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Obstetrics & GynaecologyObstetrics
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Q1481. A women in labour is undergoing augmentation with oxytocin. She has spontaneous rupture of membranes and develops sudden fetal bradycardia. What is the most appropriate management?

A.Continue oxytocin infusion
B.Give tocolytic and observe
C.Immediate delivery and fetal resuscitation
D.

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Q1482. A patient with history of heavy menstrual bleeding undergoes hysterectomy and following specimen is removed, what is the likely diagnosis?

A.Fibroid uterus
B.Endometrial hyperplasia
C.Adenomyosis
D.Endometriosis

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Obstetrics & GynaecologyGynaecology
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Q1483. In India, due to a common misconception, pregnant women are advised to avoid which of the following fruits?

A.Apple
B.Papaya
C.Orange
D.Mango

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Q1485. A 52 years old postmenopausal woman presents with hot flushes and a dry vagina. What are the expected levels of FSH, LH, estrogen, and progesterone?

A.
B.
C.
D.

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Q1486. A 50-year-old postmenopausal woman presents with bleeding. Ultrasound shows a “feeding vessel” sign. What is the most appropriate management?

A.Watchful waiting
B.Medical therapy with progestins
C.Hysteroscopic polypectomy
D.Dilation and curettage

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Obstetrics & GynaecologyObstetrics
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Q1487. the sagittal suture is felt obliquely, the posterior fontanelle is located at 4 o’clock, and the anterior fontanelle is easily palpable. The head is moderately extended, and the patient reports back labor with severe sacral pain. Based on these findings, the most likely fetal presentation is:

A.Occipitoposterior presentation
B.Cephalic presentation
C.Deep transverse arrest
D.Brow presentation

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MedicineCardiology
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Q1488. A 32-year-old woman with a history of chronic hypertension seeks advice on contraception. She has no other significant medical issues. Which of the following contraceptive methods is contraindicated in her condition?

A.CuT
B.LNG-IUCD
C.OCPs
D.DMPA

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Obstetrics & GynaecologyGynaecology
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Q1489. A woman presents with intense vulvovaginal itching and thick, white, curd-like vaginal discharge. On microscopic examination of the vaginal discharge using a KOH wet mount, oval budding yeast cells with pseudohyphae are seen. What is the most likely etiological agent?

A.Bacterial vaginosis
B.Vulvovaginal candidiasis
C.Trichomoniasis
D.DMPA

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Obstetrics & GynaecologyGynaecology
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Q1490. A 14-year-old girl presents with primary amenorrhea. On examination, there are well developed breasts , the uterus and ovaries are absent with a blind ending vagina. Pubic hair is scanty. What is the most likely diagnosis?

A.Turner syndrome
B.Androgen insensitivity syndrome
C.Gonadal dysgenesis
D.Müllerian agenesis

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Obstetrics & GynaecologyObstetrics
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Q1492. Which one of the following options is NOT an indication of medical management in unruptured ectopic pregnancy?

A.Fetal cardiac activity present
B.Serum β-hCG level of 3500 IU/L
C.Gestational sac size of 3 cm
D.Hemodynamically stable mother

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Obstetrics & GynaecologyGynaecology
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Q1495. Which of the following is the most commonly used permanent method for female sterilization?

A.Salpingectomy
B.Modified Pomeroy’s method
C.Salpingostomy
D.Salpingotomy

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Obstetrics & GynaecologyGynaecology
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Q1496. A woman with 13 weeks’ gestation presents with a uterus corresponding to 18 weeks. Ultrasound shows a grape-like mass, with no fetus or amniotic fluid. HCG levels raised > 2 lakhs. What is the most appropriate management?

A.Suction and evacuation
B.Dilatation and curettage
C.Hysterectomy
D.Methotrexate therapy

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Q1497. An ultrasound examination done in early pregnancy shows twins. What is the most likely type of twin pregnancy?

A.Monochorionic diamniotic (MCDA)
B.Dichorionic diamniotic (DCDA)
C.Monochorionic monoamniotic (MCMA)
D.Conjoined twins

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Q1498. A pregnant woman in her third trimester experiences dizziness. Her blood pressure is found to be low. This is most likely due to which physiological change in pregnancy?

A.Increased plasma volume and increased peripheral vascular resistance
B.Decreased plasma volume and peripheral vascular resistance
C.Increased plasma volume and decreased peripheral vascular resistance
D.Decreased plasma volume and increased peripheral vascular resistance

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Q1499. A woman undergoes a routine Pap smear, which reports atypical glandular cells. She is otherwise asymptomatic. What is the next appropriate investigation?

A.Colposcopy with endocervical curettage
B.Colposcopy alone
C.Increased plasma volume and decreased peripheral vascular resistance
D.Decreased plasma volume and increased peripheral vascular resistance

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AnatomyHead & Neck
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Q1500. A woman has a LNG-IUCD inserted and she has been experiencing bleeding since the day of insertion, affecting her daily activities and demands removal. What is the most appropriate next step in management of the patient?

A.Reassure and continue IUCD
B.Remove the IUCD immediately
C.Give NSAID’s + OCP and continue IUCD
D.Evaluate for active PID’s

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Q1501. complications. On abdominal and vaginal examination immediately after the birth of the first twin, the second fetus is found to be in transverse lie with intact membranes. Fetal heart rate is normal and the cervix is fully dilated. What is the most appropriate management of the second twin?

A.Delivery of the fetus in cephalic presentation
B.Delivery of a fetus in breech presentation
C.Delivery of the second twin in transverse lie
D.Delivery of the second twin in breech presentation

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Q1502. 30-year-old woman, G3, has a history of two previous second-trimester pregnancy losses. Current ultrasound shows a cervical length of 0.7 cm. She is asymptomatic, with no bleeding or pain. What is the most likely diagnosis?

A.Cervical insufficiency
B.Placenta previa
C.Placental abruption
D.Delivery of the second twin in breech presentation

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Q1503. For pregnant women at 37 weeks of pregnancy came with Hb < 8, As per Anaemia Mukt Bharat , What treatment regimen is given for this patient ?

A.60 mg elemental iron + 500 µg folic acid once weekly for 6 months
B.60 mg elemental iron + 500 µg folic acid daily for 180 days
C.100 mg elemental iron + 500 µg folic acid daily for 100 days
D.60 mg elemental iron + 500 µg folic acid twice daily for 180 days

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Q1505. A diabetic woman on insulin is planning to get pregnant and visits for a pre-conceptional check. Her HbA1c is 8.5. What is the next best advice for her?

A.Conceive, increase insulin dose, and then start folic acid
B.Increase insulin dose, reduce HbA1c levels, and then conceive
C.Plan conception and increase the insulin dose once she conceives
D.Start folic acid and conceive

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