Aiims may 2017: solved paper with explanation-Gynecology & Obstetrics

Q-1. A female comes to you five days after delivery with complaints of headache and vomiting. On fundus examination papilledema is seen, with no other focal signs. What is the likely diagnosis?
a) Cerebral vein thrombosis
b) Meningitis
c) Subarachnoid hemorrhage
d) Cavernous sinus thrombosis

Answer: Cerebral vein thrombosis
Explanation:

Q-2. Which of the following is the most useful parameter according to world health organization (WHO) in assessing adequacy of sperms for fertilization?
a) Spermatocyte count
b) Spermatocyte motility
c) Semen volume
d) Spermatocyte morphology

Answer: Spermatocyte morphology
Explanation:

Q-3. Maximum risk of ureter injury is seen after:
a) Vaginal hysterectomy
b) Wertheim’s hysterectomy
c) Laparoscopic abdominal hysterectomy
d) Anterior colporrhaphy

Answer: Wertheim’s hysterectomy
Explanation:

Q-4. A 61-year-old post-menopausal woman with a family history of ovarian cancer presents with pain abdomen. She is on hormone replacement therapy. An abdominal ultrasound revealed a smooth cyst in the right ovary. What should be done next?
a) Observe and reassure the patient
b) Laparoscopic surgery to visualize the nature of the cyst
c) Drilling of cysts
d) Check CA-125 levels and advice regular follow up if normal

Answer: Check CA-125 levels and advice regular follow up if normal
Explanation:

Q-5. Which of the following abnormalities can be diagnosed in the first trimester of pregnancy?
a) Anencephaly
b) Meningocele
c) Encephalocele
d) Microcephaly

Answer: Anencephaly
Explanation:

Q-6. Jennifer is pregnant with twins. She has a history of one live birth at beginning of 9 months and 2 abortions. What will be her obstetric score?
a) G4P0121
b) G5P0121
c) G4P1012
d) GSP1021

Answer: G4P0121
Explanation:

Q-7. A 24-year-old female presented with amenorrhea for 3 months. LH and FSH levels are elevated three times the normal value. What is the next best step?
a) Urinary HCG level
b) Check serum estradiol levels
c) Progesterone challenge test and look for withdrawal bleeding
d) Ultrasound of abdomen and pelvis

Answer: Check serum estradiol levels
Explanation:

Q-8. True about significant variable decelerations is:
a) Drop in fetal heart rate to less than 90 bpm for 60 sec
b) Drop in fetal heart rate to less than 100 bpm for 60 sec
c) Drop in fetal heart rate to less than 80 bpm for 60 sec d) Drop in fetal heart rate to less than 70 bpm for 60 sec

Answer: Drop in fetal heart rate to less than 70 bpm for 60 sec
Explanation:

Q-9. What is next step in management of a 32 years old woman with a 5 year history of primary infertility with bilateral tubal block is seen at cornu on hystero-salpingogram?
a) Tubo-plasty
b) IVF
c) Hysteroscopy and laparoscopy
d) ICSI

Answer: Hysteroscopy and laparoscopy
Explanation:

Q-10. A pregnant woman at 36-weeks of gestation is admitted in ward. During the morning rounds, she is lying supine as shown in the figure. What syndrome has been depicted below?