24 - absolute contraindications of oral contraceptive pills

1. carcinoma of breast and genitals
2. congenital hyperlipidemia
3. porphyria
4. cardiac abnormalities
5. moderate to severe hypertension
6. previous or present history of thromboembolism
7. undiagnosed abnormal uterine bleeding
8. impending major surgery to avoid post operative thromboembolism
9. liver diseases , hepatoma or history of jaundice during past pregnancy 

23 - AIIMS november 2008 gynaecology mcqs

163.IN Mc ROBERTS MANOEUVRE HIP IS FLEXED AGAINST MOTHERS ABDOMEN.THIS LEADS TO INJURY OF WHICH NERVE?
A. LUMBOSACRAL TRUNK
B. OBTURATOR N
C. FEMORAL N.
D. LATERAL CUTANEOUS N OF THIGH

164. ALL ARE DONE IN MANAGEMENT OF SHOULDER DYSTOCIA EXCEPT?
A. FUNDAL PRESSURE
B. Mc ROBERTS MANOEUVRE
C. SUPRAPUBIC PRESSURE
D. WOOD S MANOEUVRE

165.A 25 YEAR OLD MARRIED NULLIPARA UNDERGOES LAPROSCOPIC CYSTECTOMY FOR OVARIAN CYST WHICH ON HISTOPATH REVEALS SEROUS OVARIAN ADENOCARCINOMA.WHAT SHOULD BE THE NEXT MANAGEMENT?
A. SERIAL CA-125 AND FOLLOW UP
B. HYSTERECTOMY AND SALPINGOOOPHORECTOMY
C. HYSTERECTOMY + RADIOTHERAPY
D. RADIOTHERAPY



166. SAFEST VASOPRESSOR IN PREGNANCY IS?
A. EPHEDRINE
B. PHENYLEPHRINE
C. METHOXAMINE
D. MEPHENTINE

167.FALLOPIAN TUBE DYSMOTILITY IS SEEN IN?
A. NOONAN SYN
B. TURNER SYN
C. KARTAGENER SYN
D. MARFAN SYN

168.ALL OF THE FOLLOWING INVESTIGATIONS ARE USED IN FIGO STAGING OF CARCINOMA CERVIX EXCEPT?
A. CECT
B. IVP
C. CYSTOSCOPY
C. PROCTOSIGMOIDOSCOPY

169.CLUE CELLS ARE FOUND IN?
A. CANDIDIAL VAGINOSIS
B. BACTERIAL VAGINOSIS
C. TRICHOMONIASIS
D.

170. BEST INDICATOR OF OVARIAN RESERVE IS?
A. FSH
B. ESTRADIOL
C. LH
D. FSH/ LH RATIO

171. A PREGNANT LADY ACQUIRES CHICKEN POX 3 DAYS PRIOR TO DELIVERY.SHE DELIVERS BY NORMAL VAGINAL ROUTE.WHICH OF THE FOLLOWING STATEMENTS IS TRUE?
A. BOTH MOTHER AND BABY ARE SAFE
B. GIVE ANTIVIRAL TT TO MOTHER BEFORE DELIVERY
C. GIVE ANTIVIRAL TT TO BABY
D. BABY WILL DEVELOP CONGENITAL VARICELLA SYNDROME

172. EARLIEST DETECTABLE CONGENITAL MALFORMATION BY USG IS?
A. ANENCEPHALY
B. SPINA BIFIDA
C. MENINGOCOELE
D. CYSTIC HYGROMA

173.ALL OF THE FOLLOWING SHOULD BE DONE TO PREVENT THE TRANSMISSION OF HIV FROM MOTHER TO BABY EXCEPT?
A. VIT A SUPPLEMENTATION TO MOTHER
B. NO BREAST FEEDING
C. VAGINAL DELIVERY
D. ZIDOVUDINE TO MOTHER




174.A 45YR OLD LADY WITH DUB HAS 8mm THICKNESS OF ENDOMETRIUM.NEXT STEP IN MANAGEMENT?
A. HISTOPATHOLOGY’
B. HYSTERECTOMY
C. PROGESTERONE
D.OCP

175. ALL ARE TRUE ABOUT PCOD EXCEPT?
A. PERSISTENTLY ELEVATED LH
B. INCREASED LH/FSH RATIO
C. INCREASED DHEAS
D. INCREASED PROLACTIN

176.A FEMALE AT 37 WKS OF GESTATION HAS MILD LABOUR PAIN FOR 10 HOURS AND CERVIX IS PERSISTENTLY 1cm DIALATED NON EFFECED.WHAT WILL BE NEXT APPROPRIATE MANAGEMENT?
A. SEDATION AND WAIT
B. AUGMENTATION WITH SYNTOCINON
C. CESAREAN SECTION
D. AMNIOTOMY

177.A WOMAN COMES WITH OBSTRUCTED LABOUR AND GROSSY DEHYDRATED INVESTIGATIONS REVEAL FETAL DEMISE.WHAT WILL BE THE MANAGEMENT?
A. CRANIOTOMY
B. DECAPITATION
C. CESAREAN SECTION
D. FORCEPS EXTRACTION

178.INVESTIGATION OF CHOICE IN CHOLESTASIS OF PREGNANCY?
A. BILIRUBIN
B. BILE ACIDS
C. ALK PHOSPHATASE
D. ALT&AST

179.A FEMALE HAS HISTORY OF 6 WEEKS AMENORRHOEA,USG SHOWS EMPTY SAC,SERUM BETA HCG -1000IU.WHAT WOULD BE NEXT MANAGEMENT?
A. MEDICAL MANAGEMENT
B. REPEAT HCG AFTER 48 HOURS
C. REPEAT HCG AFTER 1 WEEK

to view all the 200 mcqs of AIIMS november 2008 click here

20 - endometriosis mcqs - part 1

1Q- a 36 yr old woman completed her treatment for endometriosis 6 months back .during t/t suffered from bouts of depression,weight gain, menorrahagia ,she now complains of amenorrhea.what is the management?

a- danazol
b- estrogen
c- expectant management
d- progesterone
e- Gnrh anologues

the ans given is progestrone,could any one tell why? read the theory part of endometriosis before u answer ..... click here