Which one of the following infections is not screened?A-CytomegalovirusB-MalariaC- Rubella virusD-SyphilisE-ToxoplasmosisAns. BIn males, which of the following hormones facilitates the generation spermatoza?A-DopamineB-Follicle-stimulating hormone (FSH)C-Growth hormoneD-SomatostatinE-Thyroid stimulating hormone (TSH)Ans. BFrom which of the following structures are the inferior parathyroid glands derived?A-Mesoderm of first pharyngeal archB-Mesoderm of second pharyngeal archC-Pouch of first pharyngeal archD- Pouch of second pharyngeal archE-Pouch of third pharyngeal archAns. EA-Activates fibrinolysisB-Increases the levels of plasminogen activatorsC-Inhibits endometrial growthD-Inhibits fibrinolysisE-Promotes coagulationAns. DWhich of the following is not a known side effect of Tranexamic acid?a-Allergic skin reactionsb-Diarrhoeac-Pulmonary haemorrhaged-Visual disturbancese-VomitingWhich one of these condition can b diagnosed using flourescent in situ hybrization?A.duchenne muscular dystrophyB.sickle cell diseaseC.pataus syndromeD.cystic fibrosisE.tay sach diseaseAns. AA 15-year-old adolescent female is brought into the pediatrician due to absence of breast development and short stature. A karyotype is performed which reveals 46 XY. Which of the following is the most likely diagnosis?A. Androgen insensitivityB. Gonadal dysgenesisC. Kallmann syndromeD. Testicular atrophy syndromeE-turner syndromeAns. BMaternal serum inhibin A levelsa.decrease with increasing gestation age after 17 weekB.higher in women with a fetus affected by down syndromeC.increase with increasing gestation age between 11-14 weekD.are unaffected by fetal down syndromeE.plateau after 20 week gestationAns. Bdouble bubble of duodenal atresia. The hydramnios results from the inability of the baby to swallow. Duodenal atresia is strongly associated with fetal Down syndrome. Gestational diabetes is associated with hydramnios occasionally; however, duodenal atresia is not related. Rh isoimmunization can also lead to hydramnios and hydrops but not duodenal atresia.OGTT done at 26 weeks after 10 hrs fasting.patient is already taking metformin 850 mg TDS.diagnosis?NormalGDMReportFasting: 96 mg/dl1 hr after 75g oral glucose : 176 mg/dl2 hr glucose : 134 mg/dlAns. BA child born to an HIV infected mother develops pneumonitis. Which routine rapid laboratory method is used to detect Pneumocystis in bronchiolar lavage?a) Direct light microscopyb) Immunoflurescence microscopyc) Bacterial cultured) Detection of specific IgMe) Quantitative molecular detectionans. BCase for discussion36-year-old G1 P0 woman at 27 weeks gestation is noted to have fever, right flank tenderness, and pyuria. She is diagnosed with pyelonephritis. A urine culture is performed. Which of the following is the most commonly isolated etiologic agent causing pyelonephritis in pregnancy?A. Proteus speciesB. Candidal speciesC. Escherichia coliD. Klebsiella speciesE . StaphylococcusAns. CA 24-year-old G2 P1 woman at 39 weeks gestation presents with painful uterine contractions. She also complains of dark, vaginal blood mixed with some mucus. Which of the following describes the most likely eti- ology of her bleeding?A. Placenta previaB. Placenta abruptionC. Bloody showD. Vasa previaE. Cervical lacerationAns. CWhich one of following is dangerous compilation of IUCDA.PIDB.infection actinomysis IsraeliC.Ectopic pergnancyD.bleedingE.menorrhegiaAns.cWhich class of drugs is antagonised by flumazenilA . AntiemeticsB. AntipsychoticsC. BenzodiazepinesD. NeurolepticsE. OpiatesAns. CDuring pergnancy which infection is associated with symmatrical IUGR?A.CMVB.toxoplasmosisC.HSVD.RubellaE.vericella zosterUterine embolization is done ina) Large fibroidb) Multiple fibroidsc) Pedunculated fibroidsd) Submucous fibroidA 31-year old G2 P1 woman at 39 weeks gestation complains of painful uterine contractions that are occurring every 3 to 4 minutes. Her cervix has changed from 1-cm dilation to 2-cm dilation over 3 hours. Which one of the following management plans is most appropriate?A. Cesarean deliveryB. Intravenous oxytocinC. ObservationD. Fetal scalp pH monitoringE. Intranasal gonadotropin therapyB. Ans.cWhich one of the following options best describes the chromosome abnormality in an infant girl born with a webbed neck, hypertension and an audible ejection systolic murmur?A-Edwards' syndromeB-Fragile X syndromeC-Klinefelter's syndromeD-Patau's syndromeE-Turner's syndromeAns. Ewhat is the most common type of nosocomial infection in hospitals?A. pneumoniaB. utiC. surgical wound infectionD. bacteraemiaE. infectious diarrheaans. B?a patient had hypophsectomy for pituitary tumor she has amenorrhea for 8 months ovulation induction can be done in her by:a)clomiphene citrateb)pulsatile hCGc)hMGd)hMG followed by pulsatile hCGans. DWhich of the following structures of the fetal circulation becomes the ligamentum venosum after birth?A- Ductus arteriosusB-Ductus venosusC-Foramen ovaleD-Umbilical arteriesE-Umbilical veinAns. BHow can the action of cyclizine be described?a) 5-HT3 antagonistb) H1 antagonistc) H2 antagonistd) H1 agoniste) H2 agonistans. BA 26-year-old woman completed a course of oral antibiotics for cysti- tis 1 week ago. She complains of a 1-day history of itching, burning, and a yellowish vaginal discharge. Which of the following is the best therapy?A. MetronidazoleB. ErythromycinC. FluconazoleD. HydrocortisoneE. ClindamycinAns.cwhich of most suggestive of placentl abruption in woman with APH at 36 week of gestation?A.soft non tender abdomenBHigh head at termC.painless vaginal bleedingD.uterine contraction 8 to 10 mintE.abnormal lieans. DWhich one of following is not recognized maternal complications of placenta previaA.PPHB.compilation of C/sectionC.post partum sepsisD.placenta accretaE.prolonged labourAns. E40-year-old woman undergoes amniocentesis for Down syndrome screening. The karyotyping was normal; however, alphafetoprotein was found to be elevated. Which is the most likely pathology diagnosed by ultrasound scan?a) Cleft lipb) Congenital diaphragmatic herniac) Microcephalyd) Spina bifidae) Umbilical herniaans. DInfection with which one of the following human papillomaviruses (HPVs) is associated with an increased risk of cervical cancer?A- 6B-11C-16D-17E-30Ans . cTrisomy 13 occurs inA. 1 in 500 birthsB. 1 in 1000 birthsC. 1 in 2000 birthsD. 1 in 5000 birthsE. 1 in 20,000 birthdAns. DWhich of the following organisms may be isolated from a wet surface 6 hours after inoculation?A. Candida albicansB. Trichomonas vaginalisC. Gardenerella speciesD. PeptostreptococciE-proteus speciesWhich of following test is recommended in initial assestment of women with urinary incontinence ?A.pad testB.fluid bridge testC.ultrasound assment of residual volumeD.Q tip testE.Bonney test

Which one of the following sttement regarding dysmenorrhea is correct ?A.around 10% of women experience dysmenorrheaB.the pain of sec dysmenorrhea typically develops 3-4 days befire the onset of periodsC.the intrauterine sys is the frst line treatment fir sec dysmenorrheaD.Prim dysmenorrhea typically develops around 10 years after the menercheE. Endometriosis is cause of prim dysmenorrheaAns. EThe legal age for prescribing a contraception to a girl or agree on a request of termination of pregnancy (TOP) in UK is :A. 14 yrsB. 16 yrsC. 18 yrsD. 20 yrsE. 21 yrsWhich one is absolute contraindication to combine oral contraceptive pills use ?A.concurrent use of st john's wortB.family history of thrmboembolic disease if first degree relative