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Obstetrics & GynaecologyObstetrics
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Q1231. A delivery assistant named sandhya was posted at PHC and sister in charge asked hear to do P/N, after which she wrote that the station is + 1. What is meant by that?

A.Fetal head A+ level of ischial spine
B.Just below ischial spine
C.Above ischial spine in false pelvis
D.In perineum

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Obstetrics & GynaecologyObstetrics
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Q1232. A RH negative, primi pregnant lady at 38 weeks, who was ICT negative was given first does of anti D at 28 weeks, which of the following is true regarding the management after delivery?

A.Give second dose within 72 hours depending on blood group of baby
B.No need of second does
C.Give anti D to baby only
D.Give anti D to mom within 72 hours irrespective of blood group of baby

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Obstetrics & GynaecologyObstetrics
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Q1342. A 28-year-old woman in her pregnancy is found to be HBsAg positive with high HBV DNA levels on routine antenatal screening. She has no features of liver failure. What is the most appropriate treatment during pregnancy?

A.Pegylated interferon
B.Tenofovir
C.Zidovudine
D.Displacement of ruxolitinib from plasma protein binding sites by ketoconazole

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FMGE2025Repeats: N/A
Obstetrics & GynaecologyGeneral Obs & Gynaecology
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Q1348. of 15000 ft. Within 18–24 hours of arrival, he develops throbbing headache, nausea, dizziness, fatigue, and difficulty sleeping. His pulse is 104/min, respiratory rate is 22/min, and SpO2 is 88% on room air. There are no focal neurological deficits and no signs of pulmonary edema. The best immediate management of his condition is:

A.Acetazolamide
B.Immediate descent to a lower altitude
C.Dexamethasone
D.Aspirin

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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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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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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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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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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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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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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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