OBSTETRICS QUESTIONS

1. Identify the sign shown below?

a. Chadwick’s sign discoloration Cervix

of
>
- Bluish
b. Goodell’s sign
-
c. Hegar’s sign
implantation bleeding -
Hartman Sign
d. Palmer’s sign

2. What is the first maneuver used in managing shoulder dystocia?

-
a. McRoberts maneuver
-

b. Episiotomy
c. Rubin maneuver
d. Gaskin maneuver

3. A woman has uncontrolled PPH after delivery despite oxytocin. What is the next step in management?
a. Uterine artery embolization
b. Compression sutures
c. Manual uterine massage
d. Balloon tamponade
~

4. After delivery, a woman develops sudden hypotension, tachycardia, and a boggy mass at the introitus.
- -

Shock is disproportionate to bleeding. What is the diagnosis?

-

1 Death
Shock
Hemorgic

a. DIC
b. PPH
c. Uterine inversion
~
d. Retained placenta

5. Perineal tear involving less than 50% of external anal sphincter is classified as:
a. 3A
~
b. 3B
c. 3C
d. 4th degree

1
 6. Identify the maneuver used to control delivery of the fetal head and reduce perineal tear.

a. McRoberts maneuver
b.
~ Ritgen’s maneuver
c. Leopold maneuver
d. Pinard maneuver

7. Induction of labour can be done in which of the following ?

a. Complete placenta previa
b. previous classical caesarean section
c. Vasa previa
d. Abruption placenta
~

8. MTP at 21 weeks requires consent of whom of the following ?

a. Husband alone
b. Husband & woman
c. Woman alone
~
d. Husband, patient and the doctor Rigley Forcep
~
9. In which of the following scenarios can outlet forceps be used?
a. Head at station +2 +
sonward Station + Vacuum
+2 -

Forcep
b. 3/5th of head is palpable per abdomen
c. Head at station +1
-
Low Forcep
~d. Head at perineum L+ 5 Station)

10. A 30-year-old woman has postpartum hemorrhage (PPH) not controlled with uterine massage and
-

uterotonics. What is the next step?

-

a. Balloon tamponade (Bakri balloon)

-
b. Uterine devascularization
c. Hysterectomy
d. Uterine artery embolization
Boyens Retractor
11. Which of the following instruments is NOT typically used during a cesarean section?
a. Allis tissue forceps
-

b. Doyen’s retractor
c. Green-Armytage forceps > All is Forcep
d. Sim’s speculum
~

2
12. Just after delivery the position of the uterus corresponds to the level of how many weeks?
a. 20 weeks
-
b. 16 weeks
c. 12 weeks
d. 28 weeks

13. Primigravida at 32 weeks presents to the ER with severe abdominal pain and bleeding per Vaginum.
Her blood pressure is 170/106. On examination uterus is tender and fetal parts were not palpable .
What is the most probable diagnosis ?

)
a. Polyhydrominos zabdomen
b. Placenta previa
c. Abruption placenta
-
d. Rupture uterus

14. All of the following increase in pregnancy , except?

Factor ↑
a. Cardiac output Clotting
b. Respiratory rate No change
W -
->
Gastric
emptying except -

c. Heart rate
d. Clotting factors

15. In a patient with pregnancy of unknown location undergoing β-hCG monitoring, what is the
frequency of testing for effective follow-up?
a. Every 12 hours
b. Every 24 hours
c. Every 48 hours
-
d. Weekly

16. What is the earliest Maternal sign of uterine rupture in a woman undergoing TOLAC (Trial of Labor
After Cesarean)?
-
-

a. Vaginal bleeding
b. Maternal tachycardia
~
c. Loss of uterine contour
d. Fetal tachycardia

17. Bandl’s ring is associated with:

a. Shoulder dystocia
b. Prolonged latent phase
c. Obstructed labour
~
d. Incomplete abortion

18. 32 years old lady with twin dichorionic diamniotic pregnancy, first baby breech presentation and
second baby cephalic presentation. What is management?
a. Assisted breech
b. Instrumental delivery
c. C Section
~
d. Spontaneous breech vaginal delivery

19. A 24-year-old primigravidae at 38 weeks gestation presents to the antenatal clinic with complaints of
faintness on lying down for the past one week. She feels better when she turns to the side and while in a
sitting position. What is the reason for her symptoms?
a. Vasovagal attack
b. IVC compression
~
supine hypotension Syndrome
c. Congestive cardiac failure
d. Abdominal aorta syndrome

3
20. Which type of pelvis is associated with increased incidence of ‘Face to pubis’ delivery?
a. Gynaecoid pelvis
-

b. Anthropoid pelvis
-
c. Android pelvis
d. Platypelloid pelvis

21. All are seen in the newborn of a mother with gestational diabetes mellitus, Except?
a. Macrosomia baby
b. Polycythemia > 24wkS
c. Neural Tube defects
-
d. hypocalcemia

22. Outlet forceps is also known as ?

a. Wrigley forceps
-
b. Piper forcep
c. Killand's forcep
d. Simpsons

23. Arrange in sequence for Active management of third stage of labor :

a. Check for second baby
b. Oxytocin 10 units
c. Controlled cord traction
d. Uterine Massage

a. A, B, C & D
~
b. B, A, C & D
c. A, D, B & C
d. C, A, D & A

24. A 28-year-old primigravida patient presented at 35 weeks gestation. On examination her Bp is

170/120, dipstick +3 protein, exaggerated Knee jerks. What is the best management?
a. Terminate pregnancy immediately by CS
b. Give Steroid & Induce at 37 weeks
-
c. Start MgSO4 and initiate termination of pregnancy
d. Increase antihypertensive drugs & do Conservative management

25. What is the minimum number of ANC visits recommended for pregnant women?
~
a. 4
-

b. 5
c. 6
d. 8

26. In which case We can extend medical termination of pregnancy beyond 24 weeks ?
a. Contraception failure
~
b. Congenital anomaly
c. Rape case
d. MINOR

4
27. The clotting factor which is not increased in pregnancy?
a. Factor 2
b. Factor 7
# 1 other all increases .

c. Factor 10
d. Factor 11
~

28. Which of these is an advantage of medio-lateral episiotomy over midline episiotomy?

a. Less blood loss
- -

b. Easy repair
c. Less pain
d. Less extension of tear
-
29. Amniocentesis can be done after which period of pregnancy?
a. 12 weeks
13 to 15 wh
b. 16 weeks
~ early amniocentesis
-

c. 20 weeks
d. 24 weeks
10-13wks - CVS
sampling

30. 28 P1L1 years old patient with 20 weeks size, uterus and vesicular mole. Treatment is:
a. Dilatation & Curettage
b. Methotrexate to degenerate the tissues
c. Hysterectomy is best
d. Suction evacuation
~
31. A 30-year-old pregnant lady with a fibroid in the uterus presented with fever, mild leukocytosis and
pain abdomen at 24 ( 28?) weeks. What is the likely cause?
a. Red degeneration of fibroid
~
b. Fibroid torsion
c. Infected Fibroid
d. Malignant degeneration of fibroid

32. Itching during cholestasis of pregnancy is due to increase in:

a. Bilirubin
b. Bile acids Bahot Sari Itching
Itching
=

c. Alkaline phosphatase Bile Salt

d. Bile salts
~

33. Which grip is shown in the Image below:

a. Fundal grip
b. Lateral grip
~
c. 1st Pawlik grip
d. 2nd Pawlik grip

Surveil an
- etal
see

APectomy
Ca . (x

t
5
34. What is a reactive NST (non-stress test)
a. Two or more FHR acceleration of 15 beats or more persisting for at least 15 seconds in 20
-
min study
b. Two FHR acceleration in 60 minutes period both persisting for 20 second and 20 beats/ minutes
c. 6 acceleration of FHR in 20 minutes for 15 minutes and 15 seconds
d. Two FHR acceleration of 60 beats from baseline in 30 minutes
NST-Antepartum
35. Identify: Starts
>32wks

-
-
-
-
-

a. EARLY decelerations
b. Variable Decelerations
c. Reactive NST
d.
~ Late deccelaration

36. Management in modern obstetrics for rh negative sensitized female is ?

-

a. Amniotic fluid spectrophotometry

b. MCA PSV
~
c. Fetal blood sample
d. Delivery and neonatal care in ICU

37. The partograph is best started at what cervical dilatation?

a. 3cm
b. 4 cm
~
c. 5 cm
d. 6 cm

38. What type of placenta is seen in this pic ?

a. Normal
b. Succenturiate
c. Battledore
d.
~ Circumvallete
6
 39. female presented at term with painless vaginal bleeding. Which of the following should not be done?
a. Per Vaginal Examination
~
-

b. Ultrasonography
c. Abdominal examination
d. Arrange blood and plan cesarean section

40. Dose of Carbetocin used in PPH management is

a. 50 microgram over 1 min
~
b. 100 microgram over 1 min
c. 200 microgram over 1 min
d. 100 Milligarm over 1 min

41. Recommended emergency contraceptive in India

a. Levonorgestrel 1.5mg
-
b. Estrogen 30 microgram
c. Ullipristal 30 mg >
- Not approved
d. Misoprost 200microgram
Potty
42. A primi delivered at home 2 weeks back and complaints of frequent soiling of her undergarments.
-

On examination she is found to have a complete perineal tear ... treatment options?
a. Immediate repair
b. Repair after 3 wk
c. Repair after 6 wk
d. Repair after 3 months
~
43. A 26 yrs woman with fetus in transverse lie, shoulder presentation ,membranes absent, comes to
the casualty in second stage of labour, management is?
-

a. External cephalic version

b. Internal cephalic verson
c. Cleidotomy
d. Caesarean section
~

44. For GDM in pregnancy single step cut off value of fasting blood sugar is
a. 95 mg/dl
b. 92 mg/dl
~
c. 134 mg/dl
d. 100 mg/dl

45. Calculate Bishop score for the following findings when a Per vaginal examination was done for a
woman at 37 weeks
Cervix 1cm dilated,posterior,soft,30% Effaced, Station at -1
a. A.0
b. B.8
c. C.3
d. D.5
~

46. After a vaginal delivery the placenta was removed completely. The patients starts to bleed profusely
5 days. Physical examination reveals a boggy uterus and USG showed placental tissue. Diagnosis is ?
a. Succenturiate placenta
w
b. Placenta accreta
c. battledore placenta
d. Fenestrated placenta

7
 47. Identify the procedure

probes

a. NST
b. Fetal ECG with 2 electrodes
c. Fetal ST wave Analysis strip
d. Cadiotocography
~

48. Most common Cause of First Trimester Abortion is

-

a. Chromosomal Abnormalities
~
b. Maternal infections
c. Hypothyroidism
d. Progesterone deficiency

49. Uterus becomes a pelvic organ after how many weeks following delivery:
a. 6 weeks
b. 4 weeks
c. 3 weeks
d. 2 weeks
-

50. 28 week pregnant female comes for antenatal Doppler and findings shown are suggestive of what?
a. Normal Doppler
b. Diastolic Notching
-
c. Absent diastolic flow
d. Reverse Diastolic Flow

8
 GYNEACOLOGY QUESTIONS

1. Oral contraceptive pills prevent the following cancers except: COCP- > low dose Estro
a. Endometrial cancer ↓ Ca . End o
b. Ovarian cancer
Ca Ovary
c. Cervical cancer
.

- ↓

Colo
d. Colorectal cancer ↓
Bile Acid in Blood
2. Which is an absolute contraindication for IUCD insertion?
a. History of ectopic pregnancy : do Ectopic
>
- ↓
Pregnancy IF IUCD Faile 5-6 % Ectopic
.

b. Nulliparity
: IUCD Fail - Relative ↑ in Ectopic
c. Active pelvic inflammatory disease
-
d. Irregular menstruation

3. Woman with amenorrhea and history of repeated D&Cs presents with infertility. What is the likely
diagnosis?
-

- AUB
a. Polycystic ovarian syndrome
MTP o

b. Asherman syndrome
- For Asherman
end ppH m/c likely >
-
c. Endometriosis
·

d. Sheehan’s syndrome >

- Post partum Pituitary Necrosis -
>
d/t PPH
G PF TA
G He PRLFSH-TSH-ACTH
4. What does co-test for cervical cancer screening include?
a. Pap smear and endometrial biopsy once in 3
Till 30yrs Do pap
: yrs
b. Pap smear and colposcopy
Pap +HeV
YRt
c. Pap smear and HPV DNA testing 10 - Test
30yrs : Do
-

~ >

d. Pap smear and VIA (Visual Inspection with Acetic Acid)

5. A patient comes to you with fears of becoming pregnant and presents a history of unprotected sex five
days ago. Which of the following emergency contraceptives can be used in this case?
a. Oral contraceptive pills (OCPs)
DOC-LNG
b. Intrauterine contraceptive device (IUCD)
~
c. Mifepristone
d. Levonorgestrel

6. A 35-year-old woman has irregular bleeding and TVS shows a thickened endometrium. What is the
next step?
a. Pap smear
b. Endometrial sampling / Histopathological examination
-
c. Hormonal therapy
d. Hysterosalpingography

7. A woman is suspected to have endometriosis. Which of the following is the investigation of choice for
-
this condition?
-

a. CT scan
b. MRI
c. Ultrasound
d. Laparoscopy
~

8. Until when can a postplacental intrauterine contraceptive device (IUCD) be inserted?

a. 24 hours
b. 48 hours
-
c. 7 hours
d. 6 hours

1
 9. All of the following are true statements regarding the instrument shown here, except?

a. Used for MTP till 12 weeks

b. Can be used without electricity
c. Its capacity is 30ml
- > GomI

d. Pressure generated is around 600mm Hg

10. A 39-year-old woman, para 3 Live3, complains of severe, progressive secondary dysmenorrhea and
- -

menorrhagia. Pelvic examination demonstrates a tender, diffusely enlarged uterus of around 12 weeks
- -

pregnant size uterus, with no adnexal tenderness. The results of the endometrial biopsy are normal.
This patient most likely has
a. Endometriosis
b. Endometritis
c. Adenomyosis
-
d. Uterine sarcoma

11. Least common complication of fibroid is?

-

a. Menstrual disorder
b. Malignancy
-
c. Urinary retention
d. Degeneration

12. Which of the following is the best test for localization of a Vesico Vaginal Fistula?
a. Per vaginal examination with sims speculum
b. Colposcopy
c. 3 swab test
-
d. Cystoscopy

13. Rupture of fallopian tube in an ectopic pregnancy is most commonly seen in which part ?
a. Interstitial portion
b. Isthmus
c. Infundibulum
d. Ampulla
~

14. Increased levels of LH for causing ovulation are due to?

a. Increased Progesterone
b. Increased Estrogen
-
c. Increased FSH
d. Increased Androgens

15. Pessaries can be used for temporary treatment of prolapse uterus. How do we know that the
pessary is properly placed or not?
a. Patient feels discomfort
b. Do not comes out during voiding
-
c. On straining the pessary doesn’t come out
d. One finger gap between vagina and ring

2
 chemotherapy as a part of 5-6
Oc
-[
↑
16. Ca cervix drug used for chemoradiation is? Carboplatin
a. Adriamycin

Y
b. Capecitabine Ca Cervix
.

Chemotheray
c. Daunorubicin Ca Ovary .

is Cisplatin
d.
- Cisplatin Ca Vulva
.

17. Identify this needle ?

Verres Needle-
To create premoperitoneum
while lapocoscopy
.

Trocar

a. Verres needle
-
b. Hypodermic Needles
c. Tuohy needles -
d. Bone marrow biopsy needles -
> Salah & jamshedi Needle

18. M/C Mullerian abnormality and also associated with infertility?

a. Bicornuate
b. Unicornuate
c. Septate
~
d. Didelphys Transverse
-
D
19. A The following device used in laparoscopic procedures is used for which of the following purpose?

fallop rings

~
a. Tubal ligation
b. Ovarian Diathermy/PCOS
c. Morcellator for Fibroids
d. Unipolar cautery for blood vessels

3
 20. USG shows what type of a uterus?

X
a. Septate Uterus
b. Didelphys
c. Bicornuate
-
d. Normal Uterus

21. Section of uterus showing multiple leiomyoma. The arrow is marking which type of fibroid by FIGO
classification?

-
a. Type 4
b. Type 3
c. Type 5
d. Type 2

22. Which of the following is the normal sperm concentration per ml by WHO 2021 semen paramaters ?
a. 20 million
b. 15 million
c. 16million
~
d. 14 million

* 23. All of the following are mechanisms of action of emergency contraception except:
a. Delaying ovulation.
b. Inhibiting fertilization.
c. Preventing implantation of the fertilized egg.
d. Aborting early pregnancy. *
~ >
-
implantation
Replacement
M
24. Hormone therapy is not indicated in:
a. Hot flashes
CAD
b. Prevention of Coronary artery Disease
- >
- It can cuse

c. Osteoporosis
d. Vaginal atrophy
4
25. A postmenopausal woman who is obese, hypertensive and diabetic, presents with postmenopausal
bleeding. The probable cause is:
- -

a. Malignant ovarian tumour # Amir

b. Endometrial cancer
-
c. Cervical cancer Fa
-12
-

d. Brenner tumour

26. Nanovalent vaccine offers protection against which type of HPV virus:
a. Types 6,8,10,11,31,33,45,52 & 58
of HPV
-
b. Types 6,11,16,18,31,33,45,52,58 HPV Vaccine
-

Against L, Capsid
c. Types 6,11,16,18,31,35,45,52,58
d. Types 6,11,16,18,19,31,32,33,34

27. A female undergoing treatment for infertility with IVF was given Inj. HCG, presents with history of
vomiting, nausea, and headache. The Usg is shown as below, what is the diagnosis ?

~
a. Ovarian Hyperstimulation Syndrome
b. PCOS
c. Theca Leutin Cysts
d. Granulosa cell Tumor

28. Investigation of choice for Asherman syndrome is:

a. USG Fibrosis
-

b. HSG -

Filling defects
c. Hysteroscopy Best
~ -

d. Sonosalphingography

29. A 17 years old female has primary amenorrhea, undeveloped breasts, hypoplastic uterus and short
-
- -
stature. The likely diagnosis is?
-

a. Testicular feminization syndrome

b. Klinefilter’s syndrome
c. Turner’s syndrome
~
d. Mixed gonadal dysgenesis

30. 35 year old woman comes with postcoital bleeding. What is the next step?
a. PAP smear Ca Cervix
.

b. Conisation
c. Cryotherapy
~
d. Colposcopic biopsy

31. POST COITAL Tear , where is the most likely site ?

a. Anterior fornix
b. Posterior Fornix
-
c. Lateral Fornix
d. Cervical

5
32. Of the following supports of uterus, which is the best?
a. Transcervical ligament
b. Uterosocral ligmant
c. Round ligament of uterus
d. Levator Ani
~

33. A lady with Infertility underwent Hysterosalpinography and following image is obtained, What is
the probable diagnosis?
a. Normal HSG
b. Hydrosalpinx
~ HSGe meglumin diatrizoate
due used
c. Bicornuate Uterus
d. Hsg with Cornual block

34. Branches of anterior division of internal iliac arteries include the following except
-

-
a. Superior gluteal
b. Uterine
c. Obturator Egil 1s >
- Posterior branches
d. Clitoral

35. Cryptomenorrhea is seen in:

a. Asherman's syndrome
b. Testicular feminizing syndrome
c. Transverse Vaginal Septum
-
d. Uterine agenesis

36. Which drug Cannot be given if a woman needs relief in hot flushes ?
a. Androgens
~
b. Raloxifene -> S E is
.
Hot Flushes
c. Isoflavones
d. Tibolone

37. The most characteristic clinical feature in the diagnosis of PCOS

a. Oligomenorrhoea
b. Hyperandrogenism
c. Polycystic ovaries
d. Anovulation
~

38. Meig syndrome is seen in which of the following tumor ?

-

a. Dermoid Tumor Psuedo-

b. Mucinous cystadenoma
~c. Fibroma OVary - cites + Pleural effusion
·

meig syndrome
d. Fibroid Uterus ↓
cites + Pleural effusion + other than
= Fibroma

6
 39. Most common cause of Pelvic inflammatory Disease, especially in India, is ?
a. Chalymydia
-
Would
also
b. Tuberculosis
c. Candida
d. Gonorrhea Bacterial Vaginosis
~
40. A patient presented with pruritis in the vulva and discharge per vaginum. A cotton swab of the vaginal
-

discharge was made and it reveals the following. What do you think the patient is suffering from ?

a. Gardenella. V
~
b. Trichomoniasis
c. Candidiasis
d. Neisseria

41. Identify the instrument

a. Sims speculum
-
b. Cuscos speculum
c. Proctoscope
d. Doyens retractor

screw

42. In a young female with facial hair presented with features of PCOS. First Line of management here is
a. Lifestyle management
- Anorulation -
doc-letrozole
b. Anti androgen
c. OCPs Irregular Cycle-doc-cocp
Hirsutism Spironolactone
d. Laproscopic ovarian drilling
-

Irregular cycle + Hirsutism ->

ethinyl estradiol
43. 19 yr old girl with amenorrhea Normal Pubic hair & normal breast development +

a. Mullerian agenesis
- Prospirinone
b. Turners syndrome
c. Kallman syndrome
d. Testicular feminisation

7
 44. Elasticity of cervical mucus max in
a.
- Ovulatory phase
b. Pre follicular phase
c. Menstrual phase
d. Post ovulatory phase

Stage I -
IIA1- Radical Hysterectomy
45. Treatment of stage III b Ca cervix?
a. Radical trachelectomy - #A2 >
- Chemoradiation
b. CT and RT
~
c. Hysterectomy with bilateralsalphingoophorectomy
d. Modified radical hysterectomy

46. Best treatment for osteoporosis for a woman beyond 60 years is ?

a. Estrogen therapy
b. Bisphosphonates
- before 60- HRT
c. Calcium Supplementation
d. Vitamin D supplementation

47. Arrange the sequence of events in D and C?

a. Uterine sound
-

b. Serial dilatations
c. Curetting
d. Determining the size of the uterus

~
1. d-a-b-c
2. d-c-a-b
3. a-b-c-d
4. b-a-c-d

48. Which of the following is the best parameter to assess in case of male infertility?
a. The number of sperm
-

b. Quantity of semen
c. Motility of sperms
d. The morphology of sperms
~

49. All are indicators of Intra Uterine Insemination except

-

a. Anti Sperm antibodies in cervix

b. Thick cervical Mucus
c. Oligospermia
d. Tubal Blockade
-
Tumor
50. What is the tumor marker for follow up of Granulosa cell yuomr
-

a. Estrogen
-

b. Progesterone
c. Inhibin
-
d. AFP

51. Which is the most common tumor of women ?

a. Ca Cervix
-

b. Ca Breast
c. Ca Oral Cavity
d. Fibroid uterus
-

52. Which of the following group of Lymph nodes DO NOT drain the cervix?
a. Inguinal
-

-
b. Internal Illac group of LN -main
c. External Illiac
d. Obturator
8