Obstetrics & Gynaecology PYQ 2017 AIIMS 2017 Solve Obstetrics & Gynaecology AIIMS 2017 Total Questions: 25 1. A primigravida came with 6 cm cervical dilatation and a contraction rate of 3/10 minutes. Which stage of labor is she in? 1st stage 2nd stage 3rd stage 4th stage None 2. Fixative for PAP smear. 10% buffered formalin 95% ethyl alcohol Air dried None of the above None 3. Identify the following instrument commonly used in obstetrics. Curved scissors Mayo scissors Episiotomy scissors Suture remover None 4. A pregnant lady with PIH was being monitored with bed rest in supine position. Which of the following is a complication of the below representation? Ascending aorta syndrome Abdominal aorta syndrome Superior vena caval syndrome Supine venacava syndrome None 5. The deepest part of perineal body injury, which causes cystocoele, enterocoele and urethral descent is Bulbospongiosus Pubococcygeous Ischiocavernous Superficial transverse perineal None 6. A 53 year old postmenopausal lady is detected by endometrial hyperplasia with atypia what is the next step in management ? Hysterectomy Progesterone Dilatation and curettage Mirena None 7. Which of the following is part of the WHO guidelines for the management of second stage of labor? Manual support to perineum to maintain flexion of head Never give warm compress to the perineum Do a routine episiotomy Perform labor in lithotomy position None 8. Which is not seen in pregnancy induced hypertension: Diabetic nephropathy Systemic hypertension within 10 weeks of gestation Diabetic retinopathy Thrombocytopenia None 9. A 16-year-old female patient presents with an ovarian mass. On further evaluation, her serum biomarkers are found to be normal except for LDH, which is found to be elevated. The most likely diagnosis is: Endodermal sinus tumor Dysgerminoma Mucinous cystadeno carcinoma Malignant teratoma None 10. Identify the best parameter to assess in case of male infertility The motility of sperms The quantity of sperms The morphology of sperms The number of sperm None 11. A couple with 2 children who are not able to conceive for over an year now present to the OPD. The male partner is diagnosed to be having hypogonadotrophic hypogonadism. Which of the following is not true? Low testosterone Low LH AND FSH Low prolactin level Oligospermia None 12. A pregnant woman has a fetus with Down's syndrome. Triple test done at 15-16 weeks will have High MSAFP, low hCG, high UE3 Low MSAFP, high hCG, low UE3 High MSAFP, low hCG, low UE3 Low MSAFP, high hCG, high UE3 None 13. A 26-year-old woman underwent a workup for primary infertility. On hysterosalpingography, there was a bilateral cornual block. What is the next step in management? Hydrotubation Tuboplasty Hysteroscopy and laparoscopy-guided surgery In-vitro fertilization None 14. HPV nonavalent vaccine is active against which of the following serotypes? 6, 11, 16, 18, 32, 34, 45, 52, 58 6, 11, 16, 19, 23, 33, 45, 58 6, 11, 16, 18, 20, 23, 35, 42, 52 6, 11, 16, 18, 31, 33, 45, 52, 58 None 15. In a partogram, where do you start plotting with 1st contractions? Before the alert line Before the action line After the action line After the alert line None 16. A 40-year-old woman comes with a history of postcoital bleeding and a visible mass seen in the cervix per speculum. The next step to be done: Cryotherapy Targeted biopsy Conization Pap smear None 17. A 30 year old woman came to OPD with a twin pregnancy at 10 weeks of gestation. She has a 3 year old female child who was born at term and had 2 first trimester abortions previously. Which of the following is the correct representation of her obstetric score/formula. G-gravid, P= para: G4 P1 A2 L1 G4 P2 L1 A2 G5 P0 L1 A 2 G5 P1 A2 L1 None 18. Which of the following drug must always be available for emergency use in labor ward if a patient is on opioid analgesic? Fentanyl Bupivacaine Morphine Naloxone None 19. For emergency contraception, a single tab of 0.75 mg of LNG was taken, it should be followed by which of the following? Two doses 12 hrs apart Single dose of 0.75 after 12 hrs Three doses 12 hrs apart None of the above None 20. The partogram is plotted in regular intervals after _ cm dilatation: 8 cm 5 cm 6 cm 4 cm None 21. A pregnant lady of 49 kg is in her first trimester. What are her additional calorie requirements in this trimester? Continue same diet 300 500 600 None 22. A primigravida came to the labor room at 40 weeks + 5 days gestation for induction of labor. On per vaginal examination, the cervix is 1 cm dilated and is 30% effaced. The vertex is at -1 station and the cervix is soft and posterior. What will be the bishop score for this lady? 0 5 8 3 None 23. A 18 year old girl with primary amenorrhea, no breast development and Prader 3 genitalia was found to have raised FSH. Her karyotype revealed 45 XO/46 XY and USG revealed Mullerian structures with poorly visualized gonads. What would be the next line of management? Bilateral gonadectomy Vaginoplasty Clitoroplasty HRT to induce puberty None 24. A woman whose obstetric score is G2 P1 L1 had an LMP of Jan 9th 2017. Calculate the EDD according to Naegele's rule. October 19 September 19 September 16 October 16 None 25. Identify the grip in the image given below: Second Pelvic grip Abdominal grip Fundal grip Pawlik grip None 1 out of 25 Time's up
