Pg Blazer - Online Test Series 4 - Obstetrics & Gynaecology

1. HRT is useful in all except

Flushing

Osteoporosis

Vaginal atrophy

Coronary heart disease

Hormone replacement therapy does not provide any protective effect with regard to heart disease. It actually increases the risk of coronary artery disease and thromboembolic events.

Explanation

Hormone replacement therapy does not provide any protective effect with regard to heart disease. It actually increases the risk of coronary artery disease and thromboembolic events.

2. Fibroid uterus may present with all of the following except?

Amenorrhoea

Pelvic mass

Infertility

Polymenorrhoea

Fibroid causes increased uterine bleeding, not amenorrhoea.

Explanation

Fibroid causes increased uterine bleeding, not amenorrhoea.

3. Shape of a nulliparous cervix is:

Circular

Transverse

Longitudinal

Fimbriated

In a nulliparous cervix, the external os is circular. In case of multiparous cervix, the os is a transverse slit.

Explanation

In a nulliparous cervix, the external os is circular. In case of multiparous cervix, the os is a transverse slit.

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

Lupus anticoagulant

DIC

Von Willebrand disease

Hemophilia

The given history and lab finding is suggestive of antiphospholipid antibody syndrome. Important antibodies used for detection of APLA syndrome are: Lupus anticoagulant, Anticardiolipin antibody

Explanation

The given history and lab finding is suggestive of antiphospholipid antibody syndrome. Important antibodies used for detection of APLA syndrome are: Lupus anticoagulant, Anticardiolipin antibody

5. Most common cause of postmenopausal bleeding in women in India is

Cancer cervix

Cancer endometrium

HRT

Senile endometritis

There is a high incidence of carcinoma cervix in developing countries like India.

Explanation

There is a high incidence of carcinoma cervix in developing countries like India.

6. The most common site of ligation in female sterilisation is :

Isthmus

Ampullary

Cornual

Fimbrial

The most common site of ligation in female sterilization is the isthmus. The isthmus is the narrow portion of the fallopian tube that connects to the uterus. Ligation at this site effectively blocks the passage of eggs from the ovaries to the uterus, preventing fertilization and pregnancy. This procedure is commonly performed as a permanent method of contraception for women who no longer wish to have children.

Explanation

The most common site of ligation in female sterilization is the isthmus. The isthmus is the narrow portion of the fallopian tube that connects to the uterus. Ligation at this site effectively blocks the passage of eggs from the ovaries to the uterus, preventing fertilization and pregnancy. This procedure is commonly performed as a permanent method of contraception for women who no longer wish to have children.

7. Birth weight of a baby can be increased by

Cessation of smoking

Aspirin

Ca and vitamin D supplementation

Bed rest

Smoking increases the incidence of low birth weight.

Explanation

Smoking increases the incidence of low birth weight.

8. Endodermal sinus tumour is associated with

Schiller duval body

Multinucleate giant cells

R-S cells

Plasma cells

Schiller duval body is the characteristic histologic finding of endodermal sinus tumour (yolk sac tumour).

Explanation

Schiller duval body is the characteristic histologic finding of endodermal sinus tumour (yolk sac tumour).

9. Ovarian tumour which is bilateral

Dysgerminoma

Endodermal sinus tumour

Immature teratoma

Embryonal cell carcinoma

Bilateral disease is seen in 10-15 % cases of dysgerminoma.

Explanation

Bilateral disease is seen in 10-15 % cases of dysgerminoma.

10. A lady presents with Jaundice, abdominal distension and pedal edema after delivering a normal baby. Her clinical condition deteriorates with increasing abdominal distension and severe ascites. Her bilirubin is 5 mg/dl, S.alkaline phosphatase was 450 u/L and ALT 345 u/L. There is tender hepatomegaly 6 cm below costal margin and ascitic fluid show protein less than 2 mg%. Diagnosis is

Acute fatty liver of pregnancy

HELLP syndrome

Acute fulminant liver failure

Budd chiari syndrome

Acute fatty liver of pregnancy is seen after 34 weeks of pregnancy.
HELLP syndrome is a complication of pre eclampsia. But it usually resolves after delivery.
Acute fulminant liver failure - the symptoms usually subside after delivery
Budd Chiari syndrome - presents within a few weeks after delivey, but it can also occur during pregnancy. Tender hepatomegaly is a hallmark of budd chiari syndrome.

Explanation

Acute fatty liver of pregnancy is seen after 34 weeks of pregnancy.
HELLP syndrome is a complication of pre eclampsia. But it usually resolves after delivery.
Acute fulminant liver failure - the symptoms usually subside after delivery
Budd Chiari syndrome - presents within a few weeks after delivey, but it can also occur during pregnancy. Tender hepatomegaly is a hallmark of budd chiari syndrome.