Ok Shekhu, What abt warm up with recalls '95 ?. Please write your reason/explanation/sources. OnG 1.

About cardiotocography what is true: a) Decelerations which occur with a contraction even though less than 10 is indicative of foetal hypoxia b) Reduced beat to beat variability for a 5 minute period is indicative of severe foetal hypoxia and indication for caesarean section c) A sinusoid wave pattern indicate foetal anaemia d) Accelerations occurring with uterine contraction are bad indicators e) Decelerations which occur with contractions and associated with low variability is a bad diagnosis indicator 2. Which is not a side effect of oxytocin: a) hypotension b) hypertension c) water intoxication d) foetal distress e) uterine tetany 3. Regarding anti D administration to a Rh negative mother which is true: a) administration in the second trimester has been shown to decrease auto immunisation in the mother b) it is an active immunisation c) to be effective it should be given within 24 hours of delivery d) not required if ABO incompatibility is also present e) need not be administered if antibody titre is negative at 38 weeks 4. Side effect of Danazol administered during pregnancy is a female infant may cause: a) pseudo hermaphroditism b) enlargement of clitoris c) cleft lip and cleft palate d) fusion of the labia e) foetal hypoglycemia 5. What is the appropriate management for prolonged latent stage of labour: a) syntocinon

b) epidural anesthesia c) amniotomy d) caesarean section e) left under observation 6. You are managing a 150 cm tall primipara at 38 weeks gestation. After examination you find decreased pelvic diameters, cervix is fully effaced, 4 cm dilated, Vx presentation at zero station. How would you manage her: a) caesarean section b) X-ray pelvimetry c) trial of labour to be given d) immediate amniotomy and oxytocin e) should shorten the second stage of labour with forceps 7. What is true regarding ovarian tumour being distinguished from ascites: a) tympany anteriorly, dullness laterally b) tympany laterally, dullness anteriorly c) shifting dullness d) presence of fluid mainly in the flanks e) feeling of dullness in the pouch of Douglas 8. Regarding Mullerian Agenesis, which is not true: a) it is an X-linked recessive condition b) breats development is normal c) pubic hair development is normal d) Under-develop ovaries e) IVF procedure might be successful with surgery 9. Regarding asymptomatic bacteriuria, which is not true: a) streptococcus fecalis is the commonest organism b) one third of the patients can develop pyelonephritis c) 5 % of women develop symptomatic disease d) amoxicilline is first line of treatment e) trimethoprim is indicated in the 1st trimester 10. Regarding Group B Streptococcus infection in a pregnant woman, which is not true: a) gastrointestinal tract is the commonest source b) administration of penicillin will eradicate the organism throughout pregnancy c) can lead to fatal neonatal infection d) vaginal carriage is present in 10-20 % women

e) rarely produce neonatal meningitis 11. On examination of a girl a small cyst was discovered on the vaginal wall 4 cm from the introitus anterolaterally. The cyst is asymptomatic. What is the likely diagnosis: a) remnant of hymental ring b) Wolffian duct remnant c) Mullerian duct remnant d) Bartholin duct enlargement e) vaginal epithelial cyst . About cardiotocography what is true: a) Decelerations which occur with a contraction even though less than 10 is indicative of foetal hypoxia b) Reduced beat to beat variability for a 5 minute period is indicative of severe foetal hypoxia and indication for caesarean section c) A sinusoid wave pattern indicate foetal anaemia d) Accelerations occurring with uterine contraction are bad indicators e) Decelerations which occur with contractions and associated with low variability is a bad diagnosis indicator c.refer amcq page 312.well explained 2. Which is not a side effect of oxytocin: a) hypotension b) hypertension c) water intoxication d) foetal distress e) uterine tetany a.all the others can occur in higher doses 3. Regarding anti D administration to a Rh negative mother which is true: a) administration in the second trimester has been shown to decrease auto immunisation in the mother b) it is an active immunisation c) to be effective it should be given within 24 hours of delivery d) not required if ABO incompatibility is also present e) need not be administered if antibody titre is negative at 38 weeks a.there is evidence that some amount of fetomaternal haemorrhage occurs which cannot be detected clically.so given at 28 or 34 weeks routinely. 4. Side effect of Danazol administered during pregnancy is a female infant may cause: a) pseudo hermaphroditism

b) enlargement of clitoris c) cleft lip and cleft palate d) fusion of the labia e) foetal hypoglycemia its virilisation so must be b. 5. What is the appropriate management for prolonged latent stage of labour: a) syntocinon b) epidural anesthesia c) amniotomy d) caesarean section e) left under observation it is delivery vaginal/operative whichever possible.so here i think would be cs as no option of vaccum or forceps.not sure aby syntocinon..wont it be already given? 6. You are managing a 150 cm tall primipara at 38 weeks gestation. After examination you find decreased pelvic diameters, cervix is fully effaced, 4 cm dilated, Vx presentation at zero station. How would you manage her: a) caesarean section b) X-ray pelvimetry c) trial of labour to be given d) immediate amniotomy and oxytocin e) should shorten the second stage of labour with forceps c.i think a trial should be given. 7. What is true regarding ovarian tumour being distinguished from ascites: a) tympany anteriorly, dullness laterally b) tympany laterally, dullness anteriorly c) shifting dullness d) presence of fluid mainly in the flanks e) feeling of dullness in the pouch of Douglas b 8. Regarding Mullerian Agenesis, which is not true: a) it is an X-linked recessive condition b) breats development is normal c) pubic hair development is normal d) Under-develop ovaries e) IVF procedure might be successful with surgery breasts and ovaries normal,but will have to go for a surrogate as no uterus.no idea.abt the other choices,someoe please enlighten. 9. Regarding asymptomatic bacteriuria, which is not true:

a) streptococcus fecalis is the commonest organism b) one third of the patients can develop pyelonephritis c) 5 % of women develop symptomatic disease d) amoxicilline is first line of treatment e) trimethoprim is indicated in the 1st trimester a.ecoli is the commonest.first line is mox or cephalosporins.i think e is also false. 10. Regarding Group B Streptococcus infection in a pregnant woman, which is not true: a) gastrointestinal tract is the commonest source b) administration of penicillin will eradicate the organism throughout pregnancy c) can lead to fatal neonatal infection d) vaginal carriage is present in 10-20 % women e) rarely produce neonatal meningitis the question should be which is true,i think only a is true.b,recolonisation occurs soon after stopping the drug,c is also true,d is actually 20 -40 %,e can occur as secondary disease in 1 -4 weeks in ijnfant colonized in the perinatal perion 11. On examination of a girl a small cyst was discovered on the vaginal wall 4 cm from the introitus anterolaterally. The cyst is asymptomatic. What is the likely diagnosis: a) remnant of hymental ring b) Wolffian duct remnant c) Mullerian duct remnant d) Bartholin duct enlargement e) vaginal epithelial cyst 4. Side effect of Danazol administered during pregnancy is a female infant may cause: a) pseudo hermaphroditism b) enlargement of clitoris c) cleft lip and cleft palate d) fusion of the labia e) foetal hypoglycemia its virilisation so must be b. b & e are both the answer 5. What is the appropriate management for prolonged latent stage of labour: a) syntocinon b) epidural anesthesia c) amniotomy d) caesarean section e) left under observation///? From emedicine: For those in the latent phase, the treatment of choice is rest or

sleep for several hours. During this interval uterine activity, fetal status and cervical effacement must be evaluated to determine if progress to the active phase has occurred. Approximately 85% of patients so treated will progress to the active phase. Approximately 10% will cease to have contractions, and the diagnosis of false labor may be made. For the approximately 5% of patients in whom therapeutic rest fails and in patients for whom expeditious delivery is indicated, oxytocin infusion may be used. So the ans is e?, or we need more information. Please help. Thanks