Test Your Knowledge - Free MCQ PRACTICE
OBSGYN
by Dr K Chaudhry
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DRIVINGTEST
A fresh set of 20 random questions is generated every time you open this page and every time you refresh it.
For each of the following multiple choice questions, choose the most appropriate answer :

1. Treatment of Ca Cervix IIIB include
A. Wertheims Hysterectomy
B. Schauta's Hysterectomy
C. Chemotherapy
D. Intracavity Brachytherapy followed by External Beam Radiotherapy

2. A 20 year old average weight female complains of oligomenorrhoea along with facial hair. Preliminary investigation reveals raised free testosterone levels. On Ultrasound, ovaries were normal. Which of the following could be likely etiology?
A. Idiopathic Hirsutism
B. PCOD
C. Adrenal Hyperplasia
D. Testosterone secreting tumor

3. At which time in the pregnancy, woman has maximum cardiac strain?
A. 2nd Trimester
B. At the time of delivery
C. Immediately following delivery
D. After delivery

4. A young lady has history of recurrent abortion. Which test should be done?
A. Russel Viper Venom Test
B. Prothrombin Time
C. Bleeding time
D. Clotting Time

5. Female with normal pubic and axillary hair, with primary amenorrhe Diagnosis:
A. Androgen insensitvity syndrome
B. Mullerian agenesis
C. 47XYY
D. 45XO

6. You have just examined a 28-year-old primigravida in spontaneous labour. Examination findings are 0/5 palpable per abdomen, cervix is 7 cm dilated, cephalic presentation, -1 station, anterior fontanelle palpable with orbital ridges and nasal bridge felt anteriorly. What is the presenting diameter of the fetus?
A. Mentovertical
B. Occipitofrontal
C. Submentobregmatic
D. Suboccipitobregmatic

7. Breathing movements in a fetus lead to all except
A. Increase towards end of term
B. Can lead to RDS
C. Develops the Respiratory Muscles
D. Prevents lung hypoplasia

8. A Cesarian section was done in the previous pregnancy. All of the following would be indications for elective Cesarean section except
A. Breech
B. Macrosomia
C. Polyhydramnios
D. Post-term

9. A woman who is rhesus negative undergoes amniocentesis at 16 weeks. What dose of anti D immunoglobulin should she receive immediately after the procedure?
A. 250 IU
B. 500IU
C. 1000IU
D. 1500IU

10. Which of the following antihypertensives is not given in pregnancy?
A. Enalapril
B. ?-methyldopa
C. Labetalol
D. Nifedipine

11. A woman has had a recent uncomplicated vaginal delivery but has developed a significant post-partum pyrexia and tachycardia. She is thought to be allergic to penicillin. You suspect puerperal sepsis and are keen to commence treatment prior to the investigations coming back. What is the antibiotic regime of choice?
A. Cefuroxime
B. Clindamycin
C. Co-amoxiclav
D. Erythromycin

12. One of the following forms the basis for sex chromatin testing?
A. Barr body
B. Testosterone receptors
C. Hormone levels
D. Phenotypic features

13. In order to help plan the capacity required for providing future maternity services you are asked to design a study to establish the incidence of vaginal birth following previous caesarean section. The study will require establishing the mode of delivery in women who have either had only vaginal delivery or have had a caesarean section in at least one previous pregnancy. You review the epidemiological study methods that may be appropriate for this type of study. Which type of research study should you choose?
A. Case control
B. Cohort
C. Cross sectional
D. Ecological

14. A woman has an instrumental delivery of a baby weighing 3950 g in her first pregnancy. A Grade 3C tear of the anal sphincter is identified. An appropriate overlapping repair using 3/0 PDS is performed. Prior to discharge, she asks about the long-term risk of faecal or flatal incontinence. What percentage risk would you advise?
A. 10%
B. 20%
C. 30%
D. 40%

15. Hormone replacement in post menopausal woman is done for all except:
A. Prevent genito-urinary atrophy
B. Cardiovascular protection
C. Prevention against osteoporosis
D. Imprevent of vasomatar symptoms

16. All of the following can be administered in acute hypertension during labour except
A. IV labetalol
B. IV nitroprusside
C. IV dihydralazine
D. IV diazoxide

17. A couple, both aged 32, wish to start a family. They have stopped using contraception and are having regular sexual intercourse. How likely are they to conceive within one year?
A. 70-74%
B. 75-79%
C. 80-84%
D. 85-89%

18. All of the following indicate superimposed pre-eclampsia in a pregnant female of chronic hypertension except
A. New onset proteinuria
B. Platelet count < 75,000
C. Increase in systolic BP by 30 mm Hg and diastolic by 15 mm Hg
D. Fresh retinal hypertensive changes

19. Which is not included in 3rd stage of labor to prevent PPH?
A. Oxytocin injection with shoulder injury
B. Early cutting with cord clamp
C. Prophylactic Misoprostol
D. Controlled and sustained cord traction

20. A woman after normal labour suddenly goes into shock. Diagnosis:
A. PPH
B. inversion of uterus
C. Amniotic fluid embolism
D. Eclampsia

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