SENIOR LECTURER IN OBTETRICS AND GYNAECOLOGY – MEDICAL EDUCATION

FINAL ANSWER KEY
Question Paper Code: 7/2018/OL
Category Code: 148/2017
Exam: Senior Lecturer in Obstetrics and Gynaecology
Medium of Question: English
Date of Test 06-02-2018
Department Medical Education
Alphacode A
Question1:-‘Vedhadhikaraniroopanam’ is written by
A:-Moorkoth Kumaran
B:-Chattampi Swamikal
C:-T.K. Madhavan
D:-Kumaran Asan
Correct Answer:- Option-B
Question2:-‘Rajyasamacharam’ is associated with
A:-William Tobias Ringeltaube
B:-K. Ramakrishna Pilla
C:-Dr. Herman Gundert
D:-M.P. Paul
Correct Answer:- Option-C
Question3:-The women regiment of the Indian National Army (INA) was led by
A:-Lakshmi Sahgal
B:-Akkamma Cheriyan
C:-A.V. Kuttimalu Amma
D:-Annie Besant
Correct Answer:- Option-A
Question4:-The founder of ‘Atma Vidya Sangham’ was
A:-C. Kesavan
B:-Sukumar Azhikkode
C:-Vaghbatananda
D:-Swami Anantha Theerthan
Correct Answer:- Option-C
Question5:-Who started the journal ‘Sahodaran’ from Mattanchery?
A:-K. Ayyappan
B:-K. Kelappan
C:-Mannathu Padmanabhan
D:-C. Kesavan
Correct Answer:- Option-A
Question6:-‘The Melmundu Samaram’ is popularly called
A:-Mookuththi samaram
B:-Malabar Revolt
C:-Kurichia Revolt
D:-Channar Agitation
Correct Answer:- Option-D
Question7:-‘Sadhu jana Paripalana sangham’ was founded by
A:-Pandit K.P. Karuppan
B:-Ayyankali
C:-Brahmananda Sivayogi
D:-Kumaraguru
Correct Answer:- Option-B
Question8:-‘Darsanamala’ is written by
A:-G. Sankara Kurup
B:-K.T. Muhammed
C:-Sree Narayana Guru
D:-Ayyankali
Correct Answer:- Option-C
Question9:-The concept of ‘Fundamental Duties’ is borrowed from the constitution of ________
A:-USA
B:-Ireland
C:-UK
D:-USSR
Correct Answer:- Option-D
Question10:-The Right to Information Act is passed in the year
A:-2001
B:-2009
C:-2014
D:-2005
Correct Answer:- Option-D
Question11:-Article 356 of the Indian constitution was imposed for the first time in the state of _______
A:-Jammu Kashmir
B:-Kerala
C:-Andhra Pradesh
D:-Bihar
Correct Answer:- Option-B
Question12:-The Ezhava memorial was submitted to the ruler of Travancore under the leadership of
A:-Dr. Palpu
B:-G.P. Pilla
C:-P. Krishna Pilla
D:-K.P. Kesava Menon
Correct Answer:- Option-A
Question13:-The ‘Wagon tragedy’ incident is related with the
A:-Malabar Rebellion
B:-Pazhassi Revolt
C:-Attingal Revolt
D:-Salt Sathyagraha
Correct Answer:- Option-A
Question14:-Who led the ‘Savarna jatha from Vaikkom to Thiruvananthapuram during the Vaikkom Satyagraha’?
A:-E.V. Ramaswami Naikar
B:-Premji
C:-Mannathu Padmanabhan
D:-K.P. Kesava Menon
Correct Answer:- Option-C
Question15:-‘Kanneerum Kinavum’ is an autobiography of __________
A:-Keralavarma Valiya Koyi Thampuran
B:-S.K. Pottakkad
C:-V.T. Bhattathirippad
D:-M.T. Vasudevan Nair
Correct Answer:- Option-C
Question16:-The seat of ‘SCT Institute for Medical sciences and Technology’ is at
A:-Kottayam
B:-Alappuzha
C:-Kannur
D:-Thiruvananthapuram
Correct Answer:- Option-D
Question17:-The University of Travancore was started during the time of
A:-Marthandavarma
B:-Sri Chithira Thirunal
C:-Swathi Thirunal
D:-Rani Sethu Lakshmi Bhai
Correct Answer:- Option-B
Question18:-Winner of the Vayalar Award, 2017 is
A:-C. Radhakrishnan
B:-Prabhavarma
C:-K. Surendran
D:-T.D. Ramakrishnan
Correct Answer:- Option-D
Question19:-The physician who was associated with the publication of ‘Horthus Malabaricus’
A:-Dr. P.K. Varier
B:-Itty Achuthan
C:-Dr. Ayyathan Gopalan
D:-Susrutha
Correct Answer:- Option-B
Question20:-The founder of Kerala sala sangham
A:-P.N. Panicker
B:-Dr. K.N. Panicker
C:-V.P. Menon
D:-K.M. Panicker
Correct Answer:- Option-A
Question21:-When does HCG level reach a peak in normal pregnancy?
A:-20 – 30 days
B:-30 – 40 days
C:-60 – 70 days
D:-100 – 110 days
Correct Answer:- Option-C
Question22:-Following are renal changes in pregnancy except
A:-Renal blood flow increases by 80%
B:-Glomerular filtration rate increases by 50%
C:-Creatinine and other clearances increased
D:-Serum creatinine increased
Correct Answer:- Option-D
Question23:-Predictors of pre eclampsia in 1st trimester are all except
A:-PAPP-A (Pregnancy associated plasma protein A)
B:-Uterine artery doppler
C:-HCG
D:-Placental growth factor
Correct Answer:- Option-C
Question24:-All are causes of mobile head in primigravida at term except
A:-Deflexed head
B:-CPD
C:-Low inclination pelvis
D:-Polyhydramnios
Correct Answer:- Option-C
Question25:-The distance between mid point of racial promontary and inner margin of upper symphasis pub is
A:-11 cm
B:-10 cm
C:-12 cm
D:-13.5 cm
Correct Answer:- Option-A
Question26:-Which test indicates lung maturity?
A:-NST
B:-Shake test
C:-Kleuher test
D:-Fetal breathing movements
Correct Answer:- Option-B
Question27:-The following are true about retraction except
A:-muscle fibres permanently shortened
B:-progressive and intense during 1st stage
C:-special property of upper uterine segment
D:-effects haemostasis after separation of placenta
Correct Answer:- Option-B
Question28:-Not a sign of early pregnancy
A:-Lemon sign
B:-Ossianders sign
C:-Piskacek’s sign
D:-Palmers sign
Correct Answer:- Option-A
Question29:-Folds of Hoboken are found in
A:-Amnios
B:-Placenta
C:-Uterus
D:-Umbilical cord
Correct Answer:- Option-D
Question30:-Milk secretion is enhanced by all hormones except
A:-growth hormone
B:-thyroxin
C:-glucocorticoids
D:-estrogen
Correct Answer:- Option-D
Question31:-All are common causes of recurrent mid trimester abortions except
A:-Cervical incompetence
B:-Bicornuate uterus
C:-Aneuploidy
D:-Fibroid
Correct Answer:- Option-C
Question32:-All are true regarding partial mole except
A:-Karyotype 46XX
B:-Fetus has high risk of chromosomal anomalies
C:-Confused with threatened abortion
D:-Malignant potential low
Correct Answer:- Option-A
Question33:-Most common cause of perinatal mortality in multiple pregnancy
A:-Dystocia
B:-Anaemia
C:-Interlocking
D:-Prematurity
Correct Answer:- Option-D
Question34:-All of the following are causes of polyhydramnios except
A:-Oesophageal atresia
B:-Chorio angioma
C:-Urethral obstruction
D:-Open neural tube defects
Correct Answer:- Option-C
Question35:-Retained succenturiate lobe of placenta may lead to
A:-Secondary PPH
B:-Subinvolution
C:-Sepsis
D:-All of the above
Correct Answer:- Option-D
Question36:-Which of the following regime is not found to be of use in prevention of PIH in high risk women?
A:-Rest
B:-Low dose aspirin
C:-Salt restriction
D:-Regular antenatal check up
Correct Answer:- Option-C
Question37:-Contraindication for expectant regime in placenta praevia are all except
A:-Bleeding at 36 wks
B:-Profuse bleeding
C:-Baby dead
D:-Congenital anomaly of foetus
Correct Answer:- Option-A
Question38:-Which of the following Doppler findings in IUGR is associated with worst prognosis?
A:-Reversal of diastolic flow
B:-Absence of diastolic flow
C:-Absence of systolic flow
D:-Diastolic notch
Correct Answer:- Option-A
Question39:-Contraindication for ventouse extraction is
A:-Prematurity
B:-Brow presentation
C:-Fetal distress
D:-Floating head
Correct Answer:- Option-A
Question40:-Indication for classical caesarian
A:-Obstructed labour
B:-`”C_AC_X”`
C:-Placenta praevia
D:-Twin pregnancy
Correct Answer:- Option-B
Question41:-Cardiac failure is most likely in pregnancy at
A:-32 wks
B:-1st stage of labour
C:-3rd stage of labour
D:-4th stage of labour
Correct Answer:- Option-D
Question42:-Most common cause of maternal hypothyroidism
A:-Autoimmune thyroid disease
B:-Previous treatment of Graves disease
C:-Subtotal thyroidectomy
D:-Excessive use of PTU for thyroid disease (Graves)
Correct Answer:- Option-A
Question43:-In a well baby clinic a neonate is brought with liver two fingers enlarged. The cause is
A:-Normal phenomenon
B:-Hepatitis
C:-Choledochal cyst
D:-Biliary atresia
Correct Answer:- Option-A
Question44:-Meconiam is excreted in new born till day
A:-2
B:-3
C:-6
D:-4
Correct Answer:- Option-B
Question45:-Commonest type of Genito urinary fistulae
A:-Vescico vaginal
B:-Utero vaginal
C:-Vescico uterine
D:-Urethro vaginal
Correct Answer:- Option-A
Question46:-The commonest gynaecological cause of retention urine
A:-Vaginal operations
B:-Ovarian tumours
C:-Cervical fibroid
D:-Haemato colpos
Correct Answer:- Option-A
Question47:-Which surgical procedure has the highest incidence of ureteric injury?
A:-Vaginal hysterectomy
B:-Abdominal hysterectomy
C:-Werthimes hysterectomy
D:-Anterior colporraphy
Correct Answer:- Option-C
Question48:-A semen sample reveals 15 million/ml, 80% normal morphology 80% motile and volume 3 ml, pH-8 diagnosis
A:-Aspermia
B:-Azoospermia
C:-Oligospermia
D:-Asthenospermia
Correct Answer:- Option-C
Question49:-In a patient with infertility treated with clomiphene which of the following methods is best for follow up?
A:-Cervical mucous viscosity
B:-BBT
C:-USG to monitor follicle size
D:-Hormonal assay
Correct Answer:- Option-C
Question50:-A patient treated for infertility with clomiphene presents with sudden onset of abdominal pain and distension
with ascites. Probable cause is
A:-Uterine rupture
B:-Ectopic pregnancy
C:-Multi fetal pregnancy
D:-Hyper stimulation syndrome
Correct Answer:- Option-D
Question51:-Management of azoospermia due to blocked vasdeferens
A:-ICSI
B:-PESA
C:-Zona drilling
D:-Artificial insemination
Correct Answer:- Option-B
Question52:-Puberty menorrhagia is managed by
A:-Danazol
B:-Progestogens
C:-Oestrogens
D:-D&C
Correct Answer:- Option-B
Question53:-A 35 yr old woman presents with DUB not responding to medical management. Management is
A:-Total abdominal hysterectomy
B:-LAVH
C:-Endometrial ablation
D:-Vaginal hysterectomy
Correct Answer:- Option-C
Question54:-Gartners cyst can be differentiated from cystocoele by all except
A:-Tense
B:-Well defined margins
C:-Impulse on coughing
D:-Not reducible
Correct Answer:- Option-C
Question55:-Fixed retroversion is caused by
A:-Pelvic endometriosis
B:-PID
C:-Pelvic peritonitis
D:-All of the above
Correct Answer:- Option-D
Question56:-Enterocoele repair during abdominal operation is
A:-McLeod’s repair
B:-Moschowitz repair
C:-Kellys repair
D:-Shirodhkars repair
Correct Answer:- Option-B
Question57:-In the pathogenesis of Endometriosis, Meyer and Ivanoff theory suggests which of the following as a cause of
endometriosis?
A:-Retrograde menstruation
B:-Coelomic metaplasia
C:-Direct implantation
D:-Lymphatic theory
Correct Answer:- Option-B
Question58:-Investigation of choice in Endometriosis
A:-USG
B:-MRI
C:-CT Scan
D:-Laparoscopy
Correct Answer:- Option-D
Question59:-All are used in treating spasmodic dysmenorrhea except
A:-Bromergocryptine
B:-Dilatation of cervix
C:-Mefanamic acid
D:-OC pill
Correct Answer:- Option-A
Question60:-The benefits of combined oestrogen progestrone replacement therapy include all except
A:-Cardiovascular protection
B:-Bone protection
C:-Decrease in CA breast
D:-Decrease in CA endometrium
Correct Answer:- Option-C
Question61:-The primary carcinoma of body of uterus may be following types except
A:-Adeno carcinoma
B:-Adeno squamous carcinoma
C:-Adeno acanthoma
D:-Large cell keratinising type
Correct Answer:- Option-D
Question62:-Commonest symptom of vulval cancer
A:-Pruritis
B:-Ulcer
C:-Bleeding
D:-Pain
Correct Answer:- Option-A
Question63:-Call exner bodies are seen in
A:-Endodermal sinus tumour
B:-Chorio carcinoma
C:-Granulosa cell tumour
D:-Arrehnoblastoma
Correct Answer:- Option-C
Question64:-Most common malignancy of vagina
A:-Squamous cell carcinoma
B:-Adeno carcinoma
C:-Adeno cystic carcinoma
D:-Adeno squamous carcinoma
Correct Answer:- Option-A
Question65:-Contraceptive failure is calculated by
A:-Pearl Index
B:-Pincus Index
C:-Russel Index
D:-Reids Index
Correct Answer:- Option-A
Question66:-Mirena is effective for
A:-1 year
B:-2 years
C:-3 years
D:-5 years
Correct Answer:- Option-D
Question67:-Commonest complication of intrauterine device
A:-Bleeding
B:-Pain
C:-Infection
D:-Ectopic pregnancy
Correct Answer:- Option-A
Question68:-Post partum IUCD is inserted
A:-within 10 mts of placental expulsion
B:-after repairing episiotomy
C:-after 1 day
D:-after 6 wks
Correct Answer:- Option-A
Question69:-A rape victim comes on 4th day for contraception. The best method is
A:-high dose oestrogens
B:-high dose progestogens
C:-combination of oestrogen and progestrone
D:-CuT
Correct Answer:- Option-D
Question70:-Which progestogen in OC pill is ideal in contraception for a woman who fears weight gain?
A:-Norethisterone
B:-Drosperinone
C:-Levanogestral
D:-Norethindrone
Correct Answer:- Option-B
Question71:-Which of the following contraceptive produces Hypokalemic paralysis and arrythmias?
A:-Cenchroman
B:-GnRH analogus
C:-Glossypol
D:-Combined OC pill
Correct Answer:- Option-C
Question72:-Senile vaginitis is due to
A:-Gonococcal infection
B:-CaCx
C:-Diabetis
D:-Estrogen deficiency
Correct Answer:- Option-D
Question73:-Intra abdominal pressure at laparoscopy should be set between
A:-5 – 8 mm of Hg
B:-10 – 15 mm of Hg
C:-20 – 25 mm of Hg
D:-30 – 35 mm of Hg
Correct Answer:- Option-B
Question74:-Mifeprostone may be used for all except
A:-Threatened abortion
B:-Ectopic pregnancy
C:-Fibroids
D:-Post coital contraception
Correct Answer:- Option-A
Question75:-Results of recanalisation is better if tubal sterilization is done with
A:-Filshies clip
B:-Falope ring
C:-Pomeroys
D:-Irvings technique
Correct Answer:- Option-A
Question76:-Which of the following is not a branch of internal iliac artery?
A:-Superior vescical
B:-External pudental
C:-Uterine
D:-Vaginal
Correct Answer:- Option-B
Question77:-Foeto-placental circulation is established at
A:-10th day
B:-13th day
C:-16th day
D:-22nd day
Correct Answer:- Option-D
Question78:-Placenta is formed from
A:-Chorion feondosum and decidua basalis
B:-Chorion laevae and decidua parietalis
C:-Chorion feondosum and decidua capsularis
D:-Chorion feondosum and decidua parietalis
Correct Answer:- Option-A
Question79:-The following are associated with DIC except
A:-IUD
B:-Severe PIH
C:-Abruptio placentae
D:-Fat embolism
Correct Answer:- Option-D
Question80:-Most important complication of fulminant hepatitis in pregnancy
A:-Obstetric haemorrhage
B:-Preterm labour
C:-IUD
D:-Neonatal transmission
Correct Answer:- Option-A
Question81:-Materno fetal transmission in Toxoplasmosis occurs maximally in
A:-1st trimester
B:-2nd trimester
C:-3rd trimester
D:-At delivery
Correct Answer:- Option-C
Question82:-Which is not a complication of Rh incompatibility?
A:-APH
B:-PPH
C:-Oligamnios
D:-Pre eclampsia
Correct Answer:- Option-C
Question83:-The following are contraindications of trial labour except
A:-Elderly primi
B:-1st degree CPD
C:-Mal presentation
D:-Post maturity
Correct Answer:- Option-B
Question84:-Bishops score include all except
A:-Dilatation of Cx
B:-Effacement
C:-Contraction
D:-Station of head
Correct Answer:- Option-C
Question85:-The most important factor in success of induction of labour
A:-Primi
B:-Cervical factor
C:-Live foetus
D:-Sensitivity of uterus
Correct Answer:- Option-B
Question86:-The most important function of forceps
A:-Compression
B:-Grasping of fetal head
C:-Rotation of head
D:-Traction
Correct Answer:- Option-D
Question87:-Commonest cause of Breech presentation
A:-Twins
B:-Hydrocephalus
C:-Hydramnios
D:-Prematurity
Correct Answer:- Option-D
Question88:-The most important complication of surgical management of broad ligament haematoma
A:-Torrential bleeding
B:-Injury to bowel
C:-Injury to ureter
D:-Injury to bladder
Correct Answer:- Option-C
Question89:-A case of 35 wks pregnancy with polyhydramnios and marked respiratory distress is managed by
A:-IV furosemide
B:-Saline infusion
C:-Amniocentesis
D:-ARM
Correct Answer:- Option-C
Question90:-Rupture of membranes is said to be premature when it occurs at
A:-38 wks of pregnancy
B:-32 wks of pregnancy
C:-Prior to 1st stage of labour
D:-2nd stage of labour
Correct Answer:- Option-B
Question91:-Post term pregnancy is that which continues beyond
A:-300 days
B:-294 days
C:-280 days
D:-270 days
Correct Answer:- Option-B
Question92:-Which does not cause hydrops fetalis?
A:-Syphillis
B:-Rh isoimmunisation
C:-ABO incompatibility
D:-None of the above
Correct Answer:- Option-C
Question93:-The best time to do chorionic villus sampling is
A:-Between 6 – 8 wks
B:-Between 7 – 9 wks
C:-Between 9 – 11 wks
D:-Between 11 – 13 wks
Correct Answer:- Option-D
Question94:-Amniotic fluid contains acetylcholine esterase enzymes, what is the diagnosis?
A:-Open spina bifida
B:-Gastroschisis
C:-Omphalocoele
D:-Osteogenesis imperfecta
Correct Answer:- Option-A
Question95:-Which of the following drugs is teratogenic?
A:-Carbamazepine
B:-Valproic acid
C:-Phenobarbitone
D:-All of the above
Correct Answer:- Option-D
Question96:-According to MTP Act 2nd doctors opinion is required when pregnancy is
A:-10 wks
B:-6 wks
C:-> 12 wks
D:-> 20 wks
Correct Answer:- Option-C
Question97:-Late hyperglycemia in pregnancy is associated with
A:-Macrosomia
B:-IUGR
C:-Post maturity
D:-Congenital malformation
Correct Answer:- Option-A
Question98:-Which of the following abnormality is commonly seen in fetus with congenital malformation in CMV infection?
A:-Colitis
B:-Myocarditis
C:-Blood dyscrasias
D:-Pulmonary cyst
Correct Answer:- Option-C
Question99:-Late deceleration on a CTG indicates
A:-Head compression
B:-Cord compression
C:-Fetal hypoxia
D:-Fetal sleep
Correct Answer:- Option-C
Question100:-Which is true regarding Appendicitis in pregnancy?
A:-Leucocytosis is helpful in diagnosis
B:-Pain and tenderness prominent in right lower quadrant
C:-Pregnant woman has symptoms typical for non pregnant patients with appendicitis
D:-More likely to cause generalised peritonitis
Correct Answer:- Option-D