Obstetrics Flashcards
(209 cards)
1
Q
Placental circulation is established on the …..day of fertilisation
A
17th
2
Q
What is Nitabuch’s layer?
A
Zone of fibrinoid degeneration-where trophoblasts and decidua meet (in placenta)
3
Q
CVS done before 13 weeks lead to ….
Amniotic fluid at 12 weeks is …..
Amniotic fluid at term is ….
A
Oromandibular limb defects
50ml
600-800ml
4
Q
Amniotic fluid is replaced every ……hrs
Causes of oligohydramnios (2)
A
3 hrs
- Renal agenesis
- Obstructive uropathy
5
Q
Causes of polyhydrammios (2)
Structurally HCG has …… subunits
HCG is a ……
A
Esophageal atresia
Duodenal atresia
2 subunits
Glycoprotein
6
Q
Signs of pregnancy (6)
A
- Jacquemier’s sign
- Goodell’s sign
- Hegar’s sign
- Piskacek’s sign
- Osiander’s sign
- Palmers sign
7
Q
Define Jacqueimer’s sign
Seen at ….weeks
A
Chadwick’s sign
Congestion of pelvis—> blue/purplish hue of vagina/cervix
8 weeks
8
Q
Define Goodell’s sign
Seen at …..
A
Cyanosis and softening of cervix
Seen at 6 weeks
9
Q
Define Hegar’s sign
Seen at …
A
Compressibility of isthmus on bimanual examination
Seen at 6-10 weeks
10
Q
Piskacek’s sign define
Seen at …..weeks
A
Softening of cervix with lateral implantation
7-8 th week
11
Q
Define osiander sign. Seen at …..
A
Pulsations in lateral vaginal fornix
Seen at 8 weeks
12
Q
Define palmers sign . Seen at…weeks
Signs seen at 6 weeks (2)
A
Rhythmic contraction of uterus
Seen at 4-8 weeks
Goodell’s sign
Hegar’s sign
13
Q
Minimum number of antenatal visits
Ideal number of antenatal visits
A
4
12-14
14
Q
Pregnancy is confirmed by …(3)
A
Fetal heart rate
Fetal movements
Fetal sac on USG
15
Q
Transverse diameter > AP diameter in …..pelvis
AP diameter > transverse diameter in …..pelvis
A
Platypelloid pelvis/ flat pelvis
Anthropoid pelvis
16
Q
Least common type of pelvis is …..
Deep transverse arrest or persistent occipital posterior position seen in …..
A
Platypelloid pelvis
Android pelvis
17
Q
Face to pubis deliver is common in …..
Shortest diameter of pelvic inlet
A
Anthropoid pelvis
Obstetrics conjugate
18
Q
Shortest diameter of fetal skull
Largest diameter of fetal skull
A
Bimastoid 7.5cm
Mentovertical 14 cm
19
Q
Define presentation
Presenting part in submentovertical diameter
A
Feral part which lie over the inlet
Face
20
Q
Presentatimg part in submentobregmatic
Presentation in
Suboccipitobregmatic
Suboccipitofrontal
A
Face
Vertex- mc LOA
21
Q
Define placenta succenturiata
A
- One or more small lobes of placenta
- Size of a cotyledon
May be placed at varying distances from the main placental margin
22
Q
Define placenta extrachorialis
A
Circumvallate placenta
Fetal surface shows a central zone surrounded by thick white ring - composed of double fold of amnion
23
Q
Define placenta marginata
A
Thin fibrous ring at the margin of chorionic plate where fetal vessels appear to terminate .
24
Q
Define placenta membranacea
A
Unduly large thin placenta
25
Battledore placenta
Cord attached to the margin of placenta
26
Velamentous placenta
Cord attached to the membranes
27
Placenta accrete
Placenta increta
Placenta percreta
Placenta is directly anchored to the myometrium
Varying degrees of penetration of the villi into muscle bundles
Penetration of villi upto serosal surface
28
Total favorable bishop score is
Less favourable score is ….
6-13
5 or less
29
Bishop score includes (5)
Dilatation of cervix
Effacement of cervix
Consistency of cervix
Position of cervix
Station of head
30
Define partogram
Graphical representation of stages of labour
Assessment of labor
31
Stages of labour
1st: onset of labor to dilatation of cervix
6-20 hrs in primigravida
2-10 hrs in multigravida
2nd: from full dilatation of cervix to delivery of baby
3rd stage: delivery of baby to delivery of placenta
32
What are the lochia that are found ?
Lochia rubra (1-4days)
Lochia serosa (5-9 days)
Lochia alba (10-15 days
33
Define abortion
Causes of 1st trimester abortion (2)
Expulsion of fetus <500gms/ before 20 weeks
Chromosomal aberration
Embryonic defect
34
Mc cause of 1st trimester abortion
Management of cervical incompetence (2)
Trisomy 16
Shirodkar’s procedure
Mc Donald’s procedure
35
Puerperium last for ……weeks after delivery
Uterus becomes a pelvic organ after …..weeks of delivery
6 weeks
2 weeks
36
Mc site of puerperal infection
Mc route of spread of puerperal infection
Site of placental attachment
Direct spread
37
Ectopic pregnancy is associated with..(4)
1. Tubal disease
2. Endometriosis
3. PID
4. Progesterasert
38
Mc presentation of EP is …
Expelled products in EP have origin from ….
Pain
Decidua Vera
39
Mc type of EP which ruptures is ……
Medical management of EP.(2)
Isthmic
Methotrexate
Actinomycin D
40
Surgery for unruptured tubal pregnancy
Clinical presentation of EP (5)
Salpingostomy
1. Ab pain
2. Amenorrhea
3. Ab mass and empty uterus on USG
4. Shock
5. Fluid in pouch of Douglas; aspiration reveals dark coloured fluid that does not clot.
41
H mole is associated with ..(3)
Rx of choice for H mole.
1. PIH
2. Thyrotoxicosis
3. Hyperemesis
Suction-evacuation
42
Histological feature for H mole
Molar pregnancy is diagnosed in ….trimester
Hydropic degeneration
First trimester
43
Mc heart disease ass with pregnancy
Pregnancy with worst prognosis
Heart showing highest mortality
Mitral stenosis
Pulmonary HTN
Eisenmengers syndrome
44
Pathological murmur heart in pregnancy
Condition in which pregnancy is to be terminated (2)
Diastolic murmur
Primary pulmonary HTN
Eisenmenger syndrome
45
Mc type on conjoined twins
Mc mortality cause in twins is…
Thoracophagus
Prematurity
46
Retraction ring is known as ….
Cause of retraction ring
Bandl’s ring
Obstructed labour
47
Location of Bandl’s ring
Always at junction of upper and lower segment
Progressively moves upward
48
PE for Bandl’ s ring
Tenderness present
Palpation:
Fetal parts are not felt
Ring felt
Round ligaments felt
Fetal heart sounds are usually absent
Vaginal exam: Ring is not felt
49
Management of Bandl’s ring
Incidence of perinatal transmission of HIV can be reduced by …(4)
To relieve obstruction
1. LSCS
2. Antiretroviral prophylaxis -zidovudine
3. Avoid breast feeding
4. Intrapartum Nevirapine
50
Procedures for delivery of head in breech presentation (2)
Burn Marshall technique
Maureciau-Smeille-Veit method
51
Management of shoulder dystocia (2)
1. Apply suprapubic pressure
2. Mc Roberts procedure
52
Earliest sign on USG for Rh incompatibility
Prognosis of Rh incompatibility depend on…
Skin Edema
Serum bilirubin
53
Management of Rh incompatibility
Immediate cord ligation
AntiD to mother within 72 hours
54
Diabetic Nephropathy in pregnancy
Effects of diabetes on mother (4)
Progresses and worsens
1. Chorioamnionitis
2. Endometritis
3. Postpartum bleeding
4. Increased risk of death in those with diabetic cardiomyopathy
55
HTN in pregnancy can be predicted by …test
Eclampsia is defined as ….
Gant’s roll over test
HTN,proteinuria,edema,convulsions
56
Mc type of eclampsia is
Cause of convulsions in eclampsia
Antepartum
Cerebral anoxia
57
Earliest symptom of PIH
Sudden loss of vision in PIH is due to …
Rapid weight gain in pregnancy
Retinal detachment
58
Toxicity of MgSO4 is monitored by (3)
1. Urinary output
2. RR
3. Knee jerk
59
Complications of preeclampsia is (4)
1. Eclampsia
2. HELLP syndrome
3. Cerebral Hge
4. ARDS
60
Types of placenta previa (4)
Type 1: lateral
Type 2: marginal
Type 3: incomplete Central
Type 4: central
61
Type 1 placenta previa is …
1. Major part of placenta is attached to upper segment
2. Only lower margin encroaches onto lower segment
3. But not upto the os
4. 5cm above the os
62
Type 2 placenta previa is ….
Placenta reaches the internal os, but does not cover it.
63
Incomplete central placenta is …
Placenta completely covers the internal is when closed
But not entirely do so when fully dilated
64
Central placenta previa is …
Placenta entirely covers the internal os even after it is fully dilated
65
Dangerous placenta previa is …
Type 2 posterior
As it prevents engagement of head, preventing compression of separated placenta to stop bleeding
66
Mild placenta previa are…
Major placenta previa are …..
1. Types 1&2 anterior
2. Type 2 posterior , and Types 3&4
67
Fetal heart sounds in abruptio placenta are …..
Uterus is ….(3)
Absent
Tense , tender and rigid
68
PPH is said to occur if …..
Drugs used for PPH (2)
Blood loss is >500cc
1. Misoprostol PGE1
Carboprost -methylPGF2 alpha
2. Ergometrine
69
Cause of uterine inversion is …
Complications of 3rd stage of labour (2)
Mismanaged 3rd stage of labour
Hemorrhage
Neurogenic shock
70
Idiopathic cholestasis of pregnancy occurs in …..trimester
Most common symptom
3rd trimester
Generalized pruritis
71
Labs for idiopathic cholestasis of pregnancy
Raised levels of
ALP, AST, ALT
72
Rx of idiopathic cholestasis of pregnancy
Late deceleration in HR is indicative of ….(2)
Urso-deoxy-cholic acid/ ursodiol
Utero placental insufficiency
Fetal hypoxia
73
Variable deceleration is indicative of ….
Umbilical cord compression
74
BPP predicts (2)
1. Fetal asphyxia
2. Risk of fetal death in antenatal period
75
Parameters in BPP (5)
1. Non stress test
2. Amniotic fluid volume
3. Fetal breathing movements
4. Fetal movements
5. Fetal tone
76
Maternal AFP is lowered in….
Trisomies
77
Maternal AFP is raised in…(6)
1. Wrong gestational age
2. Multiple pregnancy
3. Anterior ab wall defects
4. Open NTD
5. Renal anomalies
6. IUFD
78
Organisms crossing placenta (7)
1. Syphilis
2. HIV
3. Hepatitis B&C
4. Parvovirus
5. Toxoplasma
6. Rubella
7. CMV
79
Transplacental transmission of toxoplasmosis in different trimesters
First:
Transmission is less, but disease is severe
Third:
Transmission is more, but disease is less severe
80
External podalic version is done for
Breech and transverse lie after 37 weeks
Conversion done by external manipulation only
81
Internal podalic version is done for …
Transverse lie in case of second baby of twins
Conversion is done by one hand introduced into the uterus and other on the abdomen
82
Indications of forceps application. (9)
1. Delay in second stage of labor
2. LBW baby
3. Postmaturity
4. Maternal distress
5. Appearance of fetal distress
6. Cord prolapse
7. After coming head of breech
8. Preeclampsia
9. Post cesarean pregnancy
83
Conditions to be fulfilled for forceps application. (7)
1. Membranes must have ruptured
2. Head must be engaged-station>+2
3. No obstruction should be present
4. Suitable presentation and position
5. Cervix must be fully dilated and effaced
6. Live baby
7. Uterus actively contracting and relaxing
84
Indications of using ventouse (4)
1. As an alternative to forceps
2. Deep transverse arrest with adequate pelvis
3. Delay in descent of head of second baby of twins
4. Delay in first stage due to uterine inertia or primary cervical dystocia
85
Contraindications of ventouse (9)
1. Prematurity
2. Head is not engaged
3. Fetal distress
4. Pelvic contraction
5. Transverse lie
6. After coming head of breech
7. Partially dilated cervix
8. Congenital anomalies
9. Dead fetus
86
Complications of ventouse (4)
1. Cephalhematoma
2. Sub aponeurotic or subgaleal hemorrhage
3. Chignon
4. Retinal hge
87
Indications for classical cesarean (8)
1. Previous classical cesarean
2. Neglected shoulder with anhydramnios
3. Structural abnormality making approach to lower segment difficult
4. Construction ring due to neglected labor
5. Fibroids in lower segment
6. Anterior placenta accreta and previa
7. Postmortem cesarean section
8. Very preterm fetus where lower segment is poorly formed .
88
Single best parameter for estimation of fetal age in second trimester
Hba1c value of more than …..% indicates great chances of fetal malformation
Biparietal diameter
9.5%
89
Rupture of membrane, after 37th week but before onset of labor is known as ….
Values of HCG,MSAFP, and estriol in triple test for Down’s syndrome are
Term premature ROM
Raised,low ,low.
90
Halo of deuel suggests….
When there is infiltrating of blood and fluid in between muscle bundles of uterus, it is known as …..
IUFD
Couvelaire uterus
91
……….crystals are seen in hilus cell tumor
Signet cell tumor is seen in……tumor
Sample taken for hormonal studies of vagina is from…..
Reinke’s
Krukenberg tumor
Lateral vaginal wall
92
Any 2 tumors against which OCP are protective
Max levels of HCG are seen between ……days of pregnancy
Ovarian, uterine ca
60-70
93
In lactating females, post delivery ovulation returns by ….weeks
In non lactating females; post delivery ovulation returns by …..weeks
10 weeks
4 weeks
94
Post coital test is used to asses ……..factors as cause of infertility
Longest part of fallopian tube is ……
Cervical
Ampulla
95
Implantation begins on …….day
In pregnancy, maternal blood volume increases by ……%
6th day
40%
96
Post term pregnancy continues beyond ……days
Earliest sign of intrauterine death
294 days
Intra aortic gas (Robert sign)
97
Earliest anomaly detected on USG
Level of MgSO4 to prevent seizures ….
Anencephaly
4-7mg/ml
98
Recurrence rate of HELLP syndrome
Immediate complication of 10IU of oxytocin bolus
2%
Low Bp
99
Changes in cervix in pregnancy
Frog eye appearance is seen in …..
Increase in collagen
Anencephaly
100
Large chorioangioma is associated with ….
Shortest diameter of pelvic cavity
Shortest diameter of AP plane
Polyhydramnios
Interspinous diameter
Obstetric conjugate
101
Early amniocentesis is done at gestational age of ….
Litzmann obliquity is ….
12-14 weeks
Posterior asynctilism
102
Type of ectopic pregnancy which commonly ruptures
Syphillis is transmitted in which week of pregnancy
Isthmic
28th
103
Mc cause of pyometra
% breech presentation
Carcinoma cervix
3%
104
Total iron requirement by mother :
Total iron requirement for fetus
1000mg/ 1 gm
300mg
105
Weight gain in normal pregnancy
Placenta develops from …..(2)
10-12 kg
Decidua basalis
Chorion frondosum
106
Ratio of fetal weight to placental weight
Neurological defects in newborn of diabetic lady (2)
6:1
Caudal regression syndrome
Spina bifida
107
Most common side effect of progesterone only pill
Cervix effacement suggestive of labor
Irregular breakthrough bleeding
15mm
108
A sure sign of labor is formation of ……
Rate of dilatation in latent stage of labor….
Bag of waters
1cm/hr
109
A common indication of classical cesarean section (2)
Dense adhesion in LUS
Central type 4 placenta previa
110
Cardiac output returns to prepregnant state in how many weeks after labor…
Iodine requirement in pregnancy
4 weeks
220microgm
111
Complication of succenturiate placenta
Fibrinogen level in pregnancy is ……by ….%
Risk of PPH
Increased by 10-25%
112
Maximum cardiac output is seen in …..period
I’m early pregnancy, level of HCG doubles every …..
Immediate post partum period
2 days
113
Fetal growth is maximally affected by …..
Role of human placental lactogen
Insulin
Growth of fetus
114
Uterine blood flow at term is ……
At what period is cystitis/ frequency of urine is present in pregnancy?
500-750ml/min
Before 16 weeks
115
Most sensitive/gold standard test for assessing beta HCG in maternal serum
Shortest diameter of fetal head.
Radio-immunoassay
Bimastoid
116
Which is useful in distinguishing between open neural tube defects and ventral wall defect in fetus?
A lady giving birth to a baby is known as ….
Pseudo-choli esterase
Parturient
117
Involution of uterus occurs at rate of …..
Earliest sign of immune hydrops on USG.
1.25cm/day
Scalp edema
118
Mc type of compound presentation.
Mc cause of pregnant lady presenting with fulminant hepatitis
Head and hand
Hepatitis E virus
119
Best time to diagnose fetal anomalies by USG
Mc presentation of H mole
18 weeks
Bleeding per vaginum
120
Most common cause of uterovesical fistula in india is ….
LBW baby is defined as….
Obstructed labor
Weight less than 2.5 kg
121
Increase in cardiac output in pregnancy is by ….
Uterus reaches upto umbilical level at ….
40%
24 weeks
122
Ideal time for screening of blood sugar to rule out diabetes in pregnant female
Vitamin deficiency seen in hyperemesis gravidarum
24-28 weeks
Vitamin B1 & vitamin K
123
In delayed clamping of cord; how much extra blood does baby receive ?
Structures removed in total hysterectomy
50-100ml
Uterus and cervix
124
Mc germ cell tumor of ovary
Rare complication of fibroid is ….
Dermoid cyst
Sarcomatous change
125
Not a clinical feature of pseudocyesis
Enlargement of uterus
126
Shake test / bubble test is done to assess….
This test is not done for ….
Lung maturity
PIH
127
Pap test in pregnancy is ……
Not an indicator of fetal distress….
Fetal blood loss in abnormal cord insertion is seen in …..
Routine test
Fetal blood ph >7.32
Vasa previa
128
X-day pelvimetry is not done in
Drug used for post coital contraception
Not a component of manning score
Severe CPD
RU486
Oxytocin challenge test
129
Not useful in establishing antenatal diagnosis
Common congenital malformation seen in diabetic pregnant woman
Decidua
Cardiac defects
130
Feature of contracted pelvis
Type of pelvis associated with increased incidence of face to pubis delivery
Transverse diameter 10cm
Anthropoid
131
Rupture of membrane is said to be premature if it occurs …
Likely weight of uterus at 8 weeks post partum
Prior to first stage of labour
100gm
132
IUGR is defined as
Birth weight below 10th of average gestational age
133
Not an absolute C/I for IUCD
Mc cause of maternal mortality in India is ….
Congenital malformation of uterus
Hemorrhage
134
Treatment of inevitable abortion in 10th week of pregnancy
Use of steroids in neonates is required in …….condition
Dilatation and evacuation
Bronchopulmonary dysplasia
135
Mc medical indication of IVF
Jaundice at birth or within 24 hrs of birth is commonly due to …..
Abnormality of fallopian tube
Erythroblastosis fetalis
136
Management of choriocarcinoma
Fetal scalp Edema on USG is suggestive of …
Methotrexate
Rh incompatibility
137
Activity of corpus luteum is maintained by ….
Peak growth velocity in adolescent girls is seen just after
LH
Appearance of pubic hair and axillary hair
138
Phocomelia is ……
IUCD with half life of 10 years
Defect in long bones
CuT380A
139
Mc cause of 10th day post partum bleeding is ….
Anencephaly can be diagnosed at earliest at …….weeks
Retained bits of placenta
8-10 weeks
140
When is folic acid started in pregnancy?
Mc cause of death of baby in vasa previa is …..
One month prior to conception
Fetal exsanguination
141
Maximum amniotic fluid is at what weeks?
Clinical alarming sign of MgSO4 toxicity.
36 weeks
Loss of knee jerk reflex
142
Quadruple test is done for …..
Fertilised ovum reaches the uterus at what day of menstrual cycle
Down’s syndrome
17th day
143
Chorionic villi biopsy is done earliest in which week of gestation
At 20 weeks; amniotic fluid is …..ml
11 week
400ml
144
Mc risk factor for rupture of scarred uterus is …..
Beta HCG is detected earliest by which day of conception
Use of oxytocin in labour
8 days
145
Criteria for puerperal pyrexia is ….
Spielberg criteria is used for …..
Temperature >100.4 F on 2 separate occasions
Ovarian pregnancy
146
Biochemical marker of preeclampsia is ….
HTN value in preeclampsia is …….
Serum Uric acid
>140/90mmHg
147
Rise of systolic Bp to label PIH
>30mmHg
>15mmHg for diastolic Bp
148
Value of proteinuria in preeclampsia
Incidence of preeclampsia in primigravidae.
>0.3gm/24 hours urine
10% (5% in multogravidae)
149
Protein excreted in the urine in preeclampsia ….. %…..
Pathological changes in preeclampsia
Albumin
50-60%
Endothelial dysfunction and vasospasm
150
Incidence of HELLP syndrome in preeclampsia
Management of HELLP syndrome
10-15%
MgSO4
151
Haematological changes in preeclampsia
Weight gain that is significant in preeclampsia
Hemoconcentration
>5lb a month and >1lb a week in later months
152
Gant roll over test is performed at what weeks of gestation
% women with positive roll over test developing HTN later
28-32 weeks
33%
153
What should be included in the diet of a preeclampsia person ?
Detection of free feral DNA in maternal blood in early pregnancy may be an indicator of….
About 100gm of protein
Preeclampsia
154
Predisposing factor for placenta previa
Surfactant appears in amniotic fluid at …..
Past caesarean section
28 weeks
155
On Doppler studies, an omnious sign of IUGR is …..
Single best parameter to assess fetal well being is …..
Increased systolic /diastolic ratio
Abdominal circumference
156
Energy requires by a pregnant lady doing moderate work
Blood volume returns to normal prepregnant levels after how many weeks of labour
2580 Kcal/day
1 week
157
Risk factor for trial of labour for moderate CPD
Abnormal uterine contraction
158
A pregnant woman is on anticoagulant therapy is shifted to heparin at …..week
Pregnancy Tumor is ….
36 weeks
Pyogenic granuloma
159
Puerperal infection occurs upto…..
At what period does TB flare up in pregnant woman
Widest transverse diameter of fetal skull
2 weeks
Puerperium
Biparietal
160
Chemical pregnancy means
+BHCG
Absent gestational sac
161
Sex organ /gonadal differentiation is completed by what age (………weeks)
Radiological investigations in a female of reproductive age should be restricted to ….
12 weeks
First 10 days of menstrual cycle
162
Dosage of folate for prevention of recurrent NTD
Banana and lemon sign are seen in ……
5mg
NTD
163
Effective pressure to be achieved in vacuum extraction.
0.8kg/cm2
164
Cervical ripening is because of ……PG
Dose of dexamethasone to prevent respiratory distress of newborns
PGE2
6mg BD x 4 doses
165
Number of fontanelle present in a newborn
Mc cause of secondary PPH
Mc cause of retained placenta .
6
Retained fragments of placenta
Atonic uterus
166
Bandl’s ring is caused by …..
Antiprogestin used for abortion
Minimum age for giving consent for medical termination of pregnancy
CPD
Mifepristone
18 years
167
Couvelaire uterus is seen in ….
Highest maternal mortality is seen in which congenital heart disease
Accidental Hge
Eisenmengers complex
168
B-lynch stitch is applied on the uterus for treatment of …..
PPH is blood loss of 500cc or more within
Atonic uterus
24hrs or more within 3rd stage of labor
169
Dose of misoprostol in emergency management of PPH
Use of ventouse is preferred over forceps in the delivery of ……
600microgm
Occipito-anterior position
170
Absolute indication for LSCS
Best investigation for dating pregnancy
Type 4 placenta previa
Crown rump length at 9 weeks
171
Most specific marker for NTD
A woman dies from heart disease 6 days after delivery. This would come under ….
Acetylcholinesterase
Indirect maternal death
172
Post term labour is seen in….
Increased nuchal translucency at 14 weeks gestation is seen in …..
Anencephaly
Down syndrome
173
Earliest USG sign of pregnancy in transabdominal USG scan is ….
Fetal respiratory movements occur earliest at ….
Fundal endometrial thickening
11 weeks
174
Antiretroviral drug C/I in pregnancy
Methylergometrine is C/I in
Efavirenz
Eclampsia
175
Internal organ in Fetus develops at
Ph of amniotic fluid ….
6 weeks
7.0-7.5
176
How many days after ovulation, feto-placental circulation is established ?
18-21 days
177
Bluish discolouration of vagina in early pregnancy is called ……
Maximum number of oocytes are present at what age?
Chadwick sign
20 weeks gestation
178
Engagement is defined as ….
When widest diameter of presenting part has passed through pelvic inlet.
179
In a primigravidae, head engages at …..
Pressure inside uterus at 2nd stage of labour
36 weeks
100-120mmHg
180
Correct method to conduct third stage of labour
Delivery of head in normal labor is by what movement
Controlled cord traction
Extension
181
Formation of primordial follicles in human is completed by …….weeks
Primary site of Hematopoesis in fetus before mid pregnancy is …..
8 weeks
Liver
182
During pregnancy, there is increased respiratory sensitivity to carbon dioxide due to higher circulating levels of ….
Uterine flow at term is ….
Progesterone
500-750ml/min
183
Hormone responsible for decidual and arias stella reaction to ectopic pregnancy
Double bleb sign in USG are depictive of ….
Progesterone
Amniotic sac and yolk sac
184
Diagonal conjugate is defined as ….
Engagement of fetal head is with respect to which diameter
Lower border of symphysis pubis and sacral promontory
Biparietal
185
Normal BPP( Manning score) is …
Fetal middle cerebral artery Doppler is most useful in the evaluation of ….
8-10
Fetal anemia (Rh incompatiblility)
186
Blood loss is of fetal origin in ….
Cut off value of cervical length for predicting preterm birth in asymptomatic pregnant woman is ….
Vasa previa
25mm
187
Dose of antiD given to woman after delivery
Lowest effective dose of mifepristone for medical termination of pregnancy
300microgram
200mg
188
External cephalic version is contraindicated in…..
A component of quadruple test done in 2nd trimester
Scarred uterus
Serum extradiol
189
Forceps are not applied in ……presentation
Earliest indication for concealed acute bleeding in pregnancy is: …..
Brow presentation
Tachycardia
190
A patient presents at 28 weeks gestation with severe abdominal pain,bleeding and HTN. The most likely diagnosis is…..
Most unfavourable presentation for vaginal delivery is …..
Accidental hge
Mentoposterior
191
Best contraceptive method for patient with heart disease is….
Not a cause of DIC in pregnancy.
Barrier methods
Fat embolism
192
Molecular analysis of chorionic villous sampling not useful for diagnosis of….
disease
Dimension of suboccipitofrontal diameter is …..
Tay sach’s disease
10cm
193
Smallest diameter of true pelvis
Smallest AP diameter of pelvic inlet is…..
Interspinous diameter
Obstetric conjugate
194
Placenta takes over the function of corpus luteum for hormone production by …..weeks
By what time in fetal life, the adult type of Hb begins to appear?
6 weeks
20 weeks
195
Fetal heart sound can be heard by transvaginal Doppler from which week
Intrauterine pressure during first stage of labour
10th week
40-50 mmHg
196
Lovset’s maneuver is done to deliver …..
Arms in complicated breech
197
Define postpartum pyrexia
Most common manifestation of puerperal infection
Temperature >100.4 F on first 10 days post partum
Endometritis
198
Additional protein and calorie requirements in pregnancy
Protein: 30gm/day
Calorie: 300Kcal/ day
199
Incidence of rupture of classical cesarean
Length of umbilical cord
4-9%
30-100cms
200
Minimum HCG level that a urine pregnancy kit can detect
Cause of non-immune hydrops
5mIU/ml
Parvovirus
201
During progression of normal pregnancy, what happens to systolic/diastolic ratio of umbilical artery
Elective c-section is done in an HIV infected pregnant woman, when viral load is ….
Decreases
>1000/ml
202
Viability of fetus is beyond ……weeks
Beta subunit of HCG is detected in urine by which method?
28 weeks gestation
Radio-immuno assay
203
2sperms fertilise 2 ova in same cycle, it is known as …..
In pregnancy, what happens to thyroid physiology?
Superfecundation.
Decrease TSH, increase T3,T4 , decrease TBG
204
Prolonged first stage of labor is defined as …..
Lumbosacral plexus injury during labor can cause …..
Duration of latent phase of >20 hrs in primipara
Foot drop
205
One of the unfavourable factors for success of induction of labour is ….
Timing of manifestation of peripartum cardiomyopathy
Primipara woman
Within 5 months post partum
206
Twin pregnancy is best described in USG at …..weeks
In cephalic presentation with well flexed head, (fully flexed head), the presenting diameter is ….
10-12 weeks
Sub-occipitobregmatic
207
Nuchal translucency for anomaly scan on USG is usually detect at …..weeks of gestation
First line antibiotics for managing mastitis in a lactating mother is….
12-13 weeks
Cloxacillin a
208
Maximum dose of 15 methyl PGF2 alpha in managing a case of postpartum hge .
2000mg/ 2gm
209
Gemeprost used for cervical dilatation is a …….analogue
PGE1
