Aiims Neet-pg 2017 Gynae a

Q-11. Vaginal smear in old lady shows a) Atrophic cells on smear   b) Basal and para-basal cells c) Superficial cells d) Few intermediate cells seen Answer: b and d  Explanation: Basal and para-basal cells- Found predominantly in childhood until puberty, postpartum and after menopause Intermediate cells- Predominant layer at birth, during pregnancy or at menopause Superficial cells- Predominant layer in reproductive period an d during pre-ovulatory Q-12. True about Meig’s syndrome a) Lymphatic dysplasia  b) Occur in 2-30 yrs age c) Always with ascites & pleural effusion d) No treatment required  Answer: c and d  Explanation: Meig’s syndrome is defined as the triad of benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor. Ovarian fibromas constitute the majority of the benign tumors seen in Meig’s syndrome. Pseudo-Meig’s syndrome consists of pleural effusion, ascites, and benign tumors of the ovary other than fibromas. These benign tumors include those of the fallopian tube or uterus and mature teratomas, struma ovarii, and ovarian leiomyomas. Q-13. Treatment of choice of the pregnant lady with appendicitis is a) Surgery at earliest  b) Abortion with appendectomy c) Surgery after delivery d) Continue pregnancy with medical Rx Answer: Surgery at earliest Explanation: Appendicitis in pregnancy should be suspected when a pregnant woman complains of new abdominal pain. Acute appendicitis is the most common general surgical problem encountered during pregnancy. Treatment consists of laparotomy at earliest opportunity. Q-14. OCPs causes a) Hepatic adenoma  b) Cancer cervix c) Endometrial Ca d) Breast Ca e) Hepatic vein thrombosis Answer: a, b and e Explanation: Cholestatic Jaundice, Hepatic adenoma CVA, MI Venous thrombolytic disease Cancer cervix

Q-15. Investigation done in recurrent abortion of first trimester  a) Karyotyping  b) SLE Ab c) HIV d) TORCH infection Answer: a, b and d  Explanation: Investigation done in recurrent abortion of first trimester: Blood glucose VDRL Thyroid Function Test ABO and Rh Karyotyping Autoimmune screening (Lupus anticoagulant and anti-cardiolipin antibodies) USG to detect congenital malformation Endo-cervical swab for Chlamydia, Mycoplasma and bacterial vaginosis Hysteroscopy Q-16. In second trimester abortion following procedures are done except a) Mc Donald’s stitch  b) Shirodkar’s operation c) Porander operation d) Khann’s sling operation e) Abdominal sling operation Answer: c, d and e Explanation: Q-17. True about Ca cervix a) 90% associated with HPV  b) Nulliparity is a risk factor  c) OCP is risk factor  d) Immuno-compromised patients Answer: a, c and d  Explanation: Risk Factors of Ca cervix: Multiple sexual partners Multi-parity Immuno-compromised patients Poor socio-economic status Coitus before age of 18 years Delivery of first baby before the age of 20 years HPV (80-90 %) OCPs and progesterone use for long term Q-18. Clinical features of Turner’s syndrome are: a) Secondary amenorrhea  b) Edema of hands and feet c) XO genotype d) Mental retardation common e) Streak ovaries

Answer: b, c and e Explanation: Clinical features of Turner’s syndrome: XO genotype Short stature A high arched palate Streak ovaries and ovarian failure Primary amenorrhea Broad neck and a low or indistinct hairline Lymphedema Hypothyroidism Cardiovascular malformations include hypo-plastic left heart, coarctation of the a orta, bicuspid aortic valve. Cubitus valgus Q-19. Use of prostaglandins a) Missed abortion  b) II trimester abortion c) Ectopic pregnancy d) PPH Answer: All Explanation: Use of prostaglandins: Induction of abortion Termination of labour  Cervical ripening Management of atony PPH (Refractory case) Medical management of tubal ectopic pregnancy Q-20. True statement about diabetes in pregnancy a) Macrosomia  b) IUGR  c) Congenital anomalies d) Oligo-hydramnios e) Placenta praevia Answer: a and c Explanation: Fetal hazards in diabetic mother: Fetal Macrosomia Birth defects Unexplained fetal loss Birth injury (Brachial plexus) Poly-Hydromnios