Professional Documents
Culture Documents
Aiims OBGYN Questions PDF
Aiims OBGYN Questions PDF
1 Identify the grip in the picture used for checking ballotability of head
A.pelvic grip
B.pawlick grip
C.fundal grip
D.umbilical grip
Ans.pawlick grip
- To determine which part of the foetus occupies the lower part of uterus
1. head(independently ballotable)
A.mayo scissor
B.episiotomy scissor
C.suture remover
D.curved scissor
Ans.episiotomy scissor
Episiotomy scissor
1)vaginal mucosa
(includes episiotomy)
Partograph-
-moulding.
labour:-
-cervical dilation,
-uterine contraction.
mother:-
-pulse,
-BP,
-temperature,
-urine examination.
-Partograph should be potted from the left side of the alert line.
- when curve reaches right side of the alert line indicate delay in labour.
-there will be differance of 4 hrs between alert line and action line.
B.95% formalin
C.95%ethyl alcohol
D.normal saline
1) begin at age 21
2)from age 21 to 29 :
5)no screening done after hysterectomy unless done for CIN 2&3
-liquid based cytology are used now a days. Here fixative used is METHANOL
A.types 6,8,10,11,31,33,45,52,&58
b.types 6,11,16,18,31,33,45,52,58
C.types 6,11,16,18,31,35,45,52,58
D.types 6,11,16,18,19,31,32,33,34
Ans.b.types 6,11,16,18,31,33,45,52,58
bivalent vaccine:
16&18
CERVARIX
6,11,16,18
GARDASIL
Nanovalent vaccine:
6,11,16,18,31,33,45,52,58
GARDASIL 9
Q6. According to Naegele's rule, calculate EDD of a patient with LMP 9/01/2017
A.16/10/2017
B.16/09/2017
C.16/11/2017
D.9/10/2017
Ans.16/10/2017
-Adding 7 days to the date of first day LMP and counting back 3 months or
forwarding 9 months.
If the cycle is shorter or longer than 28 days, EDD will be corrected and written as
corrected EDD.
Examples:
A) If she is having 40days cycle regularly, to get corrected EDD, add 12 days
(40-28) with the EDD calculated from LMP.
Q7. A 18 year old female presents with an ovarian mass, her serum bio marker are
found to be normal except for LDH, which is found to be elevated. The most likely
diagnosis is
A.Dysgerminoma
C.Malignant terratoma
Ans.A.Dysgerminoma
Germ Cell Tumors(GCT) are most common ovarian tumors in the reproductive age
group.
DYSGERMINOMA:
TUMOR MARKERS:
1)Dysgerminoma-
-LDH
-ALP
-ALPHA 1 ANTITRYPSIN
3)GRANUOSA CELL TUMOUR
-INHIBIN B
4)SEROUS CYSTADENOCARCINOMA
-CA125
5)MUCINOUS CYSTADENOCARCINOMA
-CEA
-CA19-9
HISTOLOGICAL MARKERS:
Q8.A primigravida came with 6 cm cervical dilatation with contraction rate of 3/10
min.which stage of labour is she in
A.first stage
b.second stge
C.third stage
D.fourth stage
Ans.first stage
Average B)Descent:
Multi- 6 hours
multi-2cm/hr.
2nd stage(delivery of baby):
PRIMI 3 HOURS
MULTI 2 HOURS
avg-15min (primi),
5min(multi)
A)type 1 hysterectomy
B)oral progestins
C)mirena
Williams gynecology
CHANCES OF MALIGNANCY;
(all ages);
biopsy 3 monthly.
not followed
high dose OCPs 2+2 (12 hrs apart) 750 micrograms (0.75mg) 1+1 (12 hrs
apart)
OR OR
low dose OCPs 4+4 (12 hrs apart) 1500 micrograms 1 tab (followed now)
OTHERS:
1)mifepristone(RU486).
3)centchroman 60mg.
5)copper T IUCD.
6)prostaglandins.
7)Danazol
Q11.which of the following drug must always be available for emergency use in
labour ward if a patient on opoid analgesia?
A)fentanyl
B)naloxone
C)morphine
D)bupivacaine
ANS: Naloxone
-drowsiness
-resiratory deprression
Naloxone may be given to the mother if delivery become imminent soon after
giving to these group of opioid analgesics
however it is perhaps better to give it to the neonate at birth if it exhibits low apgar
in absence of other causes of resiratory depression
To the depressed neonate -10 mcg/kg of birth wieght in to the umbilical vein
Q12.father of 2 children now they are not able to conceive diagnosed to be having
hypogonadotrophic hypogonadism which of the following is not true.
B)low testosterone
C)oligospermia
HYPOGONADOTROPHIC HYPOGONADISM:
-low LH &FSH
-low testosterone
-low testosterone
NORMOGONADOTROPHIC HYPOGONSDISM:
-normal testosterone
A)pubococcygeous
B)ishchiocavernosus
C)bulbospongiosus
D)sphincter of urethra and anus
ANS:pubococcygeous(pelvic diaphragm)
-Pubococcygeous
-Iliococcygeous
-Ischiococcygeous
PUBOCOCCYGEUS: Arising from pubic bone, passing lateral to vagina and rectum
and inserted in to coccyx.
B. Some fibers decussate between vagina and rectum, these fibers divide space
between two levator ani muscles.
Perineal tears occuring during parturition divide these decussating fibers causing
hiatus urogenitalis and hiatus rectalis to become patulous and lead to prolapse.
Q14.18 year old girl with primary amenorrhea having a karyotype of
45X0/presents with infantile uterus. What should be done next?
a. HRT to induce puberty
b. Vaginoplasty
c. Clitoroplasty
d. B/L gonadectomy
Ans. D
Ref: Leon speroff endocrinology, 8th ed, pg.461,
Novaks gynecology, 15th ed, pg. 1040
Williams gynecology, pg. 841
Explanation:
Turners syndrome is usually associated with a karyotype of 45X. Patients
with turner usually present at or near the time of expected puberty with
primary amenorrhea and absent secondary sexual development.
Approximately 5% of women with turner have a karyotype with Y
chromosome ( 45X/46XY ). It is important to identify a Y chromosome
because affected individuals are at significant risk of gonadablastoma ( 20 to
30% ).
The other condition with 45XO/46XY is mixed gonadal dysgenesis where the
gonad is testis on one side and streak on the other side. In this condition
there is variable androgen secretion and features of partial masculinisation
of external genitalia.
So friends,from the above discussion it is clear that gonadectomy followed
by HRT should be done for the above condition and in addition clitoroplasty
will also be required if it is mixed gonadal dysgenesis out of which the most
important and the first step is gonadectomy.
Q15. A primigravida was given dietary advice in the first trimester. What should
be the extra calorie intake in pregnancy?
a. 200 kilocal
b. 300 kilocal
c. 500 kilocal
d. No extra calories
Ans: d
Ref: William obstetrics 24th ed pg.178
Explanation:
Pregnancy requires an additional 80,000 kilocal mostly during the last 20
weeks. Recommended calorie increase during pregnancy is 100 to 300
kcal/day. Institute of medicine recommends adding 0,340,452 kcal/day in
the 1st ,2nd, 3rd trimesters respectively.
Q16.You treat a 27 year old infertile patient with bromocriptine. What should
be the diagnosis?
a. Hyperpituitarism
b. Hypopituitarism
c. PCOS
d. Hyperprolactinemia
Ans: d
Ref: Novaks gynec ,15th ed,pg 1107
Explanation:
Bromocriptine is an ergot alkaloid, a strong dopamine agonist, decreases
prolactin levels within hours.
Dose : 1.25 to 2.5 mg BD
Q17. 35 year old woman comes with postcoital bleeding. What is the next step?
a. PAP smear
b. Conisation
c. Cryotherapy
d. Targeted Biopsy
Ans: d
Ref: Novaks gynecology 15th ed, pg 1305, 597-605
o Explanation:
Option A: The false negative rate of pap smear in the presence of invasive
cancer is 50% and a negative pap test should never be relied on in a
symptomatic patient.
Hence it is very clear that conisation is not indicated for all symptomatic
women and it should be done following either a PAP, colposcopy or a biopsy
with abnormal or inconclusive result
-Dr. Vidya