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UPSC-CMS
(Single Best Answer) Question 71: Which of the following methods for induction of labour should not be used in the patient with previous lower segment caesarean section ?
A) Vaginal prostaglandin gel
B) Oral prostaglandin tablet
C) Stripping of the membrane
D) Oxytocin drip
Answer (Select an option above to get the answer):
(Single Best Answer) Question 72: Which one of the following is not a complication of shoulder dystocia ?
A) Laceration of the birth canal
B) Postpartum haemorrhage
C) Facial palsy
D) Brachial plexus palsy
Answer (Select an option above to get the answer):
(Single Best Answer) Question 73: Immediately after third stage of labour in a case of full term delivery, the fundus of the uterus is ?
A) At the level of xiphisternum
B) At the level of umbilicus
C) Below the level of umbilicus
D) Just above the symphysis pubis
Answer (Select an option above to get the answer):
(Single Best Answer) Question 74: A 20 year old primigravida is admitted with full term pregnancy and labour pains. At 4 A.M. she goes into active phase of labour with 4 cm cervical dilatation. Membranes rupture during p/v examination showing clear liquor. A repeat p/v after 4 hours of good uterine contractions reveals a cervical dilatati on of 5 cm. What should be the next step in management ?
A) Reassess after 4 hours
B) Immediate caesarean section
C) Oxytocin drip
D) Reassess for occipitoposterior position and cephalopelvic disproportion
Answer (Select an option above to get the answer):
(Single Best Answer) Question 75: A 32 years old woman with two live children was brought to emergency with history of missed period for 15 days, spotting since 7 days and pain abdomen since 6 hours. Her pulse was 120 per minute, pallor + +, systolic B.P. 80 mm Hg. There was fullness and tenderness on per abdomen examination. Copper T thread was seen through external os on per speculum examination. On p/ v examination, cervical movements were tender, uterus was anteverted, bulky and soft. There was fullness in pouch of Douglas. Most likely, she is suffering from ?
A) Pelvic inflammatory disease
B) Missed abortion with infection
C) Ruptured ectopic pregnancy
D) Threatened abortion
Answer (Select an option above to get the answer):
(Single Best Answer) Question 76: Surgical treatment of choice for a 20 year old woman with nulliparous uterine prolapsed is ?
A) Vaginal hysterectomy with pelvic floor repair
B) Abdominal hysterectomy with pelvic floor repair
C) Sling surgery
D) Le Forte s repair
Answer (Select an option above to get the answer):
(Single Best Answer) Question 77: Consider the following:
1. Fetal pulmonary hypoplasia
2. Fetal chromosomal anomalies
3. Prostaglandin synthetase inhibitors
4. Amniotic fluid index of 15 cm

Which of the above are associated with oligohydramnios ?
A) 1, 2 and 4
B) 2, 3 and 4
C) 1, 3 and 4
D) 1, 2 and 3
Answer (Select an option above to get the answer):
(Single Best Answer) Question 78: Predisposing factors of puerperial sepsis are following except ?
A) Multiparity
B) Repeated internal examinations specially in the case of premature rupture of membrane
C) Cases of manual removal of placenta
D) Placenta previa
Answer (Select an option above to get the answer):
(Single Best Answer) Question 79: HELLP syndrome includes the following except ?
A) Hemolysis
B) Elevated liver enzymes
C) Leucocytosis
D) Low platelet count
Answer (Select an option above to get the answer):
(Single Best Answer) Question 80: Match List I (sign) with List II (description) and select the correct answer using the code given below the lists:
List I
(sign)
List II
(description)
A. Palmer s sign1. Bluish colouration of vagina in pregnancy
B. Braxton Hicks sign2. Rhythmic painless uterine contractions felt per abdomen in second trimester
Goodell s sign3. Softening of cervix in pregnancy
D. Chadwick sign4. Rhythmic uterine contractions felt in first trimester

Code:
A) A1 B2 C3 D4
B) A4 B2 C3 D1
C) A2 B3 C1 D4
D) A3 B2 C1 D4
Answer (Select an option above to get the answer):
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