MCQ Snacks -"Obs Gynae"
Total 30 questions from Obstetrics and gynecology
time 20 minutes
Good Luck
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- 1.
Given below are the WHO semen criteria. Which is NOT the correct option? a] volume per ejaculate - minimum 2 ml b] pH 7.2-7.8 c] viscosity <3 d] sperm conc > 20 million/ml e] motility >/= 40% , progressive motility > 32% f] normal forms >/=4 % g] vitality >/=58%
- A.
A,b,d
- B.
A,d,f,g
- C.
A,d
- D.
D only
Correct Answer
C. A,dExplanation
a] volume 1.5 ml
d] conc >/=15million/mlRate this question:
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- 2.
Choose the correct statement - a] sperm count <5 million/ml is an indication for ICSI b] Beta-hCG > 0.5 lac mIU/ml is a risk for GESTATIONAL TROPHOBLASTIC NEOPLASIA c] Theca leutin cyst > 6 cm is a risk factor for GTN
- A.
A,b
- B.
A,c
- C.
B,c
- D.
A,b,c
Correct Answer
B. A,cExplanation
b] > 1 lac mIU /mlRate this question:
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- 3.
Indications for myomectomy are all except
- A.
Uterine size > 12 weeks
- B.
Distortion of uterine cavity due to fibroid
- C.
Sub serous pedunculated fibroid
- D.
None
Correct Answer
D. NoneExplanation
The correct answer is "none" because all of the given indications (uterine size > 12 weeks, distortion of uterine cavity due to fibroid, subserous pedunculated fibroid) are valid reasons for performing a myomectomy, which is the surgical removal of fibroids from the uterus.Rate this question:
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- 4.
Contraindication for uterine artery embolization all except
- A.
Pregnancy
- B.
Active uterine infection
- C.
Multiparity
- D.
Uterine size > 20-24 weeks
Correct Answer
C. MultiparityExplanation
nulliparity is contraindicationRate this question:
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- 5.
" factor of morbidity" in pregnancy associated with fibroids all except
- A.
Size of myoma
- B.
Location of myoma
- C.
Proximity of myoma to placental implantation site
- D.
None
Correct Answer
D. NoneExplanation
all are factors for morbidityRate this question:
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- 6.
Arrange the sites of endometriosis in decreasing order of frequency a] ovary b] uterus c] appendix d] vagina
- A.
Abcd
- B.
Acdb
- C.
Badc
- D.
Bdac
Correct Answer
A. AbcdExplanation
The correct answer is "abcd". This answer arranges the sites of endometriosis in decreasing order of frequency. The most common site is the ovary, followed by the uterus, appendix, and vagina. This order is based on the frequency at which endometriosis is found in these locations.Rate this question:
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- 7.
Increase risk of fibroid in
- A.
Multiparity
- B.
Smoking
- C.
Black race
- D.
White race
Correct Answer
C. Black raceExplanation
Black race is associated with an increased risk of fibroids. This could be due to genetic factors or differences in hormone levels among different racial groups. Studies have shown that black women have a higher prevalence of fibroids compared to women of other races. The exact reasons for this racial disparity are not fully understood, but it is believed to be a combination of genetic, hormonal, and environmental factors.Rate this question:
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- 8.
False about hCG a] plasma half life 48-72 hours b] secondary peak at 32 weeks c] disappears from circulation 2 weeks after delivery
- A.
A
- B.
B
- C.
C
- D.
None
Correct Answer
A. AExplanation
t1/2 is 36 hours
doubling time 1.4-2 days
primary peak at 60-70 days
lowest levels at 100-13- daysRate this question:
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- 9.
True about management of genital prolapse
- A.
Nulliparous - abdominal sling operation
- B.
Pregnancy - ring pessary upto 24 weeks
- C.
Both
- D.
None
Correct Answer
A. Nulliparous - abdominal sling operationExplanation
b] upto 16 weeksRate this question:
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- 10.
In 3 swab test , Do NOT take up stain but WET with urine in?
- A.
Vesicovaginal fistula
- B.
Stress incontinence
- C.
Urethrovaginal fistula
- D.
None
Correct Answer
D. NoneExplanation
in uretero vaginal fistulaRate this question:
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- 11.
Choose the correct statement a] bladder fistula is due to obstetrical causes b] ureteric fistula is due to gynecological causes c] NO dribbling is bladder fistula d] IVP s/o hydronephrosis in bladder fistula
- A.
A,d
- B.
A,b
- C.
B,c
- D.
C,d
Correct Answer
B. A,bExplanation
dribbling both in bladder and ureteric fistula
hydronephrosis in ureteric fistulaRate this question:
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- 12.
Which is MC organism responsible in IUCD associated PID
- A.
Clostridium
- B.
Peptococcus
- C.
B.fragilis
- D.
Actinomyces
Correct Answer
D. ActinomycesExplanation
Actinomyces is the correct answer because it is a common microorganism responsible for pelvic inflammatory disease (PID) associated with intrauterine contraceptive devices (IUCDs). Actinomyces is a gram-positive bacteria that can colonize the endometrium and cause infection when introduced into the uterus during IUCD insertion. It can lead to symptoms such as pelvic pain, fever, and vaginal discharge. Prompt diagnosis and treatment are necessary to prevent complications.Rate this question:
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- 13.
Not a content of broad ligament
- A.
Broad ligament
- B.
Lower portion of fallopian tube
- C.
Posterior part of round ligament
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
bit tricky question b] upper portion is part c] anterior round ligament is partRate this question:
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- 14.
True about 5 year survival rate of carcinoma cervix according to FIGO staging
- A.
Stage 1 >90%
- B.
Stage 2 -A >65%
- C.
Stage 3 -A > 25%
- D.
All of the above
Correct Answer
A. Stage 1 >90%Explanation
1 > 90%
2A > 80%
2B>65%
3A >45%
3B >35%
4Rate this question:
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- 15.
True about staging of Ca Endometrium
- A.
1-B : Invasion more than half of myometrium
- B.
2: invades cervical stroma but does not extend beyond uterus
- C.
3-C-1 : positive pelvic nodes
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "all of the above." This means that all of the statements mentioned in options 1, 2, and 3-C-1 are true about the staging of Ca Endometrium. This includes invasion more than half of the myometrium, invasion of cervical stroma without extending beyond the uterus, and positive pelvic nodes.Rate this question:
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- 16.
RDA of which of the following does not increases in lactation
- A.
Net calories intake
- B.
Calcium
- C.
Zinc
- D.
Iron
Correct Answer
D. IronExplanation
iron RDA increases in pregnancyRate this question:
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- 17.
Choose the correct statement about vaginal epthelium cell shown
- A.
Under influence of estrogen
- B.
Basophilic
- C.
Predominant during pregnancy
- D.
All of the above
Correct Answer
A. Under influence of estrogenExplanation
Superficial cells: pyknotic nucleus , during reproductive period and pre ovulatory phasesRate this question:
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- 18.
Recommendation for weight gain during pregnancy
- A.
Underweight should gain 12-18 kg
- B.
Normal female - 11.5-14 kg
- C.
Overweight - 7-11.5
- D.
All of the above are correct recommendations
Correct Answer
D. All of the above are correct recommendationsExplanation
obese- 7 kgRate this question:
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- 19.
What all parameters decreases during pregnancy except
- A.
Serum iron
- B.
Serum ferritin
- C.
Serum transferrin
- D.
None
Correct Answer
C. Serum transferrinExplanation
transferrin and TIBC increasesRate this question:
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- 20.
True about amniotic fluid during late pregnancy
- A.
Fetal urination produces approx 1500 ml daily
- B.
Fetal swallowing absorbs 750 ml daily
- C.
Fetal lungs secretes 100 ml daily
- D.
All of the above
Correct Answer
B. Fetal swallowing absorbs 750 ml dailyExplanation
a] 1000 ml
c] 350 mlRate this question:
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- 21.
True about amniotic fluid volume a] 400 ml at 16weeks b] 1000 ml at 34-36 weeks c] 600-800 ml at term d] 200 ml at post term
- A.
Abcd
- B.
Abc
- C.
Bcd
- D.
Acd
Correct Answer
C. BcdExplanation
50 ml- 12 weeks
400 ml - 20 weeksRate this question:
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- 22.
Look at the fetal skull and choose correct option
- A.
3 and 6 have almost equal diameter
- B.
3 and 6 measures 10.5 cm
- C.
4 measures 11.5 cm
- D.
None
Correct Answer
A. 3 and 6 have almost equal diameterExplanation
a] submentovertical and occipito frontal [ 11.5 cm]
b] mentovertical 14 cmRate this question:
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- 23.
Contraindication of induction of labour
- A.
Placenta praevia
- B.
Abruptio placenta
- C.
Both
- D.
None
Correct Answer
A. Placenta praeviaExplanation
Placenta praevia is a condition where the placenta is abnormally positioned in the uterus, partially or completely covering the cervix. This condition is a contraindication for the induction of labor because the contractions during labor can cause the placenta to detach from the uterine wall, leading to severe bleeding and endangering both the mother and the baby. Therefore, in cases of placenta praevia, alternative methods of delivery, such as a cesarean section, are usually recommended to ensure the safety of both the mother and the baby.Rate this question:
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- 24.
Which parameter does not get Bishop's score "3"?
- A.
Soft cervical consistency
- B.
Head station +1
- C.
Cervical dilatation 4 cm
- D.
A and c
Correct Answer
D. A and cExplanation
The parameter that does not get Bishop's score "3" is the soft cervical consistency and cervical dilatation of 4 cm. The Bishop's score is a method used to assess the readiness of the cervix for labor and is based on five parameters: cervical dilatation, cervical effacement, cervical consistency, cervical position, and fetal station. A Bishop's score of "3" indicates that the cervix is partially effaced, dilated 1-2 cm, and is firm. Therefore, the soft cervical consistency and cervical dilatation of 4 cm do not align with a Bishop's score of "3".Rate this question:
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- 25.
Choose incorrect statement a] Valvular intraepithelial neoplasia is associated with HPV b] FIGO stage 3 vulvar cancer is "any size with positive inguino femoral nodes" c] Rx of stage 1-A : radical local excision with inguino femoral LN dissections
- A.
A,b
- B.
A,c
- C.
B,c
- D.
None
Correct Answer
D. NoneExplanation
The correct answer is "none". This means that there is no incorrect statement among the options provided. Therefore, all of the statements are correct.Rate this question:
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- 26.
True about ovarian tumors
- A.
Brenner tumor - epithelial tumor
- B.
Granulosa cell tumor- sex cord stromal tumors
- C.
Endodermal sinus tumor-germ cell tumor
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "all of the above". This means that all of the mentioned tumors (Brenner tumor, granulosa cell tumor, and endodermal sinus tumor) are true about ovarian tumors. Brenner tumor is an epithelial tumor, granulosa cell tumor is a sex cord stromal tumor, and endodermal sinus tumor is a germ cell tumor. Therefore, all three statements are correct.Rate this question:
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- 27.
Choose correct statements a] Drosperinone is content of 3rd gen combined monophasic pills b] failure rate of combined pills is 0.1 % c] Right axis deviation is a normal change in pregnancy d] both external and internal anal sphincter tear present in stage 3-c perineal tear
- A.
A,b,d
- B.
A,c
- C.
B,d
- D.
C,d
Correct Answer
C. B,dExplanation
a] 4th generation
c] LAD is normalRate this question:
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- 28.
Choose the incorrect statement
- A.
Image showing chocolate cyst of ovary
- B.
Hegar dilator is double ended
- C.
Pratt dilator is similar to hegar but more linear
- D.
Hawkins dilator is double ended used to dilate urethra
Correct Answer
D. Hawkins dilator is double ended used to dilate urethraExplanation
hawkins - single ended
bakes dilator dilates urethraRate this question:
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- 29.
O Sullivan criteria was used to?
- A.
Diagnose and grade gestational diabetes
- B.
Grading of placenta praevia
- C.
Grading of PIH
- D.
None
Correct Answer
A. Diagnose and grade gestational diabetesExplanation
The O'Sullivan criteria is a set of guidelines used to diagnose and grade gestational diabetes. This criteria involves a glucose challenge test, where a pregnant woman drinks a sugary solution and her blood glucose levels are measured. If the blood glucose levels are higher than normal, further testing is done to confirm the diagnosis of gestational diabetes. The O'Sullivan criteria also helps in grading the severity of gestational diabetes, which is important for determining the appropriate treatment and management plan for the pregnant woman.Rate this question:
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- 30.
Choose the correct statement about this instrument
- A.
Not Self retracting
- B.
Used to retract anterior vaginal wall
- C.
Auvard speculum
- D.
All of the above
Correct Answer
C. Auvard speculumExplanation
self retracting
used to retract posterior vaginal wallRate this question:
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