Misoprostol used in the induction of
labour is an analogue of which of the
following type of prostaglandin?
labour is an analogue of which of the
following type of prostaglandin?
Anonymous Quiz
40%
A.PG E1
44%
B.PG E2
4%
C.PG I2
12%
D.PG F2alpha
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Obsterics & Gynecology
Misoprostol used in the induction of
labour is an analogue of which of the
following type of prostaglandin?
labour is an analogue of which of the
following type of prostaglandin?
Correct Answer - A
Correct Ans: A. PG E1
Misoprostol is a methyl ester of PGE1.
Indications of Misoprostol:
It is used for cervical ripening.
Transvaginally it is used for induction of labour.
Uses of Prostaglandins in Obstetrics:
Induction of abortion
Termination of molar pregnancy
Induction of labour
Cervical ripening prior to induction of labour
Acceleration of labour
Management of atonic postpartum hemorrhage
Medical management of tubal ectopic pregnancy
Correct Ans: A. PG E1
Misoprostol is a methyl ester of PGE1.
Indications of Misoprostol:
It is used for cervical ripening.
Transvaginally it is used for induction of labour.
Uses of Prostaglandins in Obstetrics:
Induction of abortion
Termination of molar pregnancy
Induction of labour
Cervical ripening prior to induction of labour
Acceleration of labour
Management of atonic postpartum hemorrhage
Medical management of tubal ectopic pregnancy
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Which of the following is correct
regarding placenta?
regarding placenta?
Anonymous Quiz
29%
A.Placental artery provides nutrients through umbilical cord tobaby
30%
B.Placenta has Wharton's jelly
27%
C.Placenta has 2 veins and 1 artery
14%
D.Estrogen is secreted by placenta
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Obsterics & Gynecology
Which of the following is correct
regarding placenta?
regarding placenta?
Correct Answer - B
Ans. B. Placenta has Wharton's jelly
The umbilical cord is a structure that provides vascular flow between
the fetus and the placenta.
It contains two arteries and one vein, which are surrounded and
supported by gelatinous tissue known as Wharton's jelly.
Ans. B. Placenta has Wharton's jelly
The umbilical cord is a structure that provides vascular flow between
the fetus and the placenta.
It contains two arteries and one vein, which are surrounded and
supported by gelatinous tissue known as Wharton's jelly.
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Acute fatty liver commonly seen in
pregnancy at-
pregnancy at-
Anonymous Quiz
68%
A.3rd trimester
16%
B.1st trimester
12%
C.Immediate postpartum
3%
D.Intrapartum
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Obsterics & Gynecology
Acute fatty liver commonly seen in
pregnancy at-
pregnancy at-
Correct Answer - A
Ans. A. 3rd trimester
Acute fatty liver of pregnancy (AFLP) is a rare, potentially fatal
complication that occurs in the third trimester or early postpartum
period.
Acute fatty liver of pregnancy is more commonly associated with:
Male fetus
First pregnancy
Maternal obesity
It is due to defect in the long-chain-3-hydroxyacyl-CoA-
dehydrogenase pathway.
It is uncommon in subsequent pregnancies.
Ans. A. 3rd trimester
Acute fatty liver of pregnancy (AFLP) is a rare, potentially fatal
complication that occurs in the third trimester or early postpartum
period.
Acute fatty liver of pregnancy is more commonly associated with:
Male fetus
First pregnancy
Maternal obesity
It is due to defect in the long-chain-3-hydroxyacyl-CoA-
dehydrogenase pathway.
It is uncommon in subsequent pregnancies.
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What is meant by Superfecundation?
Anonymous Quiz
17%
A.Fertilization of two or more ova in one intercourse
75%
B.Fertilization of two or more ova in different intercourses in same menstrual cycle
3%
C.Fertilization of ova and then it's division
5%
D. Fertilization of second ovum first being implanted
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Obsterics & Gynecology
What is meant by Superfecundation?
Correct Answer - B
Ans. B. Fertilization of two or more ova in different intercourses
in same menstrual cycle
Superfecundation is the fertilization of two or more ova from the
same cycle by sperm from separate acts of sexual intercourse,
which can lead to twin babies from two separate biological fathers.
The term superfecundation is derived from fecund, meaning the
ability to produce offspring.
Ans. B. Fertilization of two or more ova in different intercourses
in same menstrual cycle
Superfecundation is the fertilization of two or more ova from the
same cycle by sperm from separate acts of sexual intercourse,
which can lead to twin babies from two separate biological fathers.
The term superfecundation is derived from fecund, meaning the
ability to produce offspring.
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In early pregnancy clinical signs of
feeling the cervix and the body of bulky
uterus separated because of softened isthmus at 6 - 8 weeks of gestation :
feeling the cervix and the body of bulky
uterus separated because of softened isthmus at 6 - 8 weeks of gestation :
Anonymous Quiz
36%
A.Goodell's sign
27%
B.Chadwick's sign
10%
C.Piskacek's sign
27%
D.Hegar's sign
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Obsterics & Gynecology
In early pregnancy clinical signs of
feeling the cervix and the body of bulky
uterus separated because of softened isthmus at 6 - 8 weeks of gestation :
feeling the cervix and the body of bulky
uterus separated because of softened isthmus at 6 - 8 weeks of gestation :
Correct Answer - D
Correct Ans: D. Hegar's sign
At 6 to 8 weeks menstrual age, the firm cervix contrasts with the now
softer fundus and the compressible interposed softened isthmus
—Hegar sign
Correct Ans: D. Hegar's sign
At 6 to 8 weeks menstrual age, the firm cervix contrasts with the now
softer fundus and the compressible interposed softened isthmus
—Hegar sign
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13 yr old child visit gynaecology OPD
with a complaint of not attaining
menarche with karyotype 46XX. On examination, clitoromegaly is seen. Which enzyme is most likely to be deficient in the above condition?
with a complaint of not attaining
menarche with karyotype 46XX. On examination, clitoromegaly is seen. Which enzyme is most likely to be deficient in the above condition?
Anonymous Quiz
47%
A. 21 alpha-hydroxylase
16%
B.11 beta-hydroxylase
28%
C.17 alpha-hydroxylase
9%
D. 3 beta-hydroxysteroid dehydrogenase
❤7
Obsterics & Gynecology
13 yr old child visit gynaecology OPD
with a complaint of not attaining
menarche with karyotype 46XX. On examination, clitoromegaly is seen. Which enzyme is most likely to be deficient in the above condition?
with a complaint of not attaining
menarche with karyotype 46XX. On examination, clitoromegaly is seen. Which enzyme is most likely to be deficient in the above condition?
Correct Answer - A
Ans. A. 21 alpha-hydroxylase
The condition described above represents the Congenital adrenal
hyperplasia.
"More than 90% of CAH cases are caused by 21-hydroxylase
deficiency"
Congenital adrenal hyperplasia:
It is due to an inborn error of adrenal steroid metabolism, commonly
due to 21-hydroxylase (95%) and rarely due to 11-hydroxylase or 3β
hydroxysteroid dehydrogenase deficiency.
Clinical presentation
An ambiguity of sex at birth
Hirsutism and amenorrhea may be the presenting features around
puberty in a milder form.
The karyotype is 46, XX.
Ref. Dutta Gynaecology ed. 6th page no. 440
Ans. A. 21 alpha-hydroxylase
The condition described above represents the Congenital adrenal
hyperplasia.
"More than 90% of CAH cases are caused by 21-hydroxylase
deficiency"
Congenital adrenal hyperplasia:
It is due to an inborn error of adrenal steroid metabolism, commonly
due to 21-hydroxylase (95%) and rarely due to 11-hydroxylase or 3β
hydroxysteroid dehydrogenase deficiency.
Clinical presentation
An ambiguity of sex at birth
Hirsutism and amenorrhea may be the presenting features around
puberty in a milder form.
The karyotype is 46, XX.
Ref. Dutta Gynaecology ed. 6th page no. 440
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