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Obstetrics & GynaecologyObstetrics
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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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Obstetrics & GynaecologyObstetrics
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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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Obstetrics & GynaecologyObstetrics
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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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ENTEar
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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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Q1506. A 35-year-old patient presents with dysmenorrhea and bleeding per rectum, which occurs whenever she has her periods. On examination, a nodule is felt anteriorly on per-rectal examination. What is the diagnosis?

A.Colorectal cancer
B.Endometriosis
C.Hemorrhoids
D.Inflammatory bowel disease

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Obstetrics & GynaecologyObstetrics
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Q1507. A 25-year-old primigravida is in labor and is being augmented with oxytocin. On abdominal examination, the fetal head is 5/5 palpable. Artificial rupture of membranes (ARM) is performed, following which there is sudden fetal bradycardia. What is the most likely diagnosis?

A.Cord prolapse
B.Uterine rupture
C.Abruptio placenta
D.Precipitate labor

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Q1508. A 52-year-old postmenopausal woman presents with bleeding and is found to have a 3 cm fibroid in the uterine wall with an endometrial thickness of 8 mm. What is the next best step?

A.CECT
B.Endometrial biopsy
C.Pap smear
D.MRI

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BiochemistryMolecular Biology
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Q1509. A 28-year-old woman, 28 weeks pregnant, comes for a routine checkup. She feels well. On examination, a soft, early mid-systolic murmur is heard at the left sternal border. There are no thrills, heaves, or other abnormal findings. What is the most likely cause?

A.Mitral stenosis
B.Aortic stenosis
C.Pap smear
D.MRI

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PaediatricsCongenital
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Q1510. A 7-year-old child presents with fever for 3 days followed by the appearance of a generalized skin rash. On examination, the rash is pleomorphic and centripetal in distribution. What is the most likely diagnosis?

A.Measles
B.Smallpox
C.Varicella
D.Rubella

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PaediatricsGrowth & Development
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Q1511. A 4-month-old infant is observed to have a persistent asymmetric tonic neck reflex. Which of the following developmental milestones is most likely to be delayed or not achieved if this reflex persists?

A.Rolling over
B.Neck holding
C.Crawling
D.Bidextrous grasp

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PaediatricsNeonatology
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Q1512. A 7-year-old child presents with abdominal pain, palpable purpura on the lower limbs, and arthralgia. There is no history of fever or mucosal changes. What is the most likely diagnosis?

A.Henoch–Schönlein purpura
B.Kawasaki disease
C.Scarlet fever
D.Hemophilia A

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PaediatricsNeonatology
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Q1513. A newborn has blue skin, heart rate <88/min, slow irregular respiration, no response on stimulation no flexion on irritability. Calculate Apgar score?

A.2
B.4
C.6
D.3

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Obstetrics & GynaecologyGynaecology
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Q1514. A 10 year old girl is brought by her mother with complains of recent breast pain and development of coarse hair in pubic region. N examination, breast development is present without nipple discharge and pubic hair is sparse but pigmented. There is no history of menstrual bleed. What is the appropriate advise to the mother?

A.Reassurance the mother and advice follow up
B.Start hormonal evaluation for precocious puberty
C.Refer immediately to pediatric endocrinology for GnRH stimulation test
D.Begin treatment with GnRH analogs immediately

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Obstetrics & GynaecologyObstetrics
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Q1515. The Ductus venosus in fetal circulation primarily functions to?

A.Umbilical vein - liver
B.Right atrium – left atrium
C.By passing liver to IVC
D.Pulmonary artery - aorta

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BiochemistryVitamins & Minerals
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Q1516. A 6-month-old infant presents with bleeding gums, easy bruising, and recurrent diarrhea. Growth is otherwise normal. Which of the following vitamin deficiencies is most likely?

A.Vitamin K
B.Vitamin A
C.Vitamin D
D.Vitamin E

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PaediatricsNeonatology
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Q1517. A newborn infant presents with bulging anterior fontanelle, constipation, hypotonia, macroglossia, hoarse cry, and delayed resolution of neonatal jaundice. What is the most likely diagnosis?

A.Congenital hypothyroidism
B.Down syndrome
C.Patau syndrome
D.Edward syndrome

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PathologyHematopathology
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Q1518. A 7-year-old child had a febrile illness 1 week ago. He now presents with petechial rashes over the lower limbs. Laboratory investigations show- Low platelet count and bone marrow biopsy revealed icreased number of megakaryocytes. What is the most likely diagnosis?

A.Acute immune thrombocytopenic purpura
B.Aplastic anemia
C.Hemolytic uremic syndrome
D.Edward syndrome

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PaediatricsCongenital
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Q1519. A 4-year-old preschool boy presents with short stature, congenital heart defect, and characteristic facial features. Which of the following is the most likely diagnosis?

A.Turner syndrome
B.Noonan syndrome
C.Down syndrome
D.Williams syndrome

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PaediatricsCongenital
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Q1520. A 2 year old child is brought to OPD with bluish spots on buccal mucosa. There is history of cough, red eyes and fever. What is the likely diagnosis?

A.Mumps
B.Measles
C.Rubella
D.Chicken pox

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PathologyNeoplasia
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Q1521. A 32-year-old woman is posted for excision of a small benign breast lump. It is planned as a day care procedure. Which intravenous induction agent would be most appropriate in this setting?

A.Thiopentone
B.Propofol
C.Etomidate
D.Ketamine

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