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A 40 year old woman presents with
abnormal cervical cytology on PAP smear
suggestive of CIN III (HSIL). The next best step in management is: #PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
18%
A.Hysterectomy
55%
B.Colposcopy and LEEP
20%
C.Colposcopy and cryotherapy
7%
D.Conization
Obsterics & Gynecology
A 40 year old woman presents with
abnormal cervical cytology on PAP smear
suggestive of CIN III (HSIL). The next best step in management is: #PYQ#FMGE#NEETPG#INICET
Correct Answer - B

According to FIGO classification, cervical intraepithelial neoplasia 3
(CIN 3) belong to stage 0.
Loop electrocautery excision procedure done under colposcopic
visualization is the mode of treatment for CIN II and CIN III lesions

@Obs_gynee
Lovset manoeuvre is used in delivery of :#PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
13%
A.Head
42%
B.Breech
38%
C.Arm
7%
D.Foot
Obsterics & Gynecology
Lovset manoeuvre is used in delivery of :#PYQ#FMGE#NEETPG#INICET
Correct Answer - C
Arms

Lovset's maneuver
Principle : Because of the curved birth canal, when the anterior
shoulder remains above the symphysis pubis, the posterior shoulder will be below the sacral promontory. If the fetal trunk is rotated keeping the back anterior and maintaining a downward traction, the posterior shoulder will appear below the symphysis pubis.

@Obs_gynee
Macrosomia is/are associated with:

#PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
36%
A.Gestational diabetes mellitus
5%
B.Maternal obesity
4%
C.Hypothyroidism
54%
D.A& B
Obsterics & Gynecology
Macrosomia is/are associated with:

#PYQ#FMGE#NEETPG#INICET
Correct Answer - D
Ans. is a and b i.e. Gestational diabetes and Maternal obesity
Macrosomia is the term used to describe a large fetus.

The recommended definition is fetal (neonatal) weight exceeding
two standard deviations or above 90th centile for the appropriate
normal population.
According to ACOG : birth weight of > 4500gm is called as
macrosomia.
In Indian context Birth weight of > 4000 gm is called as macrosomia.

@Obs_gynee
First line of treatment of mastitis in a
lactating mother is
#PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
41%
A.Dicloxacillin
12%
B.Cefazolin
29%
C.Ceftriaxone
18%
D.Ampicillin
Obsterics & Gynecology
First line of treatment of mastitis in a
lactating mother is
#PYQ#FMGE#NEETPG#INICET
Correct Answer - A
Ans. A. Dicloxacillin
The beta lactamase-resistant penicillins have been recommended in the treatment of mastitis. These include cloxacillin, dicloxacillin, or
flucloxacillin.

Because penicillins are acidic, they are poorly concentrated in
human milk, which is also acid.

Therefore, cloxacillin and its congeners tend to treat cellulitis well, but they are less effective in eradicating adenitis, the most likely
precursor of breast abscess.

When patients are allergic to penicillins, cephalexin or clindamycin may be the alternative to erythromycin.

Combination like co-amoxiclav should be avoided because of fear of inducing MRSA

@Obs_gynee
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Obsterics & Gynecology
First trimester diagnosis for anencephaly
is by increased?
#PYQ#FMGE#NEETPG#INICET
Correct Answer - B
Ans, B. Alpha feto protein in amniotic fluid

In the first half of the pregnancy the diagnosis of anencephaly is
made by elevated alpha feto protein in amniotic fluid and confirmed by sonography

@Obs_gynee
Green frothy vaginal discharge is
produced by – #PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
5%
A.Herpes simplex
4%
B.Normal vaginal flora
84%
C.Trichomonas vaginalis
6%
D.Candida albicans
Obsterics & Gynecology
Green frothy vaginal discharge is
produced by – #PYQ#FMGE#NEETPG#INICET
Correct Answer - C
Ans. C. Trichomonas vaginalis

Trichomoniasis –
It is a sexually transmitted disease
It is almost entirely a disease of child-bearing age

The vaginal discharge is frothy, slightly green in colour and profuse.

There are multiple punctate strawberry spots on the vaginal vault and portio vaginalis of cervix. Diagnosis : Culture is 98% reliable

@Obs_gynee
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2024/09/27 16:15:08
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