(Model Test Paper) PG Medical Entrance Examination Model Paper For (Obstretics and Gynaecology)
Question
1: At the end of the normal puerperium the uterine weight is
Correct Answer: 2.
1. 40 gm
2. 60 gm
3. 80 gm
4. 100 gm
5.
Question 2: The cause of 'Postpartum blue' is
Correct Answer: 4.
1. Decreased estrogen
2. Decreased progesterone
3. Increased prolactin
4. Decreased estrogen and progesterone
5.
Question 3: Which one of the following is not an indication for IVF-ET
Correct Answer: 2.
1. Tubal disease
2. Severe endometriosis
3. Impotence in the male
4. Unexplained infertility
5.
Question 4: All occurs in abruptio placentae except
Correct Answer: 3.
1. Coagulation failure
2. Renal failure
3. Uterine inversion
4. Intrauterine death
5.
Question 5: The severity of pelvic pain in endometriosis correlates best
with
Correct Answer: 2.
1. Number of implants
2. Depth of invasion
3. Stage of disease
4. Ca 125 levels
5.
Question 6: Elderly woman with recurrent swelling and pain in vulve is
due to
Correct Answer: 2.
1. Hydradenitis
2. Bartholin cyst
3. Hematoma
4. Sebaceous cyst
5.
Question 7: Caesarean section has to be done in which of the following
conditions
Correct Answer: 4.
1. Previous LSCS for transverse lie
2. Previous LSCS for ante partum haemorrhage
3. Previous LSCS for myomectomy scar 2 years back
4. Previous vesicovaginal repair
5.
Question 8: All are true regarding episiotomy except
Correct Answer: 2.
1. Increases the size of the birth canal
2. Midline episiotomy causes less bleeding and heals early
3. Involvement of rectum is classified as grade 3/ 4
4. Mediolateral episiotomy is most preferred one
5.
Question 9: The most common site of ureteric injury during Wertheim's
hysterectomy is
Correct Answer: 1.
1. At the level of infundibulopelvic ligament
2. Where the uterine artery crosses the urter form above
3. Where ureter traverses through the smuculature of the
bladder
4. In the ovarin fossa
5.
Question 10: In a patient with peivic inflammatory disease due to
tuberculosis, all of the following statements are true except
Correct Answer: 4.
1. Mycobacterium can be grown from menstrual blood
2. Associated with infertility
3. Ectopic pregnancy is common
4. Dysmenorrhea is a common presentation
5.
Question 11: Which is not ture rearding oral contraceptive pills
Correct Answer: 4.
1. Interact with Rifampicin
2. Prevent benign breast disease
3. Prevent PID
4. Increase the severity of rheumatoid arthritis
5.
Question 12: Ligation of anterior division of internal iliac artery stops
intractable pelvic haemorrhage because of
Correct Answer: 3.
1. Lack of collateral circulation
2. Shuting off of blood flow
3. Decrease in arterial pulse pressure
4. Increased capillary clotting
5.
Question 13: A 47-year-old woman has achieved a pregnancy via in vitro
fertilization (IVF) using donor eggs from a 21-year-old donor and sperm from her
46-year-old husband. She has a sonogram performed at 7 to 12 weeks gestational
age that shows a quintuplet pregnancy. A 5-mm nuchal translucency is discovered
in one of the embryos. Implications of this include which of the following?
a. b. c. d. e.
Correct Answer: 2.
1. The embryo has a high risk of neural tube defect
2. The embryo has a high risk of cardiac malformation
3. The nuchal translucency will enlarge by 20 weeks
4. If the nuchal translucency resolves, the risk of a
chromosome abnormality is comparable to that of other embryos
5. If the embryo is aneuploid, the most likely diagnosis
is Turner syndrome
Question 14: All are absolute indications for cesarean section except
Correct Answer: 2.
1. Placenta previa grade IV
2. Abruptio placenta
3. Carcinoma cervix Stage IB
4. Active herpetic lesion
5.
Question 15: Ectopic pregnancy is differentiated from abortion by the
fact that in ectopic pregnancy
Correct Answer: 1.
1. There is slight amount of bleeding
2. Pain appears after vaginal bleeding
3. No enlargement of uterus
4. Histological examination of products of expulsion shows
villi
5.
Question 16: B Lynch suture is applied on
Correct Answer: 4.
1. Cervix
2. Fallopian tubes
3. Ovaries
4. Uterus
5.
Question 17: A patient with choriocarcinoma, is not responding to the
usual doses of methotrexate. She is having jaundice. Which drug will you prefer
for further treatment
Correct Answer: 1.
1. Actinomycin D
2. Cyclophosphamide
3. Cisplatin
4. Chlorambucil
5.
Question 18: Therapeutic level of magnesium in serum for treatment of
eclampsia is
Correct Answer: 2.
1. 2-7 mEq/L
2. 9-12 mEq/L
3. 15-17 mEq/L
4. 30-35 mEq/L
5.
Question 19: Laproscopic sterlization is contraindicated in all except
Correct Answer: 3.
1. Elderly primi
2. Major disproportion
3. Minor disproportion
4. Severe PET
5.
Question 20: A G2P1+0+0, Diabetic mother presents at 32 weeks of
pregnancy. She gives a history of full term fetal demise during her last
pregnancy. Her sugar is now controlled and the child is stable. What is the best
plan of action
Correct Answer: 1.
1. Await spontaneous delivery
2. Induce at 38 weeks
3. Induce at 40 weeks
4. Cesarian section at 38 weeks
5.
Question 21: Which one of the following statements is not correct
regarding RU 486 used for MTP
Correct Answer: 4.
1. It is a 19 -nortestosterone derivative
2. It is effective up to 12 weeks of pregnancy
3. It acts as an inhibitor of progesterone-receptor in the
endometrium
4. A single dose of 200 mg is given orally
5.
Question 22: According to MTP Act, 2 doctor's opinion is required when
pregnancy is
Correct Answer: 1.
1. >12 weeks
2. >10 weeks
3. >20 weeks
4. >8 weeks
5.
Question 23: Controlled ovarian hyperstimulation as a treatment for
infertility is most useful in which patient
Correct Answer: 1.
1. Couples undergoing artificial insemination
2. Women undergoing cancer therapy
3. Women with premature ovarian failure
4. Women with fibroid uterus
5.
Question 24: A patient presents with menorrhagia. All the following are
possible treatment modalities except
Correct Answer: 4.
1. NSAIDs
2. Tranexamic acid
3. Progesterone
4. Clomiphene
5.
Question 25: For a menopausal patient having hot flushes, which of the
following can be given as treatment
Correct Answer: 1.
1. Ethinyl estradiol
2. Progesterone
3. Gonadotropin
4. Danazol
5.
Question 26: A 24-year-old woman has had three first-trimester
spontaneous abortions. Which of the following statements concerning chromosomal
aberrations in abortions is true?
Correct Answer: 4.
1. 45,X is more prevalent in chromosomally abnormal term
babies than in abortus products
2. Approximately 20% of first-trimester spontaneous
abortions have chromosomal abnormalities
3. Trisomy 21 is the most common trisomy in abortuses
4. Despite the relatively high frequency of Down syndrome
at term, most Down fetuses abort spontaneously
5. Stillbirths have twice the incidence of chromosomal
abnormalities as live births
Question 27: Treatment for 32 ys. old multipara with dysfunctional
uterine bleeding (DUB) is
Correct Answer: 4.
1. Danazol
2. Prostaglandins
3. Endometrial ablation
4. Progesterones
5.
Question 28: Following a vaginal delivery, a woman develops a fever,
lower abdominal pain and ulterine tenderness. She is alert, and her blood
pressure and urine output are good. Large gram positive rods suggestive of
clostridia are seen in a smear of cervix. management should include all except
Correct Answer: 3.
1. Immediate radiographic examination for gas in uterus
2. High dose antibiotic therapy
3. Hysterectomy
4. Close observation for renal failure or hemolysis
5.
Question 29: Which one of the following lymph nodes is not involved in
carcinoma cervix
Correct Answer: 1.
1. Inguinal
2. Paramertrial
3. Obturator
4. Hypogastric
5.
Question 30: Treatment of choice for carcinoma cervix IIb in a 35-year
old woman is
Correct Answer: 3.
1. Radical surgery
2. Radical radiotherapy
3. Radical radiotherapy followed by simple hysterectomy
4. Chemotherapy followed by radical surgery
5.
Question 31: Current modes of investigation for infertility to check
functioning of tubes are all of the following execpt
Correct Answer: 1.
1. Air insufflation
2. Sonosalpingography
3. Hysterrosalpingography
4. Laparoscopic chromotubation
5.
Question 32: A hypertensive pregnant woman at 34 weeks comes with history
of pain in abdomen, bleeding per vaginum and loss of fetal movements. On
examinationthe uterus is contracted with increased uterine tone. Fetal heart
sounds are absent. The most likely diagosis is
Correct Answer: 4.
1. Placenta previa
2. Hydramnios
3. Premature labour
4. Abruptio placenta
5.
Question 33: A patient, Shalu, presents with vaginal discharge.
Examination of the discharge reveals the presence of Chlamydial infection. The
treatment of choice is
Correct Answer: 1.
1. Azithromycin + contact tracing
2. Doxycycline + Metronidazole
3. Fluconazole + Doxycycline
4. Metronidazole
5.
Question 34: A 35 year old woman with dysmenorrhea and menorrhagia of 6
months duration showed an enlarged uterus of 20 weeks which was tender, the
possible diagnosis is :
Correct Answer: 1.
1. Adenomyosis
2. Fibroid
3. Carcinoma endometrium
4. PID
5.
Question 35: Which one is not true regarding Centchroman
Correct Answer: 3.
1. It is anti estrogenic
2. It acts on the endometrium
3. It is a synthetic hormone
4. It is developed in India
5.
Question 36: In prenatal diagnostic technique Act 1994 which one of the
following is not a ground for carrying out prenatal test
Correct Answer: 3.
1. Pregnant women above 35 years of age
2. History of two or more spontaneous abortion of fetal
loss.
3. When fetal heart rate is 160 per min at fifth and 120
per min at ninth month
4. History of exposure to potentially teratogenic drugs
5.
Question 37: A patient with infertility and PID was investigated and was
found in hysterosalpingogram to have beaded fallopian tubes with clubbing of the
ampullary end. The diagnosis is most likely to be
Correct Answer: 3.
1. Gonococcus
2. Chlamydia
3. Tuberculosis
4. Ureaplasma
5.
Question 38: Clinical features of uterine fibroid include all except
Correct Answer: 4.
1. Menorrhagia
2. Sub fertility
3. Recurrent spontaneous abortion
4. Constipation
5.
Question 39: Treatment of single large fibroid in a 45 years old female
Correct Answer: 1.
1. Hysterectomy
2. Myomectomy
3. Observe till menopause
4. Oral pills
5.
Question 40: In a patient suspected to have polycystic ovarian disease,
LH and FSH should be examined in which part of the menstrual cycle
Correct Answer: 3.
1. 1-3 days
2. 8-10 days
3. 13-16 days
4. 24-28 days
5.
Question 41: Fetal heart activity can be detected by sonography at about
Correct Answer: 3.
1. 5 weeks
2. 6 weeks
3. 7 weeks
4. 8 weeks
5.
Question 42: A 25-year-old G3P0 presents for preconception counseling.
She has had three first-trimester pregnancy losses. As part of her evaluation
for recurrent abortion, she had karyotyping done on herself and her husband. Her
husband is 46,XY. She was found to carry a balanced 13;13 translocation. What is
the likelihood that her next baby will have an abnormal karyotype?
a. <5% b. 10% c. 25% d. 50% e. 100%
Correct Answer: 3.
1. <5%
2. 10%
3. 25%
4. 50%
5. 100%
Question 43: Regarding cholestasis in pregnancy, all the following
statements are true except
Correct Answer: 1.
1. Bilirubin more than 5 mg/dL
2. SGPT/SGOT ratio less than 60 units
3. Presence of severe itching
4. Alkaline phosphatase is increased maximally
5.
Question 44: Cause of decubitus ulcer in uterine proplase is
Correct Answer: 2.
1. Friction
2. Venous congestion
3. Sexual act
4. Trauma
5.
Question 45: Commonest mode of contraception in INDIA
Correct Answer: 3.
1. Intra uterine device
2. Condoms
3. Sterilization
4. Oral contraceptive pills(OCP)
5.
Question 46: Ectopic pregnancy is seen maximum with
Correct Answer: 1.
1. IUCD
2. OC pills
3. Barrier method
4. Tubal insertion
5.
Question 47: Treatment of choice for carcinoma cervix IIb in a 35-year
old woman is
Correct Answer: 3.
1. Radical surgery
2. Radical radiotherapy
3. Radical radiotherapy followed by simple hysterectomy
4. Chemotherapy followed by radical surgery
5.
Question 48: Which one of the following is NOT used in the treatment of
poor postcoital test in infertility
Correct Answer: 2.
1. Condom therapy
2. Estrogen in mid-cycle
3. Intrauterine insemination
4. Antioxidant therapy to male
5.
Question 49: The commonest site of ectopic gestation
Correct Answer: 3.
1. Ovary
2. Broad ligament
3. Fallopian tube
4. Cervix
5.
Question 50: The commonest type of myoma in the body of uterus is
Correct Answer: 1.
1. Intramural
2. Submucous
3. Subserous
4. Cervical
5.
Question 51: Endometrial carcinoma is predisposed to by all the following
except
Correct Answer: 3.
1. Ethinyl estradiol
2. Tamoxifen
3. Oral contraceptives
4. Nulliparity
5.
Question 52: Medical treatment for endometriosis includes the following,
except
Correct Answer: 3.
1. Gn RH analogues
2. Progestins
3. Corticosteroids
4. Danazol
5.
Question 53: The most common causes for female pseudohermaphroditism is
Correct Answer: 2.
1. Ovarian dysgenesis
2. Congenital adrenal hyperplasia
3. Virilising ovarian tumors
4. Exogenous androgen
5.
Question 54: Degeneration of the myomata is more likely to start from
Correct Answer: 1.
1. Centre
2. Periphery
3. From any portion
4. None of the above
5.
Question 55: All of the following are known risk factors for development
of endometrial carcinoma except
Correct Answer: 2.
1. Obesity
2. Early Menopause
3. Use of Hormone Replacement Therapy
4. Family History
5.
Question 56: Red degeneration of fibroid is associated with all except
Correct Answer: 4.
1. Pregnancy
2. Aseptic infraction
3. Thrombosis
4. Leukocytosis
5.
Question 57: Type of pelvis in which deep transverse arrest occurs is
Correct Answer: 1.
1. Android
2. Anthropoid
3. Gynecoid
4. Platy pelloid
5.
Question 58: A primigravida at 37 week of gestation reported to labour
room with central placenta praevia with heavy bleeding per vaginum. The fetal
heart rate was normal at the time of examination. The best management option for
her is
Correct Answer: 2.
1. Expectant management
2. Caesarean section
3. Induction and vaginal delivery
4. Induction and forceps delivery
5.
Question 59: All of the following drugs are used for management of post
partum haemorrhage except
Correct Answer: 1.
1. Mifepristone (RU-486)
2. Misoprostol
3. Prostaglandin.
4. Oxytocin
5.
Question 60: A young lady with spontaneous abortions has a history of
joint pains and fever. She currently presents with thrombosis of her leg vein.
Her APTT is prolonged. The diagnosis is most likely to be
Correct Answer: 3.
1. Inherited protein C and S deficit
2. Factor XII deficiency
3. Antiphospholipid antibody syndrome
4. Increased antithrombin III levels
5.
Question 61: Pyometra is a complication associated with all of the
following conditions except
Correct Answer: 1.
1. Carcinoma of the vulva
2. Carcinoma of the cervix.
3. Carcinoma of endometrium
4. Pelvic radiotherapy
5.
Question 62: All are true about cephalhematoma except
Correct Answer: 4.
1. Occurs due to subcutaneous edema
2. Seen mostly over occipital bone
3. Treatment is by aspiration
4. Varies in size when the child cries
5.
Question 63: The most common major complication with Laparoscopic
hysterectomy is
Correct Answer: 4.
1. Pulmonary embolus
2. Uncontrolled bleeding
3. Bowel injury
4. Urinary tract injury
5.
Question 64: A multiparous woman aged 40 years, presents with menorahagia
and progressively increasing dysmenorrhoea. Most probable diagnosis is
Correct Answer: 3.
1. Ca Cervix
2. Ca Endometrium
3. Adenomyosis
4. DUB
5.
Question 65: Medical treatment for endometriosis includes the following,
except
Correct Answer: 3.
1. Progestins
2. Corticosteroids
3. Danazol
4. GnRH
5.
Question 66: Red degeneration of fibroid is associated with
Correct Answer: 2.
1. Postpartum
2. 3rd trimester
3. 2nd trimester
4. 1st trimester
5.
Question 67: While performing a fractional curettage for perimenopausal
bleeding which procedure is performed first
Correct Answer: 1.
1. Endocervical curettage
2. Uterine sounding
3. Exocervical punch biopsy
4. Dilatation of the cervix
5.
Question 68: Which one of the following is true regarding median
episiotomy
Correct Answer: 2.
1. Blood loss is more
2. More likely to extend to the anal sphincter
3. Anatomical apposition is poor
4. There is increased incidence of dyspareunia
5.
Question 69: The data are most convincing for which theory as the
pathogenesis of endometriosis in the peritoneal cavity
Correct Answer: 1.
1. Embryonic rests
2. Lymphatic & vascular metastasis
3. Induction
4. Coelomic metaplasia
5.
Question 70: Drug used in last stage of endometrial carcinoma is
Correct Answer: 3.
1. Danazol
2. O.C. Pills
3. Cisplatin
4. Levonorgestrol
5.
Question 71: Which one of the following is the most common problem
associated with the use of condom
Correct Answer: 3.
1. Increased monilial infection of vagina
2. Premature ejaculation
3. Contact dermatitis
4. Retention of urine
5.
Question 72: In a case of ectopic pregnancy, medical treatment is
contraindicated if
Correct Answer: 3.
1. Sac size is 3.0 cm
2. Serum HCG levels > 1500 miu / ml
3. Significant hemoperitoneum is present
4. Absent fetal activity
5.
Question 73: Amoniotic fluid at 38 weeks in normal pregnancy is
Correct Answer: 1.
1. 800 cc
2. 1100 cc
3. 1400 cc
4. 1800 cc
5.
Question 74: Most common cause of ectopic pregnancy is
Correct Answer: 2.
1. IUCD
2. Previous tubal disease
3. Endometriosis
4. Mini pills
5.
Question 75: During the first stage of labour the membranes ruptured and
the umbilical cord prolapsed. Foetal heart rate is 120-130 per minute; cervix is
about 5 cm dilated .Which one of the following will be the appropriate treatment
Correct Answer: 3.
1. Repose cord and raise foot end of bed
2. Repose cord and apply ventouse
3. Lower segment caesarean section
4. Forceps delivery under general anesthesia
5.
Question 76: Medical treatment of ectopic gestation involves use of all
the following drugs except
Correct Answer: 4.
1. Prostaglandins
2. RU-486
3. Methotrexate
4. Dexamethasone
5.
Question 77: The most common side effect of injectable hormonal
contaceptive is
Correct Answer: 2.
1. Bone density loss
2. Disruption of menstrual pattern
3. Risk of breast cancer
4. Dysmennorrhoea
5.
Question 78: All are interceptive contraception except
Correct Answer: 2.
1. O.C. pills
2. Centchromen
3. Levonorgestrol
4. Mifepristone
5.
Question 79: A lady with IUCD becomes pregnant with tail of IUCD being
seen next course of action is
Correct Answer: 2.
1. MTP
2. Remove the IUCD
3. Continue the pregnancy
4. Remove IUCD and terminate pregnancy
5.
Question 80: Which of the following is seen in infant of a diabetic
mother
Correct Answer: 3.
1. Hypercalcemia
2. Hyperglycemia
3. Increased blood viscosity
4. Hyperkalemia
5.
Question 81: All of the following are the indications for Myomectomy in a
case of fibroid uterus, EXCEPT
Correct Answer: 4.
1. Associated infertility
2. Recurrent pregnancy loss
3. Pressure symptoms
4. Red degeneration
5.
Question 82: A 50 year old woman, nulliparous, diabetic and obese
presenting with post-menopausal bleeding can be any of the following except
Correct Answer: 1.
1. Carcinoma in situ of cervix
2. Carcinoma endometrium
3. DUB
4. None of the above
5.
Question 83: Hormone Replacement Therapy is contraindicated in
Correct Answer: 4.
1. Atherosclerosis
2. Osteoporosis
3. Urogenital atrophy
4. Venous thromboembolism
5.
Question 84: A 30 year old female was brought to the OPD on the 4th day
after deliver. She was showing mood changes, irritability, fearfullness and
anxiety about her baby, had fight with relatives and remained tearful. She is
suffering most probably from :
Correct Answer: 2.
1. Postpartum depression
2. Postnatal blues
3. Puerperal psychosis
4. None of the above
5.
Question 85: Which one is not true regarding Centchroman
Correct Answer: 3.
1. It is ant estrogenic
2. It acts on the endometrium
3. It is a synthetic hormone
4. It is developed in India
5.
Question 86: Ectopic pregnancy is managed conservatively by all except
Correct Answer: 3.
1. Methotrexate
2. Salphingostomy
3. Salphingectomy
4. Segmental resection
5.
Question 87: The following parameters are included in 'Foetal Biophysical
Profile ',except
Correct Answer: 1.
1. Placental calcification
2. Amoniotic fluid volume
3. Non -stress test
4. Foetal breathing movement
5.
Question 88: A patient on OC pills intake develops psychiatric symptoms,
and abdominal pain. Diagnosis is
Correct Answer: 1.
1. Acute intermittent porphyria
2. Systemic lupus
3. Thromobosis
4. Anemia
5.
Question 89: Which of the following regarding Ectopic pregnancy is true
Correct Answer: 2.
1. Occurs in about 10% of pregnancies
2. The risk is increased in those with a history of PID
3. Usually presents between 2 and 4 months of gestation
4. Patients usually have a negative pregnancy test
5.
Question 90: The patient with pre-eclampsia diagnosed remote from term,
which of the following is NOT necessarily an indication for expeditious delivery
Correct Answer: 2.
1. Blood Pressure 170/115 on medication
2. Proteinuria 5g per 24 hours
3. Platelet count 80,000/ul
4. Serum transaminase levels three times normal
5.
Question 91: Preterm labour is not treated by
Correct Answer: 4.
1. Nifedipine
2. MgSO4
3. Nitrous oxide patch
4. Misoprostol
5.
Question 92: Fothergill's repair for prolapsed uterus will not lead to
Correct Answer: 1.
1. First trimester abortions
2. Cervical distocia
3. Premature labor
4. Premature rupture of membrane
5.
Question 93: Laporatomy performed in a case of ovarian tumor revealed
unilateral ovarian tumor with ascities positive for malignatn cells and positive
pelvic lyjph nodes. All other structures were free of disease. what is stage of
the disease
Correct Answer: 4.
1. Stage IIc.
2. Stage IIIa
3. Stage IIIb
4. Stage IIIc
5.
Question 94: Which of the follwing is responsible for inability to rotate
anteriorly in the occipitoposterior position
Correct Answer: 3.
1. Moderate size fetus
2. Gynecoid pelvis
3. Weak uterine contractions
4. Good levator ani muscle contractions
5.
Question 95: A Para II poorly compensated cardiac patient has delivered 2
days back. You will advise her to
Correct Answer: 3.
1. Undergo sterilization (tubectomy) after 1 week
2. Undergo sterilization after 6 weeks
3. Suggest her husband to undergo vasectomy
4. Take oral contraceptive pills after 6 months
5.
Question 96: Decubitus ulcer is produced due to
Correct Answer: 1.
1. Congestion
2. Inflammation
3. Malignancy
4. Dilatation
5.
Question 97: Most common cause of first trimester abortion is
Correct Answer: 1.
1. Chromosomal abnormalities
2. Syphilis
3. Cervical incompetence
4. Rhesus isoimmunisation
5.
Question 98: The following drugs can beused to suppres lactation, except
Correct Answer: 3.
1. Carbergoline
2. High dose estrogens
3. Metoclopramide
4. Pyridoxine
5.
Question 99: The severity of pelvic pain in endometriosis correlates best
with
Correct Answer: 2.
1. Number of implants
2. Depth of invasion
3. Stage of disease
4. Ca 125 levels
5.
Question 100: A 30 yrs. old multigravida presented with transverse lie
with hand prolapse in IInd stage of labour with dead fetus. The treatment is
Correct Answer: 4.
1. Chemical caesarean section
2. Craniotomy
3. Cleidotomy
4. Decapitation
5.
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