Q1478. fluctuant, and the overlying skin is normal. The child is otherwise stable, with no signs of airway compression. What is the most appropriate immediate management? Image based

Q1479. A 2-year-old intravenous drug user presents with a large, pulsatile, painful mass in the groin. There is local erythema, warmth, and tenderness, and systemic features suggest infection. What is the best next investigation to confirm the diagnosis?

Q1480. A 5-year-old woman presents with a painless thyroid swelling in the right lobe. Fine-needle aspiration suggests follicular neoplasm. She is planned for thyroid surgery. The surgeon wants to identify any extra-thyroidal tissue or distant spread before surgery. Which is the most appropriate investigation for this purpose?

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?

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

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

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?

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

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:

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?

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?

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?

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

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

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?

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

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?

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

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?