1.

Decreased motility of Fallopian tube is seen associated with?

a.
Noonan syndrome
b.
Churg Strauss syndrome
c.
Kartageners syndrome
d.
Polycystic ovary syndrome
e.
turner syndrome

2.

The best marker for Intrahepatic cholestasis of pregnancy is?

a. Serum Transaminases
b. Bilirubin
c. Bile acids
d. ALP
e. GGT

3.

The drug of choice in eclampsia:

a.
Oral magnesium sulphate
b.
Intravenous magnesium sulphate
c.
Oral phenytoin sodium
d.
Diazepam
e.
tegretol

4.

In a case of Dysgerminoma of ovary one of the following tumor markers is likely to be raised.
a.
Serum HCG
b.
Serum alpha-fetoprotein
c.
Serum lactate dehydrogenase
d.
Serum inhibin
e.
CEA

5.

The most common pure germ cell tumor of the ovary is:
a.
Choriocarcinoma
b.
Dysgerminoma
c.
Embryonal cell tumor
d.
Malignant Teratoma
e.
sertoli cell tumor

6.

Patients of Rectovaginal fistula should be initially treated with:

a.
Colostomy
b.
Primary repair
c.
Ileostomy
d.
Colporrhaphy
e.
Anterior resection

7.

The most common cause of secondary amenorrhea is:

a.
Endometrial tuberculosis
b.
Premature ovarian failure
c.
Polycystic ovarian syndrome
d.
Sheehans syndrome
e.
Pregnancy

8.

The highest incidence of Gestational Trophoblastic Disease is in:

a.
Australia
b.
Uruguay
c.
North America
d.
West Europe
e.
Asia

9.

The following drug is not helpful in the treatment of ectopic pregnancy

a.
Methotrexate
b.
Actinomycin-D
c.
RU 486
d.
Misoprostol
e.
None of the above

10.

All of the following appear to decrease hot flushes in menopausal women except
a.
Androgens
b.
Raloxifene
c.
Isoflavones
d.
Tibolone
e.
Premarin

11.

Aspermia is the term used to describe:

a.
Absence of sperm in ejaculate
b.
When the volume of ejaculate is less than one ml
c.
Absence of sperm motility
d.
Occurrence of abnormal sperm
e.
Absence of semen

12.

The most common side effect of IUCD insertion is:

a.
Uterine perforation
b.
Ectopic pregnancy
c.
Pelvic infection
d.
Pain
e.
Abnormal uterine bleeding

13.

Which one of the following is the ideal contraceptive for a patient with heart disease
a.
IUCD
b.
Depo-Provera
c.
Diaphragm
d.
Oral contraceptive pills
e.
Calendar method

14.

Misoprostol has been found to be effective in all of the following except:

a.
Missed miscarriage
b.
Induction of labor
c.
Menorrhagia
d.
Prevention of post-partum hemorrhage (PPH)
e.
Termination of pregnancy in women with previous uterine scars

15.

Risk of preterm delivery is increased if cervical length is:

a.
3.0 cm
b.
3.5 cm
c.
4.0 cm
d.
4.5 cm
e.
2.5 cm

16.

Use of one of the following vaccination is absolutely contraindicated in pregnancy:

a.
Hepatitis B
b.
Cholera
c.
Rabies
d.
Tetanus
e.
Yellow fever

17.

Which of the following statements is incorrect in relation to pregnant women with epilepsy?
a.
The rate of congenital malformation is increased in the offspring of women with epilepsy
b.
Seizure frequency increases in approximately 70% of women
c.
Breast feeding is safe with most anticonvulsants
d.
Folic acid supplementation may reduce the risk of neural tube defect
e.
Dose of antiepileptic drug used should be revised with neurologist.

18.

Infants of diabetic mother are likely to have the following cardiac anomaly:
a.
Coarctation of aorta
b.
Fallot s tetralogy
c.
Ebsteins anomaly
d.
Ventricular hypoplasia
e.
Transposition of great arteries

19.

All are the causes of intrauterine growth restriction except:

a.
Pregnancy induced hypertension
b.
Maternal heart disease
c.
Chromosomal abnormalities of the fetus
d.
Viral infection
e.
Gestational diabetes

20.

The smallest diameter of the true pelvis is:

a.
Interspinous diameter

b.
c.
d.
e.

Diagonal conjugate
True conjugate
Intertuberous diameter
antero-posterior diameter of the pelvic outlet

21.

Which one of the following biochemical parameters is the most sensitive to detect open spina bifida?
a.
Maternal serum alpha fetoprotein
b.
Amniotic fluid alpha fetoprotein
c.
Amniotic fluid acetyl cholinesterase
d.
Amniotic fluid glucohexaminase
e.
Amniotic fluid bilirubin level

22.

The best period of gestation to carry out chorio- villous biopsy (CVS) for prenatal diagnosis is?
a.
8-10 weeks
b.
10-12 weeks
c.
12-14 weeks
d.
14-16 weeks
e.
Before 8 weeks

23.

The following complications during pregnancy increase the risk of postpartum hemorrhage (PPH) except:
a.
Macrosomia
b.
Twin pregnancy
c.
Hydramnios
d.
Hypotention
e.
Placenta abruption

24.

A primigravida presents to casualty at 32 weeks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal
movements. She should be managed by
a.
Immediate cesarean section
b.
Immediate induction of labor
c.
Tocolytic therapy
d.
Magnesium sulphate therapy
e.
Repeat CTG after one hour

25.

Which vitamin deficiency is most commonly seen in a pregnant mother who is on phenytoin therapy for epilepsy?
a.
Vitamin B6
b.
Vitamin B12
c.
Vitamin A
d.
Folic acid
e.
vitamin B1

26.

Which of the following ovarian tumor is most prone to undergo torsion during pregnancy?
a.
Serous cystadenoma
b.
Mucinous cystadenoma
c.
Theca lutein cyst
d.
Dermoid cyst
e.
Fibroma

27.

Prenatal diagnosis at 16 weeks of pregnancy can be performed using all of the following, except:
a.
Amniotic fluid
b.
Maternal blood
c.
Chorionic villi
d.
Fetal blood
e.
Ultrasound

28.

Emergency contraception prevents pregnancy by all of the following mechanisms, except:

a.
inhibiting ovulation
b.
Inhibiting fertilization
c.
Preventing implantation of the fertilized egg
d.
Interrupting an early pregnancy
e.
Delaying ovulation

29.

Which surgical procedure has the highest incidence of ureteric injury?

a.
Vaginal hysterectomy
b.
Abdominal hysterectomy

c.
d.
e.

Weitheims hysterectomy
Anterior colporrhaphy
classical cesarean section

30.

A 35 year old woman presents with primary infertility and mass per abdomen. CA 125 level is 90U/ml. Most probable diagnosis is?
a.
Ovarian cancer
b.
Borderline ovarian tumor
c.
Tuberculosis
d.
Endometrioma
e.
Teratoma

31.

The cysts in Polycystic Ovarian syndrome are formed by:

a.
Failure of atretic follicles to undergo apoptosis
b.
Oocyte proliferation
c.
Multiple corpus lutea
d.
Cystic degeneration of ovarian cortex
e.
frequent ovulation

32.

After how many days of ovulation embryo implantation occurs?

a.
3-5 days
b.
7-9 days
c.
10-12 days
d.
13-15 days
e.
2-3 days

33.

The shortest diameter in fetal head is:

a.
Biparietal diameter
b.
Suboccipito frontal diameter
c.
Occipito frontal diameter
d.
Bitemporal diameter
e.
Mentopregmatic

34.

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

a.
Eisenmengers complex
b.
Coarctation of aorta
c.
Mitral stenosis
d.
Aortic stenosis
e.
ASD

35.

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

a.
Serous cystadenoma
b.
Mucinous cystadenoma
c.
Dysgerminoma
d.
Gonadoblastoma
e.
Dermoid cyst

36.

The risk of Asherman syndrome is the highest if Dilatation and Curettage (D & C) is done for the following condition:
a.
Medical termination of pregnancy
b.
Missed miscarriage
c.
Dysfunctional uterine bleeding
d.
incomplete miscarriage
e.
Postpartum haemorrhage

37.

female with recurrent miscarriages and isolated prolonged APTT is most likely associated with:
a.
systemic lupus erythematosus
b.
DIC
c.
Von wilebrand disease
d.
Hemophilia
e.
Lupus anticoagulant

38.

PAP smear shows Carcinoma in- situ what is the best next logical procedure?
a.
Conisation
b.
Colposcopy & biopsy
c.
Repeat PAP smear after 6 months
d.
HPV viral D.N.A. testing
e.
Hysterectomy

39.

HRT is useful in all except

a.
Flushing
b.
Osteoporosis

c.
d.
e.

Vaginal atrophy
turners syndrome
Coronary heart disease

40.

Hypothyroidism in pregnancy is least likely to be associated with

a.
Recurrent abortions
b.
Polyhydramnious
c.
PIH
d.
Preterm labor
e.
maternal heart failure

41.

Late hyperglycemia in pregnancy is associated with

a.
fetal anemia
b.
Postmaturity
c.
Congenital malformation
d.
Macrosomia
e.
IUGR

42.

Lactational amenorrhea is due to

a.
Prolactin induced inhibition of GnRH
b.
Prolactin induced inhibition of FSH
c.
Oxytocin induced inhibition of GnRH
d.
Oxytocin induced inhibition of FSH
e. Hypo- estrogenic state

43.

Amniotic fluid contains acetyl cholinesterase enzyme. What is the diagnosis ?

a.
Open spina bifida
b.
Gastrochisis
c.
Omphalocele
d.
Osteogenesis imperfecta
e.
Fetal hydrocephalus