Abortion_and_MTP.pdf

Self Assessment & Review: Obstetrics New Pattern Questions N1. Blighted ovum is: a. Synaptic knobs b. Avascular villi c. Intervillous hemorrhage d. None of the above N2. The most life threatening complications of s...

Self Assessment & Review: Obstetrics New Pattern Questions N1. Blighted ovum is: a. Synaptic knobs b. Avascular villi c. Intervillous hemorrhage d. None of the above N2. The most life threatening complications of septic abortion includes: a. Peritonitis b. Renal failure c. Respiratory distress syndrome d. Septicemia N3. The method most suitable for MTP in 3rd month of pregnancy is: a. Dilatation and curettage b. Extra amniotic ethacridine c. Hysterectomy d. Suction and evacuation N4. The best method of evacuation of a missed abortion in uterus of more than 12 weeks: a. Oxytocin infusion b. Intramuscular prostaglandin (15 methyl PGF2alpha) c. Prostaglandin E1 vaginal misoprostol followed by evacuation of the uterus  d. Suction evacuation N5. Pregnancy which continues following threatened abortion is likely to have increased incidence of: a. Preterm labor b. Fetal malformation c. IUGR d. All of the above N6. Suction evacuation can be done up to: a. 6 weeks b. 10 weeks c. 15 weeks d. 18 weeks N7. A P2+1 female comes with amenorrhea of 5 weeks. Her UPT is +ve. On USG, Gestational sac and yolk sac are seen in uterus. No fetal pole is visible. No fetal cardiac activity is seen. CRL is 8 mm and MSD = 28 mm. What is the next best step? a. Advise MTP as it is nonviable pregnancy b. High probability of nonviable pregnancy but still repeat scan after 7 days to confirm c. Can be ectopic pregnancy - give methotrexate d. High probability of viable pregnancy - repeat scan after 7 days N8. The figure shows karman cannula. The number of cannula corresponds to: a. Diameter of cannula in mm b. Diameter of cannula in cm  c. Surface area of cannula d. Length of cannula N9. Identify the instrument: a. Sponge holding forceps b. Thyroid curved scissors forceps c. Allis tissue forceps d. Lane's tissue forceps N10. Levels of progesterone indicating unviable pregnancy and viable intrauterine pregnancy are: a. 5 ng/mL; 20 ng/mL b. 10 ng/mL; 20 ng/mL c. 5 ng/mL; 50 ng/mL d. 10 ng/mL; 50 ng/mL N11. Best method for MTP in 2nd trimester abortion: a. Oxytocin b. Prostaglandin c. Ethacridine d. Hypertonic saline N12. In case of recurrent abortions, M/C uterine malformation seen is: a. Arcuate uterus b. Unicornuate uterus c. Mullerian fusion defects d. Mullerian agenesis  Previous Year Questions Previous Year Questions 1. Most common cause of first trimester abortion is: [AI 03] a. Chromosomal abnormalities b. Syphilis c. Rhesus isoimmunization d. Cervical incompetence 2. Commonest cause of first trimester abortion is: [PGI June 99] a. Monosomy b. Trisomy c. Triploidy d. Aneuploidy 3. A lady has recurrent abortions in 1st trimester with history of autosomal recessive disorder in family. The true statement regarding this is: [AIIMS Nov 89] a. Consanguinity may be the cause b. Complete penetrance is common c. Affected members in the family d. All are correct 4. Spontaneous abortion in 1st trimester is caused by: a. Trisomy 21 b. Monosomy  c. Trauma d. Rh-incompatibility 5. MC cause of abortion in first trimester is, defect in: [PGI June 98] a. Placenta b. Uterus c. Embryo d. Ovarian 6. Recurrent abortion in 1st trimester is most often due to: [PGI Dec 97] a. Chromosomal abnormalities b. Uterine anomaly c. Hormonal disturbance d. Infection 7. Recurrent spontaneous abortions are seen in all except: [PGI June 03] a. TORCH infection b. Uterine pathology c. Herpes infection d. Balanced paternal translocation e. None of the above 8. All of the following are known causes of recurrent abortion except: [AI 08] a. TORCH infection b. SLE c. Rh-incompatibility  d. Syphilis 9. 26 years old lady with H/o recurrent abortion which of the following investigations you will do to confirm the diagnosis? [AIIMS Nov 06] a. PT b. BT c. Anti-Russell viper venom antibodies d. Clot solubility test 10. Recurrent abortion in 1st trimester, investigation to be done: [PGI Dec 06] a. Karyotyping b. SLE Ab c. HIV d. TORCH infection 11. In a case of recurrent spontaneous abortion, following investigation is unwanted: [AIIMS Nov 02] a. Hysteroscopy b. Testing antiphospholipid antibodies c. Testing for TORCH infections d. Thyroid function tests 12. A lady presented to you with a history of recurrent early pregnancy loss. What are the investigations to be ordered: [PGI Dec 09] a. VDRL b. Toxoplasma serology c. Hemogram/blood grouping  d. Rubella screening e. Blood Sugars 13. A woman with 20 weeks pregnancy presents with bleeding per vaginum. On speculum examination, the os is open but no products have come out. The diagnosis is: [AIIMS Nov 2013] a. Missed abortion b. Inevitable abortion c. Threatened abortion d. Incomplete abortion 14. A 25 years old female reports in the casualty with history of amenorrhea for two and half months and abdominal pain and bleeding per vaginum for one day. On examination, vital parameters and other systems are normal. On bimanual examination, bleeding is found to come from Os. On bimanual examination, uterus is of 10 weeks size, soft and Os admits one finger. The most likely diagnosis is: a. Threatened abortion b. Missed abortion c. Inevitable abortion d. Incomplete abortion 15. A woman with H/o recurrent abortions presents with isolated increase in APTT. Most likely cause is: a. Lupus anticoagulant b. Factor VII c. Von Willebrand's disease d. Hemophilia A 16. Anti phospholipid syndrome (APS) is associated with all of the following except: [AI 08/AIIMS May 11] a. Pancytopenia b. Recurrent abortions c. Venous thrombosis d. Pulmonary hypertension  Self Assessment & Review: Obstetrics Additional Questions 17. All of the following are true about the lupus anticoagulants except: [AI 09] a. increase in APTT b. Recurrent second trimester abortion in pregnancy females c. Can occur without other symptoms of antiphospholipid antibody syndrome d. Severe life threatening hemorrhage 18. Cervical incompetence is characterised by: [PGI June 03] a. 1st trimester abortion b. 2nd trimester abortion c. Premature rupture of membrane d. Circlage operation done 19. In cervical incompetence, encirclage operation done are: [PGI Dec 03] a. McDonald operation b. Shirodkar operation c. Purandare's operation d. Khanna's sling operation e. Abdominal sling operation 20. A gravida 3 female with H/o 2 previous 2nd trimester abortions presents at 22 weeks of gestation with funneling of cervix and length of cervix 20 mm. Most appropriate management would be: [AIIMS Nov 07]  a. Administer dindrogesterone and bed rest b. Administer misoprostol and bed rest c. Apply fothergill stretch d. Apply McDonald stitch 21. McDonald stitch is applied in the following conditions except: a. Incompetent os b. Placenta previa c. Septate uterus d. Bad obstetrical history 22. A 28-year-old female with a history of 8 weeks amenorrhoea complains of vaginal bleeding and lower abdominal pain. On USG examination there is gestational sac with absent fetal parts. The diagnosis is: [AIIMS May 01] a. Ectopic pregnancy b. Incarcerated abortion c. Threatened abortion d. Corpus luteum cyst 23. Antiprogesterone compound RU-486 is effective for inducing abortion, if the duration of pregnancy is: a. 63 days b. 72 days c. 88 days d. 120 days [AI 04] 24. All of the following drugs have been used for medical abortion except: [AIIMS May 03] a. Mifepristone b. Misoprostol c. Methotrexate d. Atosiban 25. In extra amniotic 2nd trimester medicolegal termination of pregnancy, which of the following is used? [PGI June 04] a. Ethacrydine lactate b. Prostaglandin c. Hypertonic saline d. Glucose 26. According to MTP Act, 2 doctor's opinion is required when pregnancy is: [PGI June 03] a. 10 weeks b. 6 weeks c. > 12 weeks d. > 20 weeks 27. For medical termination of pregnancy, consent should be obtained from? [AI 2012] a. The male partner b. The male as well as the female partner c. The female partner d. Consent is not required 28. Mifepristone is not used in: [AI 09]  a. Threatened abortion b. Fibroid c. Ectopic pregnancy d. Molar pregnancy 29. A G6+0+0 lady H/o recurrent missed abortions at 14-16 weeks comes to you with a missed abortion at 12 weeks. Which of the following tests is not warranted? [AIIMS May 2015] a. Lupus anticoagulant b. Anticardiolipin antibodies c. VDRL of father and mother d. Fetal karyotype 30. Absolute Contraindications for medical abortion: [PGI May 2017] a. Previous myomectomy b. Hypersensitivity to prostaglandin c. Previous LSCS d. Suspected ectopic pregnancy e. Undiagnosed adnexal mass