OBGYN Cqb And U World

Question 1

Disulfiram like toxicity occur in treatment of which STI if consumed Alcohol

Answer 1

Trichinonas vaginalis as it is treated with metronidazole

Question 2

PCOs criteria

3?

Answer 2

1) amenorrhea
2) Hyperandrogenism
3) PCO on USG

Question 3

Contraindication of breast feeding

Answer 3

1. Active Herpes lesions on breast
2. active maternal TB
3. untreated brucellosis
4. Radioactive isotopes or chemotherapy
5. T cell virus
6. Recreational drug

Question 4

Treatment of PID

Outpatient

Inpatient

Answer 4

Ceftrixaone IM + Doxycycline PO
With or without Metronidazole

1. Cefoxitin plus doxycycline
2. Clindamycin plus gentamicin

Question 5

Heavy menstrual bleed?

Answer 5

regular intervals but prolonged or excessive in amount

Question 6

Complications of Untreated PID

Answer 6

• chronic pelvic pain
• abscess, peritonitis
• adhesion formation
• ectopic pregnancy
• infertility
• bacteremia
• septic arthritis, endocarditis

Question 7

Colpocleisis

Answer 7

surgical closure of vagina

Question 8

Leading cause of Gynecological cancer and 4th most common cause of cancer in women

Answer 8

Endometrial cancer

Question 9

Incidence of Malignant Gynecological

Lesions in North America

Answer 9

endometrium > ovary > cervix > vulva >

vagina > fallopian tube

Question 10

Cancers causes in women listed

Answer 10

4) Endometrial

Question 11

Risk Factors for Endometrial Cancer

Answer 11

COLD NUT
Cancer (ovarian, breast, colon)
Obesity
Late menopause
Diabetes mellitus
Nulliparity
Unopposed estrogen: PCOS, anovulation,
HRT
Tamoxifen: chronic use

Question 12

OCP are protective for which cancers

Answer 12

Endometrial and ovarian cancers

Question 13

Stages of puberty

Answer 13

Adrenarche
Gonadarche
Thelarche 
Pubarche
Menarche

Question 14

Tanner Stage

Answer 14

Thelarche
1. None
2. Breast bud
3. Further enlargement of areolae and
breasts with no separation of contours
4. 2º mound of areolae and papilla
5. Areolae recessed to general contour of
breast – adult

Pubarche
1. None
2. Downy hair along labia only
3. Darker/coarse hair extends over pubis
4. Adult-type hair with no thigh involvement
5. Adult hair in distribution and type;
extends over thighs

Question 15

Indications for endometrial biopsy

Answer 15

AUB/PMB
age >40
risk factors for or history of endometrial cancer
failure of medical treatment
significant intermenstrual bleeding
consider in women with infrequent menses suggesting anovulatory cycles

Question 16

Hysterectomy indications

Answer 16

Indications
• uterine fibroids
• endometriosis, adenomyosis
• uterine prolapse
• pelvic pain
• AUB
• cancer (endometrium, ovaries, fallopian tubes, cervix)

Question 17

Gold standard test for Asherman’s syndrome

Answer 17

Hysteroscopy

Question 18

Treatment of Asherman’s syndrome

Answer 18

Hysteroscopic lysis of adhesion

Then

Prevention by
•Ballon catheter
•hyaluronic acid gel

Question 19

Premenopausal women adnexal mass

D/d

Answer 19

Follicular cysts 
Corpus luteum cysts
Endometriosis 
pCOs 
Tubovarian abscesses 
Benign neoplasm

Question 20

Most common cause of female infertility

Answer 20

Ovulatory dysfunction

Question 21

Normal Antral follicular count is

Answer 21

22 to 35

Question 22

Murmur in pregnancy

Answer 22

Aortic valve murmur due to increased in stroke volume

Question 23

What sign is best for monitoring progress of labour once cervix is 10cm dilated?

Answer 23

Fetal station

Question 24

Acute pyelonephritis in pregnancy

S/s

Answer 24

Lumbar pain
Fever 
Chills
Nausea
Vomiting
Costovertebral angle tenderness
Pyuria and bacteriuria

Question 25

1 ) severe variable deceleration
2)thick meconium

Treatment?

Answer 25

Amnioinfusion

Question 26

GBS treatment during delivery

Answer 26

1) penicillin
2) tocolytics to buy time for steroids to act
3) corticosteroids for lung maturity

Question 27

Side effect of intrapartum steroids

Answer 27

Increase blood sugar in DM patient

Question 28

Palpable ovaries in a post menupausal women

Answer 28

Can be ovarian cancer

Question 29

IUD associated PID caused by

Answer 29

Actinomyces Israeli

Question 30

Contraindications of

Methylergonavine maleate

Misoprostol

Answer 30

Hypertension

Asthma

Question 31

Doxycycline side effect in pregnancy

Answer 31

Permanent discolouration of teeth

Question 32

Sheehan’s syndrome

First sign

2nd sign

Answer 32

Inability to breastfeed

Failure of return of menstruation

Question 33

Ovarian torsion

Answer 33

Unilateral lower abdominal pain

Presence of Adnexal mass.

Question 34

Cervical insufficiency

Biochemical changes

Answer 34

Decreased collagen concentration

Increased collagen solubility
Increased interleukin 8
Increased glycosaminoglycans
Increased tissue hydration

Question 35

Insulin in pregnancy ?

Answer 35

Intermediate acting and short acting insulin

Question 36

Elevated AFP levels causes?

Answer 36

Multiple gestation
Fetal demise
Fetal anomalies
Incorrect dates calculation

Question 37

Approach to the Management of Abnormal

FHR

Answer 37

POISON – ER

Position (LLDP)
O2 (100% by mask)
IV fluids (corrects maternal hypotension)
Fetal scalp stimulation
Fetal scalp electrode
Fetal scalp pH
Stop oxytocin
Notify MD
Vaginal exam to rule out cord prolapse
Rule out fever, dehydration, drug effects,
prematurity
• If above fails, consider C/S

Question 38

Colpitis macularis

Answer 38

Strawberry cervix

In trichomoniasis

Question 39

Most effective combined hormonal method for obese patients?

Answer 39

Combined hormonal vaginal ring

Question 40

Endometriosis protective factors

Answer 40

Estrogen deficient state
Menstrual disorders
Decreased body fat
Tobacco use

Question 41

Succinylcholine when given to?

Causes malignant hyperthermia

Answer 41

Ryanodine receptor mutations

Pts (having genetic predisposition)

Question 42

Anti mullerian hormone will determine

Answer 42

Ovarian reserve

Question 43

Cervical ectopic pregnancy USG finding?

Answer 43

Hour glass uterus sign