1 ……….

Is the most common organism involved in mastitis

A. Bacteroids fragilis
B. E.Coli
C. Staphlococcus Aureus
D. Proteus and Klebsiella

2. What investigations are to be carried out to diagnose Ectopic Pregnancy?

A. Trans abdominal scan and serum bHCG levels

B. Trans vaginal scan and serum bHCG levels

C. MRI and CA125

D. Trans vaginal scan and CBC

3. Diagnosis of Neural tubes defects are made on:

A. Serum Markers

B. Ultrasound scan

C. MRI brain

D Clinical Examination

4. For the diagnosis of Down Syndrome, Chorionic villus sampling should be performed at which week
of gestation:

A. 11 wks

B. 18wks

C. 15 wks

D 22 wks

5. The Dating Scan best performed at:

A. 7wks to 9wks

B. 10wks to 12 wks

C. 11wks to 14wks

D. 12wks to 13wks
6. Which of the following condition is associated with increased Nuchal Translucency:

A. Development of IUGR

B. Chromosomal abnormalities esp. Trisomies

C. Adverse perinatal outcome

D. Both A and C

7. One of the Risk factor for Uterine rupture is:

A. Previous c/section

B. Macrosomia

C. Diabetes

D. Polyhydramnios

8. What part of fallopian tube is most common site for Ectopic pregnancy?

A. Fimbrial end

B. Ampulla

C. Isthmus

D. Intramural end

9. A patient with Diagnosed Ectopic Pregnancy came to emergency department in shock, which of the
following is the best management option:

A. Medical treatment

B. Expectant Management

C. Laproscopy

D. Laprotomy

10. Which of the following has higher incidence of Chromosomal abnormalities and Genetic syndrome:

A. Omphalocele

B. Exomphalos

C. None of these

D. Both A and B
11. Serum prolactin levels are highest in which of the following condition:

A. Menopause

B. Running

C. Pregnancy

D. Puerperium

12. Breast feeding is contraindicated in:

A. Hepatitis B
B. Hepatitis C
C. HIV
D. Treated Tuberculosis

12. Which of the following hormonal contraceptives can not be used during Lactation?

A. Mini-pill
B. Norplant
C. DMPA
D. Combined oral contraceptive pills

13. Anomaly Scan should be performed at:

A. 18-22wks
B. 26-28wks
C. 11-14wks
D. 22-24wks

14. Once the Diagnosis of Uterine Rupture is confirmed , what is the Best Management option:

A. Emergency Laparotomy
B. Transfuse fluids
C. Transfuse Blood
D. Maintain ABC

15. Ideal time to Determine Chorionicity in Twins:

A. 9 to 10 wks
B. 11 to 12 wks
C. 8 to 9 wks
D. 12 to 14wks
16. Which of the following Congenital abnormality can be diagnosed on 1st trimester ultrasound?

A. Microcephaly
B. Anencephaly
C. Encephalocele
D. Meningocele

17. Effectiveness of Breast Feeding During 1st 6 months as contraception:

A. 80%
B. 90%
C. 95%
D. 98%

18. The most likely side effect of Copper IUCD is:

A. Infection
B. Menorrhagia
C. Amenorrhea
D. Pregnancy

19. Patient came 1 day after intercourse, she had regular cycle and today is her 9th day of cycle,she
wants emergency contraception. First Choice will be:

A. Levonorgestrel

B. Ulipristal acetate

C. Condoms

D. Cu IUCD

20. Most common Rh incompatibility occurs due to:

A. ABO incompatibility

B. Rh factor d

C. Rh factor c

D. Rh factor k

21. Patient At 24 weeks with anti D antibodies positive how should be Follow-up done:

A. Every 2 wks

B. Every 4 wks
C. Every Trimester

D. At booking and delivery

22. Patient underwent evacuation and currtage after miscarriage at 15 weeks, Her blood group
is B –Negative, what will you prescribe the patient?

A. Anti D 250 IU

B. Anti D 500 IU

C. Anti D 1500 IU

D. Anti D not required

23. Patient diagnosed with Rh Incompatibility at 28wks, how will you follow patient and check
for fetal anemia?

A. Umbilical artery Doppler

B. Umbilical vein Doppler

C. Middle cerebral artery Doppler

D. Ductus Venosus Doppler

24. What is/are risk factor for 3rd degree perineal tear?

A. Forcep delivery B. PrimiGravida

C. Shoulder Dystocia D. All of above

25. Injury to perineum involving perineal body but not involving anal sphinter is classified in
which of the following degrees?

A. 1st degree

B. 2nd degree

C. 3rd degree

D. 4th degree

26. Which of the following hematoma is the commonest one after vaginal delivery?

A. vulvar hematoma

B. Pelvic hematoma
C. Supralevator hematoma

D. All of above

27. What is the Diagnostic feature of a spontaneous rupture of the uterus:

A. Shock

B. Absent FHR

C. None of Above

D. Both A and B

28. At what stage of the delivery is the Episiotomy performed?

A. When the baby head crown

B. When mother begins to bear down

C. When the baby head is engaged

D. Poor maternal push

29. Fourth Degree Perineal tear is :

A. Injury to perineal muscles

B. Injury to Anal sphinter

C. Injury to rectal mucosa

D. all of Above

30 Episiotomy is:

A. 1st degree Perineal Tear

B. 2nd degree Perineal Tear

C. 3rd Degree Perineal Tear

D.4th Degree Perineal Tear

Question 1:

A patient at 24 weeks of gestation presented with vaginal bleeding, that settled after one
episode. Fetal movement and cardiac activity is fine, although her MCA peak systolic velocity is raised.
Patients blood group is AB -negative

a. Most likely diagnosis (1)

b. What complication would you anticipate (1)
c. What will your first step in her treatment? (1)
d. How will you mange rest of her Pregnancy (2)

Question 2:
 A 44yrs old woman request sterilization as she doesn’t want any more children. She has three
children. Her partner will not consider a vasectomy. She has regular but heavy menses. She is Currently
using no method of contraception. She smokes and suffers from migraine.

a. What are the key points to cover in the counseling on sterilization? (1)
b. What alternative methods of contraception might be appropriate for this woman? (1)
c. What methods of contraception is she not medically eligible for? (1)

Question 3:

A 31 yrs old patient having gestational amenorrhea of 6wks presented in emergency department ,with
complain of severe abdominal pain, acute in onset, she had an episodes of fainting at home, she is pale
looking, having tachycardia and Bp of 90/60.Her scan was done on which uterine cavity seems to be
empty, with an adenexal mass on right side showing gestaional sac.

a. What is the most likely Diagnosis? (1)

b. What are the treatment options available? discuss all briefly. (2)
c. How will you manage this patient? (1)

Question 4:

G2P1, presented at Gestational amenorrhea of 39wks in active phase of labour. She had her first baby
delivered 11months back by C/section due to failed progress of labour, She was taking trial of labour
from 8 hrs , her labour was augmented with oxytocin, but she developed constant severe abdominal
pain, along with vaginal bleeding, her FHR dropped on CTG.

At present she is having tense tender abdomen along with shoulder tip pain, uterine contour not
defined ,fetal parts are easily palpable, and CTG is 40-50bpm,

a. What is the most like Diagnosis? (1)

b. What are the risk factors for vaginal delivery in this patient? (1)
c. How will you mange this patient? (1)

Question 5:

44 yrs old patient, at 8weeks of gestation came in opd, very anxious regarding her pregnancy as her
previous baby had Down Syndrome.

a. What are the screening test for Down Syndrome? (1)

b. What are the diagnostic test , at what gestation those are performed? And what are the
associated risk factors with them? (2)
c. What is the incidence of Down Syndrome at this age? (1)
d. What are the fetal defects of Down Syndrome? (1)