Monday, January 14, 2008

2 - gynaecology mcqs - 1 to 10

1) Inhibin suppresses

a. FSH

b. Mineralocorticoids

c. Insulin

d. Heart Rate

Answer (a) FSH

Reference: Ganong 22nd Edition Page 433

2) Abortion is defined as expulsion of fetus

a. Before Viability

b. Before 28 weeks

c. Any of the above

d. None of the above

Answer (a) Before Viability

Reference: Dutta Obstetrics 4th Edition Page 171

Abortion is the termination of pregnancy before the period of viability which is considered to occur at 28th Week. However for international acceptance, the limit of viability is brought down to either 20th week or fetus weighing 500 gm. If the expelled fetus weighs less than 500 gm, it is called abortus. The term miscarriage, which is mostly used, is synonymous with abortion

3) Etiology for Transverse Lie

a. Subseptate Uterus

b. Arcuate Uterus

c. Both

d. None

Answer (c) Both

Reference: DUtta obstetrics 4th Edition Page 423

4) IUGR in USG is diagnosed and assessed by

a. Head to abdomen and Femur to Abdomen Ration

b. Ponderal Index

c. Amniotic Fluid Index

d. All of the above

Answer (d) All of the above

Reference: Dutta obstetrics 4th Edition Page 498

Note : In the past years, the questions have also asked the Single Best Finding in USG to detect IUGR

5) Most Common Polyp In Uterus is

a. Mucous Polyp

b. Fibroid Polyp

c. Placental Polyp

d. Malignant Polyp

Answer (a) Mucous Polyp

Reference: Dutta Gynaecology 2nd Edition Page 260

6) SION Test is done

a. During Menstruation

b. On the 10th Day

c. Post Ovulatory

d. On the 21st Day

Answer (c)Post Ovulatory

Reference: Dutta Gynecology 2nd Edition Page 219

Sonosalpingography (visualization of the fallopian tubes with ultrasound) using a variety of media (saline, albuminex, air) has been investigated as a way to document tubal patency or the presence of hydrosalpinges. Apparently the use of special media (such as suspensions of galactose microparticles) is helpful for consistently visualizing tubal passage. A Sion procedure was described (from the Sion Hospital in India) in which the cul de sac behind the uterus (a potential space also called the pouch of Douglas) is filled with about 300 cc of sterile normal saline to better visualize patency of the tubes, tubal motility and peritubal pathology. The available information on the use of these techniques for documenting tubal patency and presence of hydrosalpinges is conflicting, with many pioneers in this field finding the sensitivity of this technique disappointing for the diagnosis of tubal pathology.

The Sion procedure involves instillation of the pouch of Douglas with approximately 300ml of sterile normal saline to elucidate not only the patency of the fallopian tube but visualise the motility, the fimbriae, and peritubal adhesions if present

Dr.Gautam Allahbadia, was awarded the Dr. Kumud Tamaskar Prize for the year 1991 by FOGSI for original research work in infertility - “The Sion Procedure- A new procedure for evaluation of tubal status”. “The Sion Test” was published as ‘Article this month’ in “THE PULSE” official publication of the Bandra Khar Medical association, 15th March, 1992.

7) All of the following are Remnants of Wolfian duct except

a. Gartners Cyst

b. Organ or Giraldes

c. Pedunculated Hydatid of Morgagni

d. Sessile Hydatid of Morgagni

Answer (d) Sessile Hydatid of Morgagni

Reference: Das, Concise Textbook of Surgery, 3rd Edition Page 1278

8) A 20 year old woman gives a history of sharp pain in the lower abdomen for 2-3 days every month approximately 2 weeks before the menses. The most probable etiology for her pain is:

a. Endometriosis.

b. Dysmenorrhea.

c. Pelvic tuberculosis.

d. Mittelschmerz.

Answer d. Mittelschmerz.

Reference Shaw 12th Edition Page 229

9) In adult Female Gonorrhea Affects all Except

a. Vagina

b. Uterus

c. Cervix

d. Urethera

Answer (a) Vagina

Reference: Ananthanarayanan 7th Edition Page 227

The vaginal mucosa is not usually affected in adults because the stratified epithelium is resistant to infection by the cocci and also because of the acidic pH of the vaginal secretions. However vulvovaginitis occurs in prepubertal girls

10) Fallopian Tube Ideal Site For Sterlisation where occlusion is done is

a. Isthumus

b. Ampulla

c. Fibriae

d. Infundibulum

Answer (a) Isthumus

Reference: Dutta Gynaecology 2nd Edition Page 440

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