Correct Answer - A
Ans. A.Gardasil 9
Gardasil 9 is an HPV vaccine approved by the U.S. Food and Drug
Administration and can be used for both girls and boys.
This vaccine can prevent most cases of cervical cancer if given
before a girl or woman is exposed to the virus.
HPV Vaccines
* Cervarix - Protects against HPV-16, 18.
* Gardasil 4 Protects against HPV - 6, 11, 16, 18.
* Gardasil -9 - Protects against HPV - 6, 11, 16, 18, 31, 33, 45, 52,
58.

Ans. D. Intra uterine transfusion
Anti D prophylaxis is not given after intrauterine transfusion.
Intrauterine transfusion is done to prevent the fetus from dying.
If the hydropic fetus is too immature for early delivery, intrauterine
transfusion is done.
Transfusion is done through intraperitoneal and intravascular routes.
This is performed using O-negative, cytomegalovirus negative,
washed irradiated packed red cell.
The volume to be transfused is roughly calculated by the formula:
(weeks of gestation-20) multiplied by 10.
Transfusion is repeated whenever fetal hemoglobin levels falls
below 10gm/dl.

Correct Answer - B
Ans. B. MgSo4
MgSo4 is Indicated to prevent seizures associated with pre eclampsia, and for control of seizures with eclampsia
4-5 g (diluted in 250 mL NS/D5W) IV in combination with either (a)
up to 10 g (20 mL of undiluted 50% solution) divided and
administered IM into each buttock or (b) after initial IV dose, 1-2 g/hr
IV; (c) May administer q. 4hr as necessary

Correct Answer - C
Ans C. Bacteria adherent to lining vaginal epithelial cells
Gardnerella vaginalis, facultatively anaerobic gram-variable rod, is
one of the organisms responsible for bacterial vaginosis (BV).
The vaginal discharge of BV is characteristically described as a thin,
gray, homogeneous fluid that is adherent to the vaginal mucosa. A
fishy vaginal odour, which is particularly noticeable following coitusis
present.
Demonstration of clue cells on a saline smear is the most specific
criterion for diagnosing BV.
The whiff test may be positive in up to 70% of BV patients.
The vaginal discharge of patients with BV is notable for its lack of
polymorphonuclear leukocytes (PMNs), typically 1 or less than 1
PMN per vaginal epithelial cell.

A primigravida 37 POG diagnosed to be
having "transverse lie"... Which of the
following are correct
A. Repeat USG to confirm position
B. Do cesarean section at onset of labour
C.During CS deliver by breech
D.Transverse lie is associated with placenta
previa
E. Admit at 36 weeks

Correct Answer - D
Ans. D. Tue true true true false
MANAGEMENT:
Turn Transverse Baby:
* Webster-technique
* Pulsatilla
* Brisk Walking
* Bridge pose
* Acupuncture
* pregnancy belt once your baby gets to a head-down position
* External cephalic version( beyond 35 weeks)
* If external version fails, patient should be admitted at 37th week
because of risk of rupture of the membranes and cord prolapse.
* Elective caesarean section is the preferred method of delivery.
* If external version fails, vaginal delivery is allowed in a dead or
congenitally malformed fetus.
* Twin pregnancy normal delivery should be attempted in First
baby – Vertex and second baby transverse lie.

Correct Answer - C
Ans. C.8ml MgSo4+12ml of NS
Dose: 4-5 g (diluted in 250 mL NS/D5W) IV in combination with
either :
Up to 10 g (10 mL of undiluted 50% solution) divided and
administered IM into each buttock or
After initial IV dose, 1-3 g/hr IV.
MgSO4 is continued 24 hours after delivery to prevent postpartum
eclampsia

Correct Answer - C
Ans. c. a and d are true
Uterine massage to ensure the uterus is contracted and there is no
bleeding is a component of active management of the third stage of
labour for the prevention of PPH.

Correct Answer - B
Ans.B.Male infertility
GnRH is used in all those conditions where there is increased
estrogen as GnRH decrease estrogen secretion.
Mnemonic :
* A - F and HIP
* A = Adenomyosis
* B = Irritable Bowel Syndrome (under Trial)
* C = Ca Breast (Tamoxifen + GnRH agonist give good result)
* D = DUB
* E = Endometriosis
* F = Fibromyoma uterus.
* H = Hirsutism
* I = Infertility
* P = Precocious Puberty.

Correct Answer - D
Ans. D. Metronidazole
Medication—Treatment should include both partners.
Oral Metronidazole—500 mg orally twice daily after meals for 7
days. Or 2 g stat.
Advisable to defer treatment during first trimester of pregnancy.
Side effects: nausea, metallic taste, antabuse – like reaction to
alcohol