The risk of endometrial carcinoma is the highest with the following histological pattem of endometrial hyperplasia:

Complex hyperplasia with atypia

Simple hyperplasia without atypia

Complex hyperplasia without atypia

Complex hyperplasia with atypia

The risk of Asherman syndrome is the highest if Dilatation and Curettage (D & C) is done for the following condition:

Medical termination of pregancy

Pg Blazer - Online Test Series 17 - Obstetrics & Gynaecology

1.

The shortest diameter in fetal head is:
- A.
  
  Biparietal diameter
- B.
  
  Suboccipito frontal diameter
- C.
  
  Occipito frontal diamter
- D.
  
  Bitemporal diameter
Correct Answer
D. Bitemporal diameter

Explanation
The bitemporal diameter refers to the shortest diameter in the fetal head. This measurement is taken between the two temporal bones of the skull. It is important in obstetrics as it helps determine the size and position of the fetal head during pregnancy and childbirth.

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2.

PAP smear shows Ca in situ-what is the best next logical procedure
- A.
  
  Conisation
- B.
  
  Colposcopy & biopsy
- C.
  
  Hysterectomy
- D.
  
  HPV viral D.N.A. testing
Correct Answer
B. Colposcopy & biopsy

Explanation
When a PAP smear shows carcinoma in situ, the next logical procedure is to perform a colposcopy and biopsy. A colposcopy allows the doctor to closely examine the cervix using a special magnifying instrument called a colposcope. During this procedure, the doctor may take a biopsy, which involves removing a small sample of tissue from the cervix for further examination. This is done to confirm the diagnosis and determine the extent of the abnormal cells. Based on the results of the colposcopy and biopsy, further treatment options can be considered.

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3.

A female with recurrent abortion and isolated prolonged APTT is most likely associated with
- A.
  
  Lupus anticoagulant
- B.
  
  DIC
- C.
  
  Von wilebrand disease
- D.
  
  Hemophilia
Correct Answer
A. Lupus anticoagulant

Explanation
History of recurrent abortions with isolated prolonged APTT is suggestive of anti phospholipid antibody syndrome.

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4.

The risk of endometrial carcinoma is the highest with the following histological pattem of endometrial hyperplasia:
- A.
  
  Simple hyperplasia without atypia
- B.
  
  Simple hyperplasia with atypia
- C.
  
  Complex hyperplasia without atypia
- D.
  
  Complex hyperplasia with atypia
Correct Answer
D. Complex hyperplasia with atypia

Explanation
Complex hyperplasia with atypia is associated with the highest risk of endometrial carcinoma. Atypia refers to abnormal cells that have the potential to become cancerous. Complex hyperplasia indicates an increased number of glands in the endometrium, while atypia suggests the presence of abnormal cells within these glands. This combination of complex hyperplasia with atypia indicates a higher likelihood of progression to endometrial carcinoma compared to the other options listed. Simple hyperplasia without atypia has a lower risk, while simple hyperplasia with atypia and complex hyperplasia without atypia fall in between.

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5.

CA-125 is a marker antigen for the diagnosis of:
- A.
  
  Colon cancer
- B.
  
  Breast cancer
- C.
  
  Brain cancer
- D.
  
  Ovarian cancer
Correct Answer
D. Ovarian cancer

Explanation
CA-125 is a marker antigen that is commonly used for the diagnosis of ovarian cancer. It is a protein that is produced by ovarian cancer cells and can be detected through a blood test. Elevated levels of CA-125 in the blood may indicate the presence of ovarian cancer. However, it is important to note that CA-125 is not specific to ovarian cancer and can also be elevated in other conditions such as endometriosis and pelvic inflammatory disease. Therefore, further testing and evaluation are required to confirm the diagnosis of ovarian cancer.

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6.

The risk of Asherman syndrome is the highest if Dilatation and Curettage (D & C) is done for the following condition:
- A.
  
  Medical termination of pregancy
- B.
  
  Missed abortion
- C.
  
  Dysfunctional uterine bleeding
- D.
  
  Post partum haemorrhage
Correct Answer
D. Post partum haemorrhage

Explanation
Postpartum hemorrhage refers to excessive bleeding after childbirth. Dilatation and curettage (D & C) is a surgical procedure that involves dilating the cervix and scraping the uterine lining. It is typically used to remove tissue from the uterus, such as after a miscarriage or abortion. In the case of postpartum hemorrhage, D & C may be performed to remove any remaining placental tissue or blood clots that are causing the bleeding. This procedure carries a higher risk of Asherman syndrome, a condition characterized by the formation of scar tissue in the uterus, when done for postpartum hemorrhage.

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7.

With which of the following types of viral hepatitis infection in pregnancy, the maternal mortality is the highest?
- A.
  
  Hepatitis A
- B.
  
  Hepatitis B
- C.
  
  Hepatitis C
- D.
  
  Hepatitis E
Correct Answer
D. Hepatitis E

Explanation
Hepatitis E infection in pregnancy results in mortality rates upto 20%.

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8.

The pseudomyxoma peritonei occurs as a complication of the following ovarian tumor:
- A.
  
  Serous cystadenoma
- B.
  
  Mucinous cystadenoma
- C.
  
  Dysgerminoma
- D.
  
  Gonadoblastoma
Correct Answer
B. Mucinous cystadenoma

Explanation
Causes of pseudomyxoma peritonei – Mucinous cystadenoma of ovary, mucocele of appendix, carcinoma of large intestine in men

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9.

In the Manning scoring system of biophysical profile for fetal monitoring, which parameter is not included
- A.
  
  Fetal tone
- B.
  
  Fetal gross body movements
- C.
  
  Oxytocin challenge test
- D.
  
  Non stress test
Correct Answer
C. Oxytocin challenge test

Explanation
Components of Mannings biophysical profile:

Non stress test
Fetal breathing movement
Fetal muscle tone
Fetal gross body movement
Amniotic fluid index

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10.

In which of the following heart diseases maternal mortality is found to be highest?
- A.
  
  Eisenmenger’s complex
- B.
  
  Coarctation of aorta
- C.
  
  Mitral stenosis
- D.
  
  Aortic stenosis
Correct Answer
A. Eisenmenger’s complex

Explanation
Women with Eisenmenger’s complex have upto 50% mortality during pregnancy. Termination of pregnancy is advised.

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Pg Blazer - Online Test Series 17 - Obstetrics & Gynaecology

The shortest diameter in fetal head is:

PAP smear shows Ca in situ-what is the best next logical procedure

A female with recurrent abortion and isolated prolonged APTT is most likely associated with

The risk of endometrial carcinoma is the highest with the following histological pattem of endometrial hyperplasia:

CA-125 is a marker antigen for the diagnosis of:

The risk of Asherman syndrome is the highest if Dilatation and Curettage (D & C) is done for the following condition:

With which of the following types of viral hepatitis infection in pregnancy, the maternal mortality is the highest?

The pseudomyxoma peritonei occurs as a complication of the following ovarian tumor:

In the Manning scoring system of biophysical profile for fetal monitoring, which parameter is not included

In which of the following heart diseases maternal mortality is found to be highest?