1.
Given below are the WHO semen criteria. Which is NOT the correct option?
a] volume per ejaculate - minimum 2 ml
b] pH 7.2-7.8
c] viscosity <3
d] sperm conc > 20 million/ml
e] motility >/= 40% , progressive motility > 32%
f] normal forms >/=4 %
g] vitality >/=58%
Correct Answer
C. A,d
Explanation
a] volume 1.5 ml
d] conc >/=15million/ml
2.
Choose the correct statement -
a] sperm count <5 million/ml is an indication for ICSI
b] Beta-hCG > 0.5 lac mIU/ml is a risk for GESTATIONAL TROpHOBLASTIC NEOPLASIA
c] Theca leutin cyst > 6 cm is a risk factor for GTN
Correct Answer
B. A,c
Explanation
b] > 1 lac mIU /ml
3.
Indications for myomectomy are all except
Correct Answer
D. None
Explanation
The correct answer is "none" because all of the given indications (uterine size > 12 weeks, distortion of uterine cavity due to fibroid, subserous pedunculated fibroid) are valid reasons for performing a myomectomy, which is the surgical removal of fibroids from the uterus.
4.
Contraindication for uterine artery embolization all except
Correct Answer
C. Multiparity
Explanation
nulliparity is contraindication
5.
" factor of morbidity" in pregnancy associated with fibroids all except
Correct Answer
D. None
Explanation
all are factors for morbidity
6.
Arrange the sites of endometriosis in decreasing order of frequency
a] ovary
b] uterus
c] appendix
d] vagina
Correct Answer
A. Abcd
Explanation
The correct answer is "abcd". This answer arranges the sites of endometriosis in decreasing order of frequency. The most common site is the ovary, followed by the uterus, appendix, and vagina. This order is based on the frequency at which endometriosis is found in these locations.
7.
Increase risk of fibroid in
Correct Answer
C. Black race
Explanation
Black race is associated with an increased risk of fibroids. This could be due to genetic factors or differences in hormone levels among different racial groups. Studies have shown that black women have a higher prevalence of fibroids compared to women of other races. The exact reasons for this racial disparity are not fully understood, but it is believed to be a combination of genetic, hormonal, and environmental factors.
8.
False about hCG
a] plasma half life 48-72 hours
b] secondary peak at 32 weeks
c] disappears from circulation 2 weeks after delivery
Correct Answer
A. A
Explanation
t1/2 is 36 hours
doubling time 1.4-2 days
primary peak at 60-70 days
lowest levels at 100-13- days
9.
True about management of genital prolapse
Correct Answer
A. Nulliparous - abdominal sling operation
Explanation
b] upto 16 weeks
10.
In 3 swab test , Do NOT take up stain but WET with urine in?
Correct Answer
D. None
Explanation
in uretero vaginal fistula
11.
Choose the correct statement
a] bladder fistula is due to obstetrical causes
b] ureteric fistula is due to gynecological causes
c] NO dribbling is bladder fistula
d] IVP s/o hydronephrosis in bladder fistula
Correct Answer
B. A,b
Explanation
dribbling both in bladder and ureteric fistula
hydronephrosis in ureteric fistula
12.
Which is MC organism responsible in IUCD associated PID
Correct Answer
D. Actinomyces
Explanation
Actinomyces is the correct answer because it is a common microorganism responsible for pelvic inflammatory disease (PID) associated with intrauterine contraceptive devices (IUCDs). Actinomyces is a gram-positive bacteria that can colonize the endometrium and cause infection when introduced into the uterus during IUCD insertion. It can lead to symptoms such as pelvic pain, fever, and vaginal discharge. Prompt diagnosis and treatment are necessary to prevent complications.
13.
Not a content of broad ligament
Correct Answer
D. All of the above
Explanation
bit tricky question b] upper portion is part c] anterior round ligament is part
14.
True about 5 year survival rate of carcinoma cervix according to FIGO staging
Correct Answer
A. Stage 1 >90%
Explanation
1 > 90%
2A > 80%
2B>65%
3A >45%
3B >35%
4
15.
True about staging of Ca Endometrium
Correct Answer
D. All of the above
Explanation
The correct answer is "all of the above." This means that all of the statements mentioned in options 1, 2, and 3-C-1 are true about the staging of Ca Endometrium. This includes invasion more than half of the myometrium, invasion of cervical stroma without extending beyond the uterus, and positive pelvic nodes.
16.
RDA of which of the following does not increases in lactation
Correct Answer
D. Iron
Explanation
iron RDA increases in pregnancy
17.
Choose the correct statement about vaginal epthelium cell shown
Correct Answer
A. Under influence of estrogen
Explanation
Superficial cells: pyknotic nucleus , during reproductive period and pre ovulatory phases
18.
Recommendation for weight gain during pregnancy
Correct Answer
D. All of the above are correct recommendations
Explanation
obese- 7 kg
19.
What all parameters decreases during pregnancy except
Correct Answer
C. Serum transferrin
Explanation
transferrin and TIBC increases
20.
True about amniotic fluid during late pregnancy
Correct Answer
B. Fetal swallowing absorbs 750 ml daily
Explanation
a] 1000 ml
c] 350 ml
21.
True about amniotic fluid volume
a] 400 ml at 16weeks
b] 1000 ml at 34-36 weeks
c] 600-800 ml at term
d] 200 ml at post term
Correct Answer
C. Bcd
Explanation
50 ml- 12 weeks
400 ml - 20 weeks
22.
Look at the fetal skull and choose correct option
Correct Answer
A. 3 and 6 have almost equal diameter
Explanation
a] submentovertical and occipito frontal [ 11.5 cm]
b] mentovertical 14 cm
23.
Contraindication of induction of labour
Correct Answer
A. Placenta praevia
Explanation
Placenta praevia is a condition where the placenta is abnormally positioned in the uterus, partially or completely covering the cervix. This condition is a contraindication for the induction of labor because the contractions during labor can cause the placenta to detach from the uterine wall, leading to severe bleeding and endangering both the mother and the baby. Therefore, in cases of placenta praevia, alternative methods of delivery, such as a cesarean section, are usually recommended to ensure the safety of both the mother and the baby.
24.
Which parameter does not get Bishop's score "3"?
Correct Answer
D. A and c
Explanation
The parameter that does not get Bishop's score "3" is the soft cervical consistency and cervical dilatation of 4 cm. The Bishop's score is a method used to assess the readiness of the cervix for labor and is based on five parameters: cervical dilatation, cervical effacement, cervical consistency, cervical position, and fetal station. A Bishop's score of "3" indicates that the cervix is partially effaced, dilated 1-2 cm, and is firm. Therefore, the soft cervical consistency and cervical dilatation of 4 cm do not align with a Bishop's score of "3".
25.
Choose incorrect statement
a] Valvular intraepithelial neoplasia is associated with HPV
b] FIGO stage 3 vulvar cancer is "any size with positive inguino femoral nodes"
c] Rx of stage 1-A : radical local excision with inguino femoral LN dissections
Correct Answer
D. None
Explanation
The correct answer is "none". This means that there is no incorrect statement among the options provided. Therefore, all of the statements are correct.
26.
True about ovarian tumors
Correct Answer
D. All of the above
Explanation
The correct answer is "all of the above". This means that all of the mentioned tumors (Brenner tumor, granulosa cell tumor, and endodermal sinus tumor) are true about ovarian tumors. Brenner tumor is an epithelial tumor, granulosa cell tumor is a sex cord stromal tumor, and endodermal sinus tumor is a germ cell tumor. Therefore, all three statements are correct.
27.
Choose correct statements
a] Drosperinone is content of 3rd gen combined monophasic pills
b] failure rate of combined pills is 0.1 %
c] Right axis deviation is a normal change in pregnancy
d] both external and internal anal sphincter tear present in stage 3-c perineal tear
Correct Answer
C. B,d
Explanation
a] 4th generation
c] LAD is normal
28.
Choose the incorrect statement
Correct Answer
D. Hawkins dilator is double ended used to dilate urethra
Explanation
hawkins - single ended
bakes dilator dilates urethra
29.
O Sullivan criteria was used to?
Correct Answer
A. Diagnose and grade gestational diabetes
Explanation
The O'Sullivan criteria is a set of guidelines used to diagnose and grade gestational diabetes. This criteria involves a glucose challenge test, where a pregnant woman drinks a sugary solution and her blood glucose levels are measured. If the blood glucose levels are higher than normal, further testing is done to confirm the diagnosis of gestational diabetes. The O'Sullivan criteria also helps in grading the severity of gestational diabetes, which is important for determining the appropriate treatment and management plan for the pregnant woman.
30.
Choose the correct statement about this instrument
Correct Answer
C. Auvard speculum
Explanation
self retracting
used to retract posterior vaginal wall