Senior Lecturer in Obstetrics and Gynecology 148/2017 Answer Key

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Post : Senior Lecturer in Obstetrics and Gynecology
Department : Medical Education
Category Code : 148/17
Qualification : MS(Obstetrics and Gynaecology); MD(Obstetrics and Gynaecology); DNB(Obstetrics and Gynaecology)
Date of Test : 06-02-2018



  1. When does HCG level reach a peak in normal pregnancy?
    • 20 - 30 days
    • 30 - 40 days
    • 60 - 70 days
    • 100 - 110 days

  2. Following are renal changes in pregnancy except
    • Renal blood flow increases by 80%
    • Glomerular filtration rate increases by 50%
    • Creatinine and other clearances increased
    • Serum creatinine increased

  3. Predictors of pre eclampsia in 1st trimester are all except
    • PAPP-A (Pregnancy associated plasma protein A)
    • Uterine artery doppler
    • HCG
    • Placental growth factor

  4. All are causes of mobile head in primigravida at term except
    • Deflexed head
    • CPD
    • Low inclination pelvis
    • Polyhydramnios

  5. The distance between mid point of racial promontary and inner margin of upper symphasis pub is
    • 11 cm
    • 10 cm
    • 12 cm
    • 13.5 cm

  6. Which test indicates lung maturity?
    • NST
    • Shake test
    • Kleuher test
    • Fetal breathing movements

  7. The following are true about retraction except
    • muscle fibres permanently shortened
    • progressive and intense during 1st stage
    • special property of upper uterine segment
    • effects haemostasis after separation of placenta

  8. Not a sign of early pregnancy
    • Lemon sign
    • Ossianders sign
    • Piskacek's sign
    • Palmers sign

  9. Folds of Hoboken are found in
    • Amnios
    • Placenta
    • Uterus
    • Umbilical cord

  10. Milk secretion is enhanced by all hormones except
    • growth hormone
    • thyroxin
    • glucocorticoids
    • estrogen

  11. All are common causes of recurrent mid trimester abortions except
    • Cervical incompetence
    • Bicornuate uterus
    • Aneuploidy
    • Fibroid

  12. All are true regarding partial mole except
    • Karyotype 46XX
    • Fetus has high risk of chromosomal anomalies
    • Confused with threatened abortion
    • Malignant potential low

  13. Most common cause of perinatal mortality in multiple pregnancy
    • Dystocia
    • Anaemia
    • Interlocking
    • Prematurity

  14. All of the following are causes of polyhydramnios except
    • Oesophageal atresia
    • Chorio angioma
    • Urethral obstruction
    • Open neural tube defects

  15. Retained succenturiate lobe of placenta may lead to
    • Secondary PPH
    • Subinvolution
    • Sepsis
    • All of these

  16. Which of the following regime is not found to be of use in prevention of PIH in high risk women?
    • Rest
    • Low dose aspirin
    • Salt restriction
    • Regular antenatal check up

  17. Contraindication for expectant regime in placenta praevia are all except
    • Bleeding at 36 wks
    • Profuse bleeding
    • Baby dead
    • Congenital anomaly of foetus

  18. Which of the following Doppler findings in IUGR is associated with worst prognosis?
    • Reversal of diastolic flow
    • Absence of diastolic flow
    • Absence of systolic flow
    • Diastolic notch

  19. Contraindication for ventouse extraction is
    • Prematurity
    • Brow presentation
    • Fetal distress
    • Floating head

  20. Indication for classical caesarian
    • Obstructed labour
    • CACX
    • Placenta praevia
    • Twin pregnancy

  21. Cardiac failure is most likely in pregnancy at
    • 32 wks
    • 1st stage of labour
    • 3rd stage of labour
    • 4th stage of labour

  22. Most common cause of maternal hypothyroidism
    • Autoimmune thyroid disease
    • Previous treatment of Graves disease
    • Subtotal thyroidectomy
    • Excessive use of PTU for thyroid disease (Graves)

  23. In a well baby clinic a neonate is brought with liver two fingers enlarged. The cause is
    • Normal phenomenon
    • Hepatitis
    • Choledochal cyst
    • Biliary atresia

  24. Meconiam is excreted in new born till day
    • 2
    • 3
    • 6
    • 4

  25. Commonest type of Genito urinary fistulae
    • Vescico vaginal
    • Utero vaginal
    • Vescico uterine
    • Urethro vaginal

  26. The commonest gynaecological cause of retention urine
    • Vaginal operations
    • Ovarian tumours
    • Cervical fibroid
    • Haemato colpos

  27. Which surgical procedure has the highest incidence of ureteric injury?
    • Vaginal hysterectomy
    • Abdominal hysterectomy
    • Werthimes hysterectomy
    • Anterior colporraphy

  28. A semen sample reveals 15 million/ml, 80% normal morphology 80% motile and volume 3 ml, pH-8 diagnosis
    • Aspermia
    • Azoospermia
    • Oligospermia
    • Asthenospermia

  29. In a patient with infertility treated with clomiphene which of the following methods is best for follow up?
    • Cervical mucous viscosity
    • BBT
    • USG to monitor follicle size
    • Hormonal assay

  30. A patient treated for infertility with clomiphene presents with sudden onset of abdominal pain and distension with ascites. Probable cause is
    • Uterine rupture
    • Ectopic pregnancy
    • Multi fetal pregnancy
    • Hyper stimulation syndrome

  31. Management of azoospermia due to blocked vasdeferens
    • ICSI
    • PESA
    • Zona drilling
    • Artificial insemination

  32. Puberty menorrhagia is managed by
    • Danazol
    • Progestogens
    • Oestrogens
    • D&C

  33. A 35 yr old woman presents with DUB not responding to medical management. Management is
    • Total abdominal hysterectomy
    • LAVH
    • Endometrial ablation
    • Vaginal hysterectomy

  34. Gartners cyst can be differentiated from cystocoele by all except
    • Tense
    • Well defined margins
    • Impulse on coughing
    • Not reducible

  35. Fixed retroversion is caused by
    • Pelvic endometriosis
    • PID
    • Pelvic peritonitis
    • All of these

  36. Enterocoele repair during abdominal operation is
    • McLeod's repair
    • Moschowitz repair
    • Kellys repair
    • Shirodhkars repair

  37. In the pathogenesis of Endometriosis, Meyer and Ivanoff theory suggests which of the following as a cause of endometriosis?
    • Retrograde menstruation
    • Coelomic metaplasia
    • Direct implantation
    • Lymphatic theory

  38. Investigation of choice in Endometriosis
    • USG
    • MRI
    • CT Scan
    • Laparoscopy

  39. All are used in treating spasmodic dysmenorrhea except
    • Bromergocryptine
    • Dilatation of cervix
    • Mefanamic acid
    • OC pill

  40. The benefits of combined oestrogen progestrone replacement therapy include all except
    • Cardiovascular protection
    • Bone protection
    • Decrease in CA breast
    • Decrease in CA endometrium

  41. The primary carcinoma of body of uterus may be following types except
    • Adeno carcinoma
    • Adeno squamous carcinoma
    • Adeno acanthoma
    • Large cell keratinising type

  42. Commonest symptom of vulval cancer
    • Pruritis
    • Ulcer
    • Bleeding
    • Pain

  43. Call exner bodies are seen in
    • Endodermal sinus tumour
    • Chorio carcinoma
    • Granulosa cell tumour
    • Arrehnoblastoma

  44. Most common malignancy of vagina
    • Squamous cell carcinoma
    • Adeno carcinoma
    • Adeno cystic carcinoma
    • Adeno squamous carcinoma

  45. Contraceptive failure is calculated by
    • Pearl Index
    • Pincus Index
    • Russel Index
    • Reids Index

  46. Mirena is effective for
    • 1 year
    • 2 years
    • 3 years
    • 5 years

  47. Commonest complication of intrauterine device
    • Bleeding
    • Pain
    • Infection
    • Ectopic pregnancy

  48. Post partum IUCD is inserted
    • within 10 mts of placental expulsion
    • after repairing episiotomy
    • after 1 day
    • after 6 wks

  49. A rape victim comes on 4th day for contraception. The best method is
    • high dose oestrogens
    • high dose progestogens
    • combination of oestrogen and progestrone
    • CuT

  50. Which progestogen in OC pill is ideal in contraception for a woman who fears weight gain?
    • Norethisterone
    • Drosperinone
    • Levanogestral
    • Norethindrone

  51. Which of the following contraceptive produces Hypokalemic paralysis and arrythmias?
    • Cenchroman
    • GnRH analogus
    • Glossypol
    • Combined OC pill

  52. Senile vaginitis is due to
    • Gonococcal infection
    • CaCx
    • Diabetis
    • Estrogen deficiency

  53. Intra abdominal pressure at laparoscopy should be set between
    • 5 - 8 mm of Hg
    • 10 - 15 mm of Hg
    • 20 - 25 mm of Hg
    • 30 - 35 mm of Hg

  54. Mifeprostone may be used for all except
    • Threatened abortion
    • Ectopic pregnancy
    • Fibroids
    • Post coital contraception

  55. Results of recanalisation is better if tubal sterilization is done with
    • Filshies clip
    • Falope ring
    • Pomeroys
    • Irvings technique

  56. Which of the following is not a branch of internal iliac artery?
    • Superior vescical
    • External pudental
    • Uterine
    • Vaginal

  57. Foeto-placental circulation is established at
    • 10th day
    • 13th day
    • 16th day
    • 22nd day

  58. Placenta is formed from
    • Chorion feondosum and decidua basalis
    • Chorion laevae and decidua parietalis
    • Chorion feondosum and decidua capsularis
    • Chorion feondosum and decidua parietalis

  59. The following are associated with DIC except
    • IUD
    • Severe PIH
    • Abruptio placentae
    • Fat embolism

  60. Most important complication of fulminant hepatitis in pregnancy
    • Obstetric haemorrhage
    • Preterm labour
    • IUD
    • Neonatal transmission

  61. Materno fetal transmission in Toxoplasmosis occurs maximally in
    • 1st trimester
    • 2nd trimester
    • 3rd trimester
    • At delivery

  62. Which is not a complication of Rh incompatibility?
    • APH
    • PPH
    • Oligamnios
    • Pre eclampsia

  63. The following are contraindications of trial labour except
    • Elderly primi
    • 1st degree CPD
    • Mal presentation
    • Post maturity

  64. Bishops score include all except
    • Dilatation of Cx
    • Effacement
    • Contraction
    • Station of head

  65. The most important factor in success of induction of labour
    • Primi
    • Cervical factor
    • Live foetus
    • Sensitivity of uterus

  66. The most important function of forceps
    • Compression
    • Grasping of fetal head
    • Rotation of head
    • Traction

  67. Commonest cause of Breech presentation
    • Twins
    • Hydrocephalus
    • Hydramnios
    • Prematurity

  68. The most important complication of surgical management of broad ligament haematoma
    • Torrential bleeding
    • Injury to bowel
    • Injury to ureter
    • Injury to bladder

  69. A case of 35 wks pregnancy with polyhydramnios and marked respiratory distress is managed by
    • IV furosemide
    • Saline infusion
    • Amniocentesis
    • ARM

  70. Rupture of membranes is said to be premature when it occurs at
    • 38 wks of pregnancy
    • 32 wks of pregnancy
    • Prior to 1st stage of labour
    • 2nd stage of labour

  71. Post term pregnancy is that which continues beyond
    • 300 days
    • 294 days
    • 280 days
    • 270 days

  72. Which does not cause hydrops fetalis?
    • Syphillis
    • Rh isoimmunisation
    • ABO incompatibility
    • None of these

  73. The best time to do chorionic villus sampling is
    • Between 6 - 8 wks
    • Between 7 - 9 wks
    • Between 9 - 11 wks
    • Between 11 - 13 wks

  74. Amniotic fluid contains acetylcholine esterase enzymes, what is the diagnosis?
    • Open spina bifida
    • Gastroschisis
    • Omphalocoele
    • Osteogenesis imperfecta

  75. Which of the following drugs is teratogenic?
    • Carbamazepine
    • Valproic acid
    • Phenobarbitone
    • All of these

  76. According to MTP Act 2nd doctors opinion is required when pregnancy is
    • 10 wks
    • 6 wks
    • > 12 wks
    • > 20 wks

  77. Late hyperglycemia in pregnancy is associated with
    • Macrosomia
    • IUGR
    • Post maturity
    • Congenital malformation

  78. Which of the following abnormality is commonly seen in fetus with congenital malformation in CMV infection?
    • Colitis
    • Myocarditis
    • Blood dyscrasias
    • Pulmonary cyst

  79. Late deceleration on a CTG indicates
    • Head compression
    • Cord compression
    • Fetal hypoxia
    • Fetal sleep

  80. Which is true regarding Appendicitis in pregnancy?
    • Leucocytosis is helpful in diagnosis
    • Pain and tenderness prominent in right lower quadrant
    • Pregnant woman has symptoms typical for non pregnant patients with appendicitis
    • More likely to cause generalized peritonitis

  81. 'Vedhadhikaraniroopanam' is written by
    • Moorkoth Kumaran
    • Chattampi Swamikal
    • T.K. Madhavan
    • Kumaran Asan

  82. 'Rajyasamacharam' is associated with
    • William Tobias Ringeltaube
    • K. Ramakrishna Pilla
    • Dr. Herman Gundert
    • M.P. Paul

  83. The women regiment of the Indian National Army (INA) was led by
    • Lakshmi Sahgal
    • Akkamma Cheriyan
    • A.V. Kuttimalu Amma
    • Annie Besant

  84. The founder of 'Atma Vidya Sangham' was
    • C. Kesavan
    • Sukumar Azhikkode
    • Vaghbatananda
    • Swami Anantha Theerthan

  85. Who started the journal 'Sahodaran' from Mattanchery?
    • K. Ayyappan
    • K. Kelappan
    • Mannathu Padmanabhan
    • C. Kesavan

  86. 'The Melmundu Samaram' is popularly called
    • Mookuththi samaram
    • Malabar Revolt
    • Kurichia Revolt
    • Channar Agitation

  87. 'Sadhu jana Paripalana sangham' was founded by
    • Pandit K.P. Karuppan
    • Ayyankali
    • Brahmananda Sivayogi
    • Kumaraguru

  88. 'Darsanamala' is written by
    • G. Sankara Kurup
    • K.T. Muhammed
    • Sree Narayana Guru
    • Ayyankali

  89. The concept of 'Fundamental Duties' is borrowed from the constitution of ________
    • USA
    • Ireland
    • UK
    • USSR

  90. The Right to Information Act is passed in the year
    • 2001
    • 2009
    • 2014
    • 2005

  91. Article 356 of the Indian constitution was imposed for the first time in the state of _______
    • Jammu Kashmir
    • Kerala
    • Andhra Pradesh
    • Bihar

  92. The Ezhava memorial was submitted to the ruler of Travancore under the leadership of
    • Dr. Palpu
    • G.P. Pilla
    • P. Krishna Pilla
    • K.P. Kesava Menon

  93. The 'Wagon tragedy' incident is related with the
    • Malabar Rebellion
    • Pazhassi Revolt
    • Attingal Revolt
    • Salt Sathyagraha

  94. Who led the 'Savarna jatha from Vaikkom to Thiruvananthapuram during the Vaikkom Satyagraha'?
    • E.V. Ramaswami Naikar
    • Premji
    • Mannathu Padmanabhan
    • K.P. Kesava Menon

  95. 'Kanneerum Kinavum' is an autobiography of __________
    • Keralavarma Valiya Koyi Thampuran
    • S.K. Pottakkad
    • V.T. Bhattathirippad
    • M.T. Vasudevan Nair

  96. The seat of 'SCT Institute for Medical sciences and Technology' is at
    • Kottayam
    • Alappuzha
    • Kannur
    • Thiruvananthapuram

  97. The University of Travancore was started during the time of
    • Marthandavarma
    • Sri Chithira Thirunal
    • Swathi Thirunal
    • Rani Sethu Lakshmi Bhai

  98. Winner of the Vayalar Award, 2017 is
    • C. Radhakrishnan
    • Prabhavarma
    • K. Surendran
    • T.D. Ramakrishnan

  99. The physician who was associated with the publication of 'Horthus Malabaricus'
    • Dr. P.K. Varier
    • Itty Achuthan
    • Dr. Ayyathan Gopalan
    • Susrutha

  100. The founder of Kerala sala sangham
    • P.N. Panicker
    • Dr. K.N. Panicker
    • V.P. Menon
    • K.M. Panicker

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