1.

After delivery of the fetal head, when the shoulder doesn't deliver, then after how many seconds is it
called shoulder dystocia?
a. 60 sec
b. 45 sec
c. 90 sec
d. 120sec

2. Hormone of let down during breast bleeding?

a. Prolactin
b. HPL
c. HCG
d. Oxytocin

3. In the following woman who delivered 6 hours back with a forceps delivery, which of the following should
NOT be done?

a. Inform the senior immediately

b. IV line / IV fluids
c. Arrange blood
d. Start exploration immediately in the ward

4. Which of the following is not seen in normal cardiac changes of pregnancy?

a. A soft systolic murmur
b. Splitting of S1
c. S3
d. Diastolic murmur
5. A woman with regular cycles missed her period by 5 days. A pregnancy test done in the serum came
positive. Which of the following hormones is assessed to confirm the pregnancy?
a. Beta hcg
b. Alpha hcg
c. LH
d. HPL

6. A woman had bleeding in early pregnancy at 9 weeks, after which an ultrasound showed a dead fetus. A
D&C was done and the histopathology showed scalloping of villi in the placental tissue and a karyotype
done showed 69 XXX. What is the Dx?
a. Normal pregnancy
b. Trisomy
c. Complete mole
d. Partial mole

7. What procedure is shown in the picture?

a. B Lynch suture
b. Bakri balloon
c. Uterine Artery Embolization
d. Sengstaken Blakmore tube

8. Which early pregnancy sign is depicted in the picture below?

a. Hegar’s
b. Piscasek
c. Chadwick
d. Osiander
9. Which sign of pregnancy is shown in the following picture?

a. Chadwick
b. Hartman
c. Jacquemer
d. Strawberry Cervix

10. Which side of the placenta is depicted in the picture below?

a. Decidual plate
b. Maternal surface
c. Fetal surface
d. Basal plate

11. Earlier sign of pregnancy on USG?

a. Yolk sac
b. Cardiac activity
c. Fetal pole
d. Gestational sac
12. A 28-year-old pregnant woman at 34 weeks gestation presents for a routine prenatal visit but decreased
fetal movements over the past two days. Which of the following is the most appropriate initial test to
assess the fetal well-being in this Patient?
a. Amniotic fluid index
b. Biophysical profile
c. Contraction Stress test
d. Non Stress test

13. A 32-year-old woman presents to the emergency room at 8 weeks of gestation with heavy vaginal
bleeding accompanied by severe cramping. On examination, the cervix is found to be partially dilated. The
membranes are bulging. Which type of spontaneous abortion is described here?
a. Threatened abortion
b. Incomplete abortion
c. Inevitable abortion
d. Missed abortion

14. A 28-year-old woman presents with severe lower abdominal pain and history of blackouts. She has
amenorrhea for the past 8 weeks. On examination, she is pale. Her blood pressure is 80/50 mmHg & PR
120 is bpm.
An ultrasound confirms a ruptured ectopic pregnancy with significant intra-abdominal bleeding. Which of
the following surgical procedures is most appropriate for this patient?
a. Laparotomy and repair
b. Laparotomy and resection anastomosis of the tube
c. Laparotomy with partial salpingectomy
d. Laparotomy with total salpingectomy

15. A 28-year-old female, at 24 weeks of gestation, comes to the antenatal clinic for a regular checkup. Which
of the following tests is most appropriate for diagnosing gestational diabetes mellitus?
a. Fasting plasma glucose
b. Oral glucose tolerance test
c. Random plasma glucose test
d. HbA1c
16. Induction of labour can be done in which of the following ?
a. Complete placenta previa
b. previous classical caesarean section
c. Vasa previa
d. Abruption placenta

17. MTP at 21 weeks requires consent of whom of the following ?

a. Husband alone
b. Husband & woman
c. Woman alone
d. Husband, patient and the doctor

18. What is the maneuver shown in the image below?

a. Loveset manoeuvre
b. Ritgen manoeuvre
c. Pinards manoeuvre
d. Mac Roberts manoeuvre

19. Just after delivery the position of the uterus corresponds to the level of how many weeks?
a. 20 weeks
b. 16 weeks
c. 12 weeks
d. 28 weeks
20. Which type of pelvis is associated with increased incidence of ‘Face to pubis’ delivery?
a. Gynaecoid pelvis
b. Anthropoid pelvis
c. Android pelvis
d. Platypelloid pelvis

21. All are seen in the newborn of a mother with gestational diabetes mellitus, Except?
a. Macrosomia baby
b. Polycythemia
c. Neural Tube defects
d. Hypocalcemia

22. Outlet forceps is also known as ?

a. Wrigley forceps
b. Piper forcep
c. Killand'sforcep
d. Simpsons

23. Arrange in sequence for Active management of third stage of labor :

a. Check for second baby
b. Oxytocin 10 units
c. Controlled cord traction
d. Uterine Massage

i. A, B, C & D
ii. B, A, C & D
iii. A, D, B & C
iv. C, A, D & A
24. A 28-year-old primigravida patient presented at 35 weeks gestation. On examination her Bp is 170/120,
dipstick +3 protein, exaggerated Knee jerks. What is the best management?
a. Terminate pregnancy immediately by CS
b. Give Steroid & Induce at 37 weeks
c. Start MgSO4 and initiate termination of pregnancy
d. Increase antihypertensive drugs & do Conservative management

25. Till what gestational age suction and evacuation done using MVA syringefor MTP?
a. 8 weeks
b. 6 weeks
c. 12 weeks
d. 16 weeks

26. The signs seen by 8 weeks of pregnancy

a. Goodels sign
b. Osiander sign,
c. Lightening
d. Internal ballottement

i. A&B
ii. B&C
iii. A&C
iv. A&D

27. Fetal blood loss in abnormal cord type is seen in?

a. Vasa previa
b. Placenta Previa
c. Battledore placenta
d. Abruptio placentae

28. The clotting factor which is not increased in pregnancy?

a. Factor 2
b. Factor 7
c. Factor 10
d. Factor 11
29. The following Instrument is used for which procedure?

a. Endometrial biopsy
b. Suction Evacuation
c. Fractional curettage
d. Dye Test in HSG (Hystero-salpingography)

30. Amniocentesis can be done after which period of pregnancy?

a. 12 weeks
b. 16 weeks
c. 20 weeks
d. 24 weeks

31. 28 P1L1 years old patient with 20 weeks size, uterus and vesicular mole. Treatment is:
a. Dilatation & Curettage
b. Methotrexate to degenerate the tissues
c. Hysterectomy is best
d. Suction evacuation

32. A 30-year-old pregnant lady with a fibroid in the uterus presented with fever, mild leukocytosis and pain
abdomen at 24 weeks. What is the likely cause?
a. Red degeneration of fibroid
b. Fibroid torsion
c. Infected Fibroid
d. Malignant degeneration of fibroid
33. USG of 10 wks primigravida showing a ‘Snowstorm appearance’. She was having fresh bleeding. On P/V
her uterus was 12 weeks size. Diagnosis?

a. blighted ovum
b. H. Mole
c. Missed abortion
d. PCOS

34. Itching during cholestasis of pregnancy is due to increase in:

a. Bilirubin
b. Bile acids
c. Alkaline phosphatase
d. Bile salts

35. On per vaginal examination, anterior fontanelle and supra-orbital ridge is felt in the second stage of labor.
The presentation is:
a. Brow
b. Shoulder
c. Vertex
d. Face
36. Which grip is shown in the Image below:

a. Fundal grip
b. Lateral grip
c. 1st Pawlik grip
d. 2nd Pawlik grip

37. The fetus shown has a swelling on the head which is present the time he was born. What do you think is
the likely cause ?

a. Cephalhematoma
b. Normal Head of baby
c. Caput succedaneum
d. Shignon

38. What is a reactive NST (non-stress test)

a. Two or more FHR acceleration of 15 beats or more persisting for atleast 15 seconds in 20 min study
b. Two FHR acceleration in 60 minutes period both persisting for 20 second and 20 beats/ minutes
c. 6 acceleration of FHR in 20 minutes for 15 minutes and 15 seconds
d. Two FHR acceleration of 60 beats from baseline in 30 minutes
39. Identify;

a. EARLY decelerations
b. Variable Decelerations
c. Reactive NST
d. Late deccelaration

40. The partograph is best started at what cervical dilatation?

a. 3cm
b. 4 cm
c. 5 cm
d. 6 cm

41. What type of placenta is seen in this pic ?

a. Normal
b. Succenturiate
c. Battledore
d. Circumvallete
42. Virus responsible for non immune hydrops foetalis is
a. Cytomegalovirus
b. Herpes simplex virus
c. Hepatitis B virus
d. Parvovirus

43. Dose of IV Carbetocin used in PPH management is

a. 50 microgram over 1 min
b. 100 microgram over 1 min
c. 200 microgram over 1 min
d. 100 Milligarm over 1 min

44. Recommended emergency contraceptive in India

a. Levonorgestrel 1.5mg
b. Estrogen 30 microgram
c. Ullipristal 30 mg
d. Misoprost 200microgram

45. A 26 yrs woman with fetus in transverse lie, shoulder presentation ,membranes absent, comes to the
casualty in second stage of labour, management is?
a. External cephalic version
b. Internal cephalic verson
c. Cleidotomy
d. Caesarean section

46. Calculate Bishop score for the following findings when a Per vaginal examination was done for a woman
at 37 weeks Cervix 1cm dilated, posterior, soft,30% Effaced, Station at -1
a. 0
b. 8
c. 3
d. 5
47. Most common Cause of First Trimester Abortionis
a. Chromosomal Abnormalities
b. Maternal infections
c. Hypothyroidism
d. Progesterone deficiency

48. 28 week pregnant female comes for antenatal Doppler and findings shown are suggestive of what ?

a. Normal Doppler
b. Diastolic Notching
c. Absent diastolic flow
d. Reverse Diastolic Flow