MCQs with Explanation

Of 14/02/2017

1) All the following drugs are used for postcoital contraception except

A DanazolB Ethinyl estradiolC LevonorgestrelD O. C. Pills

Ans. Danazol

2) Mechanism of action of spermicide is:

A Vaginal enzyme alterationB Disrupting cell membrane and motilityC Inhibit glucose transport enzymeD Activating acrosome enzyme

2) Disrupting cell membrane and motilitya. The active chemicals in vaginal spermicides interact with the

lipoproteins of the cell membrane to permanently disrupt the cell membranes of spermatozoa, resulting in severe damage to the acrosome, neck, midpiece, and tail of the sperm and rapid, irreversible loss of function and motility within the vagina and viability.

b. Cell permeability increases and the leaking of cellular material occurs leading to death of sperms

3)Not caused by DMPA:

A ThromboembolismB AmenorrheaC Irregular cycleD Weight gain

A) Thromboembolism

4) All of the following are mechanisms of action of emergency contraception EXCEPT

A Delaying ovulationB Inhibiting fertilizationC Preventing implantation of the fertilized eggD Interrupting on early pregnancy

5) A 20 year old woman gives a history of sharp pain in the lower abdomen for 2-3 days every month approximately 2 weeks before the menses: The most probable etiology for her pain is

A EndometriosisB DysmenorrheaC Pelvic tuberculosisD Mittelschmerz

Mittelschmerz - Midcycle ovulatory pain occurs during oocyte release from an ovarian follicle and thus produces lateral pain that migrates from one side to the other from month to month.

6) Not a side effect of oral contraceptives:

A DysmenorrheaB MastalgiaC ChloasmaD Breakthrough bleeding

6.Dysmenorrhea

7) True regarding minipill is:

A) Suppresses lactationB) Cannot be used in lactationC) Used with combination of oral contraceptive pillD) Irregular vaginal bleeding

8) Which of the following is correct for the calculation of Pearl index?

A No. of accidental pregnancies x 1200)/ (No. of patients observed x months of useB No. of accidental pregnancies x 1200) / (No. of patients observed x 2400C No. of patients observed x months of use) / (No. of accidental pregnanciesD No. of patients observed x 2400) I/(No. of accidental pregnancies x 2400

9) There is a mid-cycle shift in the basal body temperature (BBT) after ovulation in women. This is caused by:

A FSH-peakB LH-peakC EstradiolD Progesterone

10) Lowest dose of ethinyl estradiol used in combination contraceptive is:

A) 35 mcgB) 50 mcgC) 20 mcgD) 30 mcg

11) The following statements are true about intrauterine devices (IUD) except:

A Levonorgestrel releasing IUD has an effective life of 5 yearsB IUD can be used for emergency contraception within 5 daysC The pregnancy rate of Lippes loop and Cu- T 200 are similarD Multiload Cu-375 is a third generation IUD

12) a child can walk with support at

a) 6monthsb) 8monthsc) 10monthsd) 13-15months

13) Neonatal reflex which never reappears

a) Rootingb) moroc) asymmetrical tonic neck reflexd) symmetrical tonic neck reflex

13) MORO REFLEX

14) Declaration of Tokyo is for

a) Termination of pregnancyb) Typhoid feverc) old person abused) Torture

15) S.297 ipc is for

a) adulteryb) False certificatec) perjuryd) Paraphilias

THANK YOU