UPSC CMS 2024 Obstetrics & gynecology Answer key

UPSC CMS 2024 Obstetrics & gynecology Answer key

1.  Thecoma fibroma

(b) endometrial hyperplasia is often associated

 

2. POPQ

(d) Total vaginal length

 

3. Fothergill operation

(d) 2,3,4

  • Amputation of cervix
  • Plication of Mackenrodt
  • Ant colporrhaphy

 

4. Cold knife conization

(c) 1,3,4

  • Inconsisitent finding
  • Ca in situ
  • Unsatisfactory colposcopy finding

 

5. Poor outcome of genital TB

(c) 1,3,4

  • Dense pelvic adhesions
  • B/L hydrosalpinx
  • Reversal after 5 yrs…

 

6. Ulipristal C/I

(b) liver dysfunction

 

7. Inj Medroxyprogesterone

(c) Antara

 

8. major complications of oral pills

(c) 1,3,4

  • Cholestasis jaundice
  • VTE
  • Breast Ca

 

9. Removal of IUD -indications

(b) 1,2,4

  • Persistent bleeding
  • perforation of uterus
  • pregnancy with device in situ

 

10. newly married female

(d) depo-provera injection

 

11. diagnosis of unresponsive endometrium

(d)2,3,4

  • karyotype
  • progesterone challange test
  • HSG

 

12. primary amenorrhoea -normal ovaries

(c) MRKH syndrome

 

13. D/C

(b) asherman

 

14. PID

(a) 1,3,4

  • coexist pregnancy
  • suspected tubo ovarian abscess
  • coexist HIV

 

15. IUD usage long history

(d) acute PID

 

16. risk factors for PID

(b) 2,3,4

absence of OCP is risk factor rather than use of OCP

 

17. genital TB

(d) 2,3,4

  • Infertility
  • chronic pelvic pain
  • oligomenorrhoea

 

18. choriocarcinoma

(a) vaginal bleeding m/c symp

 

19. favourable prognosis of ovarian malignancy

(d) 2,3,4

  • well diff tumor
  • smaller tumor volume
  • absense of ascites

 

20. GTN most effective drug

(b) methotrexate

 

21. peripartum cardiomyopathy

(a) 1 & 2

  • multipara
  • ejection fraction < 45%

 

22. C section history, scar tenderness

(b) scar rupture

 

23. hypotensive ,FHS absent

(c) uterine rupture

24.Thrombocytopenia,SGOT SGPT raised

(c) HELLP syndrome

 

25. abortion

(b) Inevitable

 

26. ureteric injury

(a) pelvic endometriosis

 

27. SUI

(b) 1 & 3

  • hypermobile urethra
  • lower urethral pressure

 

28. bicornuate uterus

(c) Hysteroscopy & laproscopy

 

29. pelvic cellular tissue

(b) 1,2,4

it doesn’t prevent infection . infection spread through it

 

30. AIS

(c) 1,3,4

karyotype is 46 XY

 

31. fetal physiology

(a)  hematopoesis yolk sac- 14th day

 

32. hemodilution in preg

(d) 1,2,3 all correct

 

33. oligohydro

(b) 2 only

  • single vertical pocket < 2 cm
  • AFI < 5 cm

 

34. endocrine changes

(d) 2,3,4

iodine level falls

 

35. true labor

(a) 1,2,3

 

36. active phase

(c) 5cm

 

37. marked deflexion diameter

(a) occiputofrontal

 

38. onset of labor

(b) 1,2,4

progesterone withdrawal-labor occurs

 

39. swelling limited by suture line

(c) cephalohaematoma

 

40. placenta accreta

(d) 1,2,3 all are correct

 

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Cut off analysis & Expected cut off for UPSC CMS 2024

 

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