स्त्री तथा प्रसूति र बाल रोग – ObGyn & Pediatrics MCQ
स्त्री तथा प्रसूति र बाल रोग – MD/MS प्रवेश
ObGyn & Pediatrics · MECEE-PG – MD/MS/MDS Entrance · ५९० प्रश्न
५९० प्रश्न उपलब्ध। मोड छान्नुहोस्:
स्त्री तथा प्रसूति र बाल रोग: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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The recommended uterotonic for active management of the third stage of labour is:
सही उत्तर: घ) Oxytocin 10 IU intramuscularly
WHO recommends oxytocin 10 IU IM/IV after delivery of the baby as the uterotonic of choice. Ergometrine is contraindicated in hypertension and its dose is 0.2-0.5 mg, not 5 mg.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In brow presentation the engaging diameter is the:
सही उत्तर: क) Mentovertical
The mentovertical diameter (13.5-14 cm) is the longest diameter of the fetal skull, so a persistent brow presentation usually cannot deliver vaginally in a term fetus. Occipitofrontal engages in the deflexed vertex (occipitoposterior).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The engaging diameter of the fetal head in a well-flexed vertex presentation is the:
सही उत्तर: ख) Suboccipitobregmatic (9.5 cm)
Full flexion brings the smallest longitudinal diameter, suboccipitobregmatic, into the inlet. Submentobregmatic is also 9.5 cm but engages in face presentation, not vertex.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The shortest anteroposterior diameter of the pelvic inlet through which the head must pass is the:
सही उत्तर: ख) Obstetric conjugate
The obstetric conjugate, from the sacral promontory to the nearest point on the back of the symphysis, is the shortest AP diameter of the inlet (about 10.5-11 cm). The diagonal conjugate is the one measured clinically and is about 1.5-2 cm longer.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The head is said to be engaged when the:
सही उत्तर: ग) Biparietal diameter has passed through the pelvic inlet
Engagement means the greatest transverse diameter (biparietal) has passed the plane of the pelvic brim. Clinically, no more than 2/5 of the head is palpable abdominally.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The Bishop score is used to assess:
सही उत्तर: घ) Favourability of the cervix for induction of labour
Bishop score combines cervical dilatation, effacement, consistency, position and station of the head; a high score predicts successful induction. Newborn condition at birth is assessed by the APGAR score.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Misoprostol is an analogue of:
सही उत्तर: क) Prostaglandin E1
Misoprostol is a synthetic PGE1 analogue that is heat-stable and used for cervical ripening, medical abortion and PPH. Carboprost is the PGF2-alpha analogue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Streak gonads with primary amenorrhoea and short stature are typical of:
सही उत्तर: क) Turner syndrome
In Turner syndrome (45,X) the ovaries degenerate into fibrous streaks, causing hypergonadotropic hypogonadism. Kallmann syndrome causes hypogonadotropic hypogonadism with anosmia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is characterised by:
सही उत्तर: ख) Mullerian agenesis with normal ovaries and 46,XX karyotype
MRKH patients have absent uterus and upper vagina but normal ovarian function and female secondary sex characteristics. Streak gonads with 45,X describe Turner syndrome.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The earliest clinical feature of Sheehan syndrome is usually:
सही उत्तर: ग) Failure of lactation
Ischaemic necrosis of the pituitary after severe PPH first shows up as failure of lactation due to prolactin deficiency, later followed by amenorrhoea and other hormone deficits. Hyperpigmentation does not occur because ACTH is low.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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