which of the following is not a soft tissue marker of Down syndrome on USG ?
A. Increase NT
B. Absent nasal bone
C. Exomphalos
D. Polydactyly
Answer: D
9. In a case of recurrent spontaneous abortion the following investigation is unwanted ?
A. Hysteroscopy
B. Testing for antiphospholipid antibodies
C. Testing for TORCH infections
D. Thyroid function tests
Answer: C
10. Dilatation & evacuation is done for all ecxept ?
A. Inevitable abortion
B. Incomplete abortion
C. Threatened abortion
D. None of the above
Answer: C
11. WHO normal Hb value for a non pregnant adult female is ?
A. 10 gm/di
B. 11 gm /dl
C. 12 gm/dl
D. 13 gm/dl
Answer: C
12. Outcomes of occipito posterior position?
A. Deep transverse arrest
B. Occipito sacral arrest
C. Face to pubis delivery
D. All of the above
Answer: D
13. RMP can perform MTP in first trimester if he has assisted in MTPs
A. 5
B. 15
C. 25
D. 50
Answer: C
14. Crying of fetus in utero is called as ?
A. Vagitus uterinus
B. First cry
C. Utero vaginalis
D. Vagitus vagina
Answer: A
15. True about cephalhematoma is :
A. Crosses the suture lines
B. Always present at birth
C. Ventouse delivery is a risk factor
D. All of the above
Answer: C
16. All are causes of anovulatory amenorrhoea except?
A. PCOD
B. Hyperprolactemia
C. Gonadal dysgenesis
D. Drugs
Answer: C
17.What is false about post menopausal state ?
A. Low LH
B. Low estrogen
C. High FSH
D. High androgen
Answer: A
18. In a postmenopausal female, which hormone increases?
A. FSH
B. Estrogen
C. GH
D. None of the above
Answer: A
19. Role of lactobacilli in vaginal secretions
A. To maintain alkaline pH
B. To maintain acidic pH
C. Nutrition
D. None
Answer: B
20. Hegar sign all are true except ?
A. Bimanual palpation method
B. Difficult in obese
C. Can be done at 14 weeks
D. Present in 2/3rd of cases
Answer: C
21. Hegar sign is seen in how many weeks ?
A. 6-10 weeks
B. 10-14 weeks
C. 14-18 weeks
D. 18-22 weeks
Answer: A
22. Palmer sign is related to ?
A. Contraction of uterus
B. Dusky hue of ant vaginal wall
C. Bluish discolouration of ant vaginal wall
D. Increased pulsations felt through lateral fornix
Answer: A
23. New born can be given breast milk after how much time following normal delivery?
A. Half hour
B. 1 hours
C. 2 hours
D. 3 hours
Answer: A
24. 4 month amenorrhoea with increased FSH, LH & decreased estrogen in a 35 yrs old?
A. Premature menopause
B. Menopause
C. Late menopause
D. Perimenopause
Answer: A
25. 35 yr old with 4 months amenorrhea with increased FSH, decreased estrogen. What is the diagnosis?
A. Premature ovarian failure
B. PCOD
C. Pituitary failure
D. Hypothalamic failure
Answer: A
26. Contraction stress test false is ?
A. Oxytocin not used
B. Invasive method
C. Detects fetal well being
D. Negative test is associated with good fetal outcome
Answer: A
27. NST, what is seen except?
A. Variability
B. Acceleration
C. Time period
D. Oxytocin
Answer: D
28. Menstrual regulation effective upto ?
A. 14 days
B. 21 days
C. 4weeks
D. 6 weeks
Answer: A
29. pH of vagina in pregnant woman is usually ?
A. 4.0
B. 4.5
C. 5
D. >5
Answer: A
30. Vaginal pH before puberty is?
A. 7
B. 6
C. 4.5
D. 5
Answer: A
31. Decidual reaction is due to which hormone ?
A. Progesterone
B. Estrogen
C. LH
D. FSH
Answer: A
32. Inhibin levels are checked on which day of menstrual cycle ?
A. Day 3
B. Day 4
C. Day 5
D. Day 6
Answer: A
33. Best test for ovulation ?
A. Serum estrogen
B. Serum progesterone
C. Both
D. None
Answer: B
34. Cardiac output increases maximum at which week?
A. 26-28wks
B. 30-32 wks
C. 32-34 wks
D. 34-36 wks
Answer: C
35. In pregnancy plasma volume increased maximum at what gestational age?
A. 10 wks
B. 20 wks
C. 25 wks
D. 30 wks
Answer: D
36. 5 month pregnant female, which of the following is true?
A. 50% have soft systolic murmur
B. Cardiac output is reduced
C. Systemic vascular resistance is increased
D. Increase in CVP
Answer: A
37. Spinnbarkeit is maximum shown at which phase?
A. Menstrual phase
B. Ovulatory
C. Post ovulatory
D. Pre follicular
Answer: B
38. Rarest presentation is?
A. Cephalic
B. Breech
C. Shoulder
D. Vertex
Answer: C
39. Fertile period of female is measured by ?
A. LH
B. FSH
C. Estrogen
D. Oxytocin
Answer: A
40. External version is done after?
A. 34 weeks
B. 36 weeks
C. 38 weeks
D. 40 weeks
Answer: B
41. Least common presentation of twins ?
A. Both vertex
B. Both breech
C. Both transverse
D. First vertex and 2nd transverse
Answer: C
42.Presenting part in transverse lie ?
A. Shoulder
B. Face
C. Vertex
D. Brow
Answer: A
43. Severely anaemic pregnant patient in cardiac failure. Choice of transfusion?
A. Platelets
B. Packed cells
C. Whole blood
D. Exchange transfusion
Answer: B
44. Hydrops fetalis is due to ?
A. Rh mismatch
B. Hyperproteinemia
C. Placental hypoplasia
D. All of the above
Answer: A
45. Caput succedaneum indicates that fetus was alive till ?
A. Immediately after birth
B. Till 2-3 days after birth
C. 2-3 weeks after birth
D. 2-3 months after birth
Answer: A
46. Caput succedeum is said to occur in baby?
A. Within 24 hrs
B. 2-3 days
C. 2-3 weeks
D. 2-3 months
Answer: A
47. For uterine prolapse in pregnancy, Ring pessary can be inserted upto ?
A. 12 weeks
B. 14 weeks
C. 16weeks
D. 18 weeks
Answer: D
48. Not a method for delivery of after-coming head of breech ?
A. Forceps method
B. Burns and Marshall method
C. Malar flexion and shoulder traction
D. Half hand method
Answer: D
49. Investigation of choice in post menopausal bleeding?
A. PAP smear
B. Laproscopy
C. Fractional curettage
D. Ultrasound
Answer: C
50. Preferred IUD for menorrhagea ?
A. NOVA T
B. Cu IUD
C. Mirena
D. Gyne fix
Answer: C
51. Preferred treatment for menorrhagea in reproductive age group?
A. NOVA T
B. Cu IUD
C. OCPs
D. Hysterectomy
Answer: C
52. Drug not used commonly for menorrhagea ?
A. Methergin
B. Clomiphene
C. GnRH
D. NSAIDS
Answer: A
53. Drug causing abruption placenta ?
A. Methadone
B. Cocaine
C. Amphetamine
D. Fluoxetine
Answer: B
54.Classical C section indicated in ?
A. CA Cervix
B. Central placenta praevia
C. Failed induction
D. Fetal distress
Answer: A
55. Definitive indication of LSCS ?
A. Mento ant
B. Contracted pelvis
C. Occipito posterior
D. Vertex
Answer: B
56. After delivery upto which week is known as puerperium?
A. 2 weeks
B. 4 weeks
C. 6 weeks
D. 8 weeks
Answer: C
57. Which of these steps is followed first for the management of shoulder dystocia after McRoberts maneuver?
A. Sharp flexion of hip joints towards abdomen
B. Supra pubic pressure
C. 90 degree rotation of posterior shoulder
D. Emergency c-section
Answer: B
58. Peripartum cardiomyopathy occurs at
A. Within 7 days
B. Within 6 weeks
C. Within 24 months
D. Within 5 months
Answer: D
59. Nerve mostly compressed in pregnancy puerperium:
A. Radial nerve
B. Median nerve
C. Femoral nerve
D. Facial nerve
Answer: C
60. In pregnancy which of the following level is altered mostly:
A. Total T3
B. Free T3
C. Free T4
D. TSH
Answer: A
61. What is meant by Superfecundation?
A. Fertilization of two or more ova in one intercourse
B. Fertilization of two or more ova in different intercourses in same menstrual cycle
C. Fertilization of ova and then it’s division
D. Fertilization of second ovum first being implanted
Answer: B
62. Acute fatty liver commonly seen in pregnancy at
A. 3rd trimester
B. 1st trimester
C. Immediate postpartum
D. Intrapartum
Answer: A
63. Fetal heart starts contracting at
A. 10-12 days
B. 10-12 weeks
C. 3-5 weeks
D. 3- 5 month
Answer: C
64. Which of the following is correct regarding placenta?
A. Placental artery provides nutrients through umbilical cord to baby
B. Placenta has Wharton’s jelly
C. Placenta has 2 veins and 1 artery
D. Estrogen is secreted by placenta
Answer: B
65.Anesthesia of choice for cesarean section in severe pre-eclampsia :
A. Spinal
B. GA
C. Epidural
D. Spinal+epidural
Answer: C
66. Which of the following is not a high-risk pregnancy?
A. Previous history of manual removal of placenta
B. Anemia
C. Diabetes
D. Obesity
Answer: A
67. Which of the following is not used in preeclampsia?
A. Methyldopa
B. Atenolol
C. Labetalol
D. Hydralazine
Answer: B
68. Postmenopausal women 1st line of drug for osteoporosis is
A. OCP
B. Bisphosphonates
C. Raloxifene
D. Strontium
Answer: B
69. A 36-week old pregnant lady with previous twin delivery. What is the Ovarian score?
A. G2P1
B. G2P2
C. G3P2
D. G3P3
Answer: A
70. DCDA twins, 38wks, first twin breech mother has BP 140/96, 1+ proteinuria what’s the management
A. Immediate LSCS
B. Induction at 40 weeks
C. Immediate induction and delivery
D. Induction if signs of preeclampsia
Answer: A
71. A 32-year-old woman complains of amenorrhea since the delivery of a baby 15 months previously, despite the fact that she did not breastfeed her baby. The delivery was complicated by excessive hemorrhage that required a transfusion of 2.5 liters of blood. She has also been fatigued and has gained an additional 4.5Kg since the baby was born. Laboratory data show the following:
Serum LH < 1 IU/L (normal, 4-24 IU/L)
Serum estradiol 5 pg/mL (normal, 20 100 pg/mL)
Serum TSH 0.1 mU/L (normal, 0.5 – 5 mU/L)
Serum GH 3 ng/mL (normal, < 5 ng/mL)
Serum ACTH 28 pg/mL (normal, 10 – 50 pg/mL)
Serum prolactin 2 ng/mL (normal,
Injection of 500 μg of TRH failed to produce the expected rise in both serum TSH and prolactin. Which of the following diagnoses most likely explains the findings in this patient?
A. Hashimoto’s thyroiditis
B. Isolated gonadotropin deficiency
C. Primary amenorrhea
D. Sheehan’s syndrome
Answer: D
72. A 7 weeks pregnant lady has 1 accidental exposure to x-ray. Which of the following should be done?
A. Continue pregnancy
B. Terminate pregnancy
C. Chromosome analysis
D. Pre invasive diagnostic testing
Answer: A
73. In Modern obstetrics, for sensitized Rhnegative mother what should be done to evaluate the condition of the mother?
A. MCA doppler peak systolic volume
B. Fetal blood
C. Amniocentesis
D. Biophysical profile
Answer: A
74. A patient delivered at home with a complete perineal tear came to the hospital after 2 weeks. What management will you prefer?
A. Immediate repair
B. Repair 3 weeks post-delivery
C. Repair 6 weeks post-delivery
D. Repair 3 months post-delivery
Answer: D
75. All are used for postcoital contraception except
A. CuT
B. Ru 486
C. High dose estrogen
D. Danazol
Answer: D
76. 33 yr old female with heavy menstrual bleeding for 6 months comes to the gynaecology OPD. On examination, no abnormality was seen. USG also appeared normal. The patient was tried to be managed on non-hormonal treatment but it failed. What will be the next management step?
A. Hormonal therapy
B. Endometrial sampling
C. Hysterectomy
D. Hysterectomy
Answer: B
