GIMS VIDEO LECTURES FOR ALL MEDICAL COURSES ---------------------------------------------------------------- USMLE - case discussions , in depth explanation of all subjects along with 3000+ mcq...
Full description
Obs Gynae 1.
DIAMS
Which Which of of the followin following g is correc correctt for the calculation of pearl index No. of accidental pregnancies X a. 1200 No. of patient observed X months of use b.
c.
10.
No. of accidental pregnancies X 1200 No. of patient observed X 2400 No. of patient observed X months of use No. of accidental pregnancies
No. of patient observed X 2400 No. of accidental pregnancies X 2400 All of of the followin following g are are used used for inductio induction n of labour except PG F2 tablet a. !" #1 tablet b. !" #2 gel c. $isoprostol d. $inimum $inimum e&ective e&ective dose of #thin #thin'l 'l estra estradiol diol in combination oral pills is 20 gm a. %( µgm b. (0 µgm c. )( µgm d. *he use use of combined combined oral contrace contraceptiv ptive e pill pill is associated with an increased incidence of +acterial vagionsis a. Chlamydial endocervicitis b. ,aginal warta c. "enital herpes d. A drop drop in fetal fetal heart heart rate rate that that t'pical t'picall' l' lasta lasta less less than 2 minutes and usuall' associated with umbilical cord compression is called. #arl' deceleration deceleration a. -ate deceleration b. variable deceleration c. !rolonged eceleration d. se of -evo -evo Norgest Norgestrel rel relea releasing sing intraute intrauterin rine e contraceptive device is helpful in all of the following conditions except $enorrhagia a. 'smenorrhea b. Premenstrual symptoms c. !elvic inammator' disease d. As per per vagin vaginal al examin examinatio ation n anterio anteriorr fontane fontanelle lle and supraorbital ridge is felt in the second stage of labour. *he presentation is ro! presentation a. eexed head b. 3lexed head c. 3ace presentation d. Which Which of the follo following wing tests is is most most sensiti sensitive ve for for the detection of iron depletion in pregnanc'5 6erum iron a. "erum ferritin b. 6erum transferrin c. 6erum iron binding capacit' d. What What is menome menometr tror orrh rhag agic ic 8eav' bleeding 9 intermenstrual a. bleeding
11.
d.
2.
%.
4.
(.
/.
).
.
7.
uration of menstrual c'cle is increased Polymenorrhea # metrorrhagia c. :ligomenorrhea 9 pol'menorrhia d. ;n a 'oung female female of reproduc reproductive tive age with regular menstrual c'cle of 2 da's ovulate occurs around 14 th da' of periods when is the # except ?oung ?oung woman a. #nlarged uterus h Negative women should be given at 2 weeFs %2 weeFs within )2 hours a. after deliver' 2 weeFs %/ weeFs within )2 hours b. after deliver' 2+ !ee,s- ) !ee,s- !ithin /2 hours c. after delivery b.
2 weeFs term pregnanc' within )2 hours after deliver' All of the following statement are correct about 3rommel =hairi s'ndrome exceptG Amenorrhea a. "alactorrhea b. :besit' c. F"% % d. All of the following can be used as postcoital contraceptive exceptG D ieth'lstibestrol a. >D4/ b. -evonorgestral c. isoprostol d. $ost common site of metastasis of choriocarcinomaG D +rain a. agina b. :var' c. -iver d. All are true regarding sheehans s'ndrome exceptG D 8'potension is most common a. presentation 3ailure to lactate b. Amenorrhea c. %irsuitism seen d. 6pot out wrong statementG D &esticular femini(ation causes a. female pseudo hermaphroditism ;n testicular feminiCation gonadectom' is b. done 21 h'drox'lase deesection reanastomois d. About tibolone all re correct except ;t is estrogenic a. %as no androgenic side e5ect b. $ain use is cadioprotection c. >elieve vasomotor s'mptoms d. Which of the following does not secrete 8=" d.
20.
21.
22.
2%.
24.
2(.
2/.
2).
2.
27.
!ol'embr'oma 6ndodermal sinus tumor b. #mbr'onal cell carcinoma c. =horiocarcinoma d. 2(D'rsDold presents with amenorrhea / weeFs pallor % 9. 6'stolic +! (0 mm8g urine pregnanc' test positive speciemove fetus and placenta a. 9emove fetus and leave placenta b. after clamping the cord >emove fetus and inEect methotrexate c. into the cord. >emove fetus and placenta and do d. h'sterectom'. Which of the following is not a criteria for diagnosis of *win twin transfusion s'ndrome :nl' one placenta seen on 6" a. )0: discripency in !eight b. *wins are alwa's of same sex c. i&erent length of umbilical cord d. a.
%. :ne dose of anti immunoglobulin given after deliver' of >hDpositive bab' born to >hD negative mother will be able to neutraliCe how much amount of fetal blood5 20 ml of fetal blood a. 2( ml of fetal blood b. (0 ml of fetal blood c. )0 ml of fetal blood d. %7. All are true about macrosomic bab' except ;eight is ,g on <"G a. Abdominal circumference is more than b. 7(th percentile for that gestational age on 6" =ause shoulder 'stocia c. =an be a feature of :!# d. 40. All of the following statements are true except :x'tocin sensitivit' is increased during a. deliver' !rostaglandins ma' be given for b. inducting labour ;;; trimester ;n lactating women genital stimulation c. enhances ox'tocin =>ytocin is used for inducing d. abortion in 1 st trimester 41. 8eterophic pregnanc' is !regenc' occurring is both tubes a. 6>trauterine and intrauteuine b. pregency :varian and tubel pregenc' c. =ervical pregenc' d. 42. !rolonged 1st stage of labour is not due to all except =! a. weaF uterine contractions b. rigid perineum c. None d. 4%. $ost common form of multiple pregnanc' monochorionic monoamniotic a. monochorionic diamniotic b. dichorionic diamniotic c. dichorionic monoamniotic d. 44. *he distance from the upper end of sacrum to lower border of pubis corresponds to obstetric conEugate a. diagonal con?ugate b. true conEugate c. transverse conEugate d. 4(. =ontraindication for appl'ing forceps CP7 a. crowning of head b. head station 91 c. maternal cardiac disease d. 4/. =ontraindicated during labour :x'tocin a. $isoprostol b. ifepristone c. $ethergin d. 4). 1 'rs old girl presented with primar' amenorrhea normal breast development absent pubic and axillar' hair testicular femini(ing syndrome a. turner s'ndrome b. mullerian agenesis c. premature ovarian failure d.
4. Not seen in anorexia nervosa enorrhagia a. weight loss b. Amenorrhea c. 8'potension d. 47. $= ovarian tumor in 'ounger age group 7ysgerminoma a. ermoid b. $ucinous c'stadenoma c. 3ibroma d. (0. #valuation of a pt. With post menopausal bleeding done b' all except Pap smear a. 6" b. #ndometrial biops' c. ilation J curettage d. (1. 3allopian tube patenc' is checFed b' %ystrosalpingography a. -aparoscop' b. 6" c. =* scan d. (2. ;nfertilit' is seen in all except 3ibroid uterus a. #ndometriosis b. $denomyosis c. !; d. (%. ;n a patient with pelvic inammator' disease due to tuberculosis all of the following statement is true except $'cobacterium can be grown from a. menstrual blood Associated with infertilit' b. #ctopic pregnanc' is common c. 7ysmenorrhea is a common d. presentation (4. K6wiss cheeseL endometrium is seen in 6imple endometrial h'perplasia a. Cystic glandular hyperplasia b. !roliferative endometrium c. #ndometriosis d. ((. +ishops score include following except ilatation of =x a. #&acement of =x b. Contractions of uterus c. 6tation of head d. (/. rug strictl' contraindicated in lactation ithium a. =arbamaCepine b. !enicillin c. =ephalosporin d. (). Assessment of progress of labour is best done b' 6tation of head a. >upture of membrane b. =ontraction of uterus c. Partogram d. (. iabetic mother will have the following complications in foetus except 8'dramnios a. $acrosomia b. =ardiac anomal' c. 7imorphic anemia d. (7. +lood suppl' to uterus is from terine arter' a. :varian arter' b.
,aginal arter' $ll of the above d. +est evidence of ovulation is "ecretory type of endometrium a. +asal bod' temperature b. =ervical mucous stud' c. !ap smear d. -8 surge precedes ovulation is 12 hrs a. 2 hrs b. %/ hrs c. 4 hrs d. 3irst investigation to be done for post menopausal bleeding #ndometrial biops' a. ilation J =urettage b. Fractional curettage c. 8'sterosalpingograph' d. *he common cause of hirsutism in the female is Androblastoma a. -uteoma ovar' b. Adrenal h'perplasia c. "tein evanthal syndrome d. !ost partum ,,3 is best repaired after / weeFs a. weeFs b. ) months c. / months d. *he e&ective sperm count normall' is 20 millionBml a. %0 millionBml b. 40 millionBml c. 30 million@ml d. $estranol acts as a contraceptive b' 4nhibiting F"% secretion a. ;nhibiting -8 secretion b. ;nhibiting tubal motilit' c. ;nhibiting nidation d. ;= acts b' all mechanisms except =vulation inhibition a. =hronic endometritis b. terine endometrial atroph' c. *ubal d'smotilit' d. ;n which part of 3allopian tube does ectopic pregnanc' occur most freMuenc' $mpulla a. ;sthmus b. 3imbria c. =ornu d. *he commonest cause for secondar' amenorrhoea is !regnanc' a. &uberculosis b. *h'rotoxicosis c. None of the above d. *otal blood volume increased during pregnanc's is about 10 I a. 20 I b. )0 : c. /0 I d. rug of choice in 8*N eD pregnanc' %ydralla(ine a. A=# inhibitors b. c.
/0.
/1.
/2.
/%.
/4.
/(.
//.
/).
/.
/7.
)0.
)1.
-abetalol β agonists d. :varian arter' is a branch of ;nternal iliac a. #xternal iliac b. $bdominal aorta c. terine arter' d. !seudo bubo is seen in =hancroid a. -", b. 6'philis c. 7onovanosis d. All of the following are cardinal features of rupture tubal pregnanc' except enorrhagia a. 6udden abdominal and pelvic pain b. nilateral tenderness of adnexal mass c. 6hocF d. 6erum fetoprotein level is elevated in 'sgerminoma a. 6ndodermal sinus tumour b. ;mmature teratoma c. =horio carcinoma d. rug of choice for chlam'dia infection *etrac'cline a. 7o>ycycline b. =ephoColine c. =iprooxiacin d. *he shape of cervical canal suggesting preterm deliver' is * shaped a. ? shaped b. < shaped c. : shaped d. ;n steriliCation operation Otubectom'P the site which is commonl' pre&ered is Ampulla a. ;nfundibulum b. 4sthmus c. =ornea d. Abortions due to cervical incompetence usuall' occur at A. 3irst month +. *hird month C. Fifth month . #ighth month All are features of carcinoma of cervix except A. suall' arises in portio vaginalis of cervix +. $ore common in multiparous promiscuous females C. $ssociated !ith hypertensionobesity and diabetes . =ommonest histological t'pe is sMuamous cell variet' 3ollowing procedure is carried out to di&erentiate between vesicovaginal and ureterovaginal
)2.
. 6strogen C. ↑-8 7. ↑ *estosterone A female patient getting treatment for secondar' infertilit' develops amenorrhea severe abdominal pain J slight bleeding pervaginall'. ;t indicates A. 8. mole . 6ctopic pregnancy =. Normal pregnanc' . 3ibroid % *he commonest cause of failed forceps isG A. ndiagmised cervix +. ndiagnosed h'drocephalus C. h incompatibilit' exceptG A. $other is >h negative +. +ab' is >h positive C. =ccurs commonly in primis . A+: incompatibilit' is protective :vulation occursG A. 14 da's after menstruation . 1 days before menstruation =. ) da's after menses . None of the above All of the following pelvic structures support the vagina #X=#!* !erineal bod' a. pelvic diaphragm b. -evator ani muscle c. 4nfudibulopelvic ligament d. All of the following are the indications for m'omectom' in a case of ecurrent pregnanc' loss b. !ressure s'mptoms c. red degeneration d. =onservative management is contraindicated in a case of !lacenta previa under the following situations except #vidence of fetal distress a. fetal malformations b. $other in a hemod'namicall' unstable c. condition women in labour d. +asanti devi 4( 'rs old women present with hot ush after stopping of menstruation. 8ot ush can be relived b' administration of following agents 6hinyl estradiol a.
*estesterone 3luox'mesteron c. anaCol d. 7%. A case of carcinoma cervix is found in altered sensorium and is having hiccups. liFel' cause is 6epticemia a.
Helplines: 9891436206 / 9891334352 e-mail:iams1!"ei##$%&m
5
Obs Gynae
DIAMS
Nifedipine $C6 inhibitors d. 10%. *win pregnanc' shows an increase in the following complications except !re eclampsia a. !ost partum hemorrhage b. Antepartum hemorrhage c. aternal valvular heart disease d. 104. Which is the t'pical clinical feature of vaginmal discharge due to bacterial vagionosis 3roth' 'ellowish disc arge a. 6weet fruit' odour when mixed with 10 I b. @:8 ;ntense pruritis c. Fishy odour !hen mi>ed !ith 10 : d. D=% 10(. =omplications of episiotom' can be of the following except ,ulval hematoma a. =omplete perineal tear b. >ecto vaginal
Helplines: 9891436206 / 9891334352 e-mail:iams1!"ei##$%&m