24 - AIIMS november 2008 obstetrics mcqs with answers

1. in Mc roberts manoeuvre hip is flexed against mothers abdomen. this leads to injury of which nerve?

a. lumbosacral trunk
b. obturator n
c. femoral n.
d. lateral cutaneous n of thigh

answer will post soon

2. all are done in management of shoulder dystocia except?

a. fundal pressure
b. mc roberts manoeuvre
c. suprapubic pressure
d. woods manoeuvre

answer will post soon

3. a 25 year old married nullipara undergoes laproscopic cystectomy for ovarian cyst which on histopath reveals serous ovarian adenocarcinoma.what should be the next management?

a. serial Ca-125 and follow up
b. hysterectomy and salpingooophorectomy
c. hysterectomy + radiotherapy
d. radiotherapy

answer will post soon

4. safest vasopressor in pregnancy is?

a. ephedrine
b. phenylephrine
c. methoxamine
d. mephentine

answer will post soon

5. fallopian tube dysmotility is seen in?

a. noonan syn
b. turner syn
c. kartagener syn
d. marfan syn

answer c . kartageners syndrome

6. all of the following investigations are used in FIGO staging of carcinoma cervix except?

a. CECT
b. IVP
c. cystoscopy
c. proctosigmoidoscopy

answer will post soon

7. clue cells are found in?

a. candidial vaginosis
b. bacterial vaginosis
c. trichomoniasis
d. non specific vaginitis

answer b . bacterial vaginosis

8. Best indicator of ovarian reserve is?

a. FSH
b. Estradiol
c. LH
d. FSH/LH ratio

answer will post soon

9. A pregnant lady acquires chicken pox 3 days prior to delivery.she delivers by normalvaginal route.which of the following statements is true?

a. Both mother and baby are safe
b. Give antiviral TT to mother before delivery
c. Give antiviral TT to baby
d. Baby will develop congenital varicella syndrome

answer will post soon

10. Earliest detectable congenital malformation by USG is?

a. Anencephaly
b. Spina bifida
c. Meningocoele
d. Cystic hygroma

answer a . anencephaly

11. all of the following should be done to prevent the transmission of HIV from mother to baby except?

a. Vit A supplementation to mother
b. No breast feeding
c. Vaginal delivery
d. Zidovudine to mother

answer c . vaginal delivery

12. a 45yr old lady with dub has 8mm thickness of endometrium.next step in management?

a. Histopathology’
b. Hysterectomy
c. Progesterone
d. OCP

answer will post soon

13. All are true about PCOD except?

a. Persistently elevated LH
b. Increased LH/FSH ratio
c. Increased DHEAS
d. Increased prolactin

answer will post later

14. A female at 37 wks of gestation has mild labour pain for 10 hours and cervix is persistently 1cm dialated non efficed.what will be next appropriate management?

a. sedation and wait
b. augmentation with syntocinon
c. cesarean section
d. amniotomy

answer c . cesarean section

15. a woman comes with obstructed labour and is grossly dehydrated . investigations reveal fetal demise.what will be the management?

a. craniotomy
b. decapitation
c. cesarean section
d. forceps extraction

answer c . cesarean section

16. investigation of choice in cholestasis of pregnancy?

a. bilirubin
b. bile acids
c. alk phosphatase
d. ALT & AST

answer will post soon

17. a female has history of 6 weeks amenorrhoea, USG shows empty sac,serum beta HCG -1000 IU .what would be next management?

a. medical management
b. repeat HCG after 48 hours
c. repeat HCG after 1 week
d. none

answer b. repeat HCG after 48 hours

to view all the 200 mcqs of AIIMS november 2008 click here 

23 - abdominal pregnancy

Which of the following statements concerning abdominal pregnancy
is correct?
a. Gastrointestinal symptoms are quite often severe
b. Fetal survival is approximately 50%
c. Aggressive attempts should be made to remove the placenta at the time of initial
surgery
d. It may result in infectious morbidity prior to the diagnosis
e. It is usually the result of a primary abdominal implantation

The answer is d. (Schwartz, 7/e, pp 1838–1843. Ransom, 2000, pp
36–37.)

Abdominal pregnancy usually follows a tubal pregnancy with either
tubal rupture or spontaneous passage through the fimbriated end. Although
women with abdominal pregnancy usually report an increase in gastrointestinal
symptoms, these are rarely severe enough to lead to investigation.
Fetal death rates are reported to be above 90% with abdominal pregnancies.
Infection of the gestational products can occur especially when the placenta
adheres to the intestines. This can lead to abscess formation and the possibility
of rupture. Although leaving the placenta in the abdomen following
surgical delivery predisposes to postoperative coagulation problems as well
as the need for subsequent surgery, these complications can be less severe
than the hemorrhage associated with attempts at removal at the time of primary
delivery. If the placenta cannot easily be removed, recommendations
are to leave it in place at the time of the first surgery.

22 - obstetrics cases - MCQ1

MCQ: A 24-year-old woman is in a car accident and is taken to an emergency

room, where she receives a chest x-ray and a film of her lower spine. It is

later discovered that she is 10 weeks pregnant. She should be counseled that

a. The fetus has received 50 rads

b. Either chorionic villus sampling (CVS) or amniocentesis is advisable to check

for fetal chromosomal abnormalities

c. At 10 weeks, the fetus is particularly susceptible to derangements of the central

nervous system

d. The fetus has received less than the assumed threshold for radiation damage

e. The risk that this fetus will develop leukemia as a child is raised

The answer is d. (Gleicher, 3/e, p 163.) While a 50-rad exposure in the

first trimester of pregnancy would be expected to entail a high likelihood

of serious fetal damage and wastage, the anticipated fetal exposure for

chest x-ray and one film of the lower spine would be less than 1 rad. This

is well below the threshold for increased fetal risk, which is generally

thought to be 10 rads. High doses of radiation in the first trimester primarily

affect developing organ systems such as the heart and limbs; in

later pregnancy, the brain is more sensitive. The chromosomes are determined

at the moment of conception. Radiation does not alter the karyotype,

and determination of the karyotype is not normally indicated for a

24-year-old patient. The incidence of leukemia is raised in children receiving

radiation therapy or those exposed to the atomic bomb, but not from

such a minimal exposure as here.