Aiims may 2017: solved paper with explanation-gynae and obs

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?
image
a) Superior vena cava syndrome
b) Supine vena cava syndrome
c) Abdominal aorta syndrome
d) Interior vena cava syndrome

Answer: Supine vena cava syndrome
Explanation:

Q-11. A midwife at a PHC is monitoring pregnancy and maintains the partograph of pregnancy progression. At how much can dilation should the partograph plotting be started?
a) 2cm
b) 8cm
c) 4cm
d) 6cm

Answer: 4cm
Explanation:

Q-12. In endometriotic lesions, cells show which of these features?
a) High estrogen activity
b) Low insulin activity
c) Low glucocorticoid activity
d) High progestin activity

Answer: High estrogen activity
Explanation:

Q-13. A Rh-negative and ICT negative mother received anti-D injection at 28 weeks of gestation. After child birth at 37 weeks, what should be done?
a) Anti-D should be given within 72 hours irrespective of child’s blood group
b) Anti-D should be given if direct Coombs test is positive
c) Anti-D should be given if the child is Rh negative
d) Anti-D should be given if the child is Rh positive

Answer: Anti-D should be given if the child is Rh positive
Explanation:

Q-14. Routine PAP-smear in a lady showed carcinoma in situ. What will the management?
a) DNA testing
b) Hysterectomy
c) Conization
d) Cervical Biopsy

Answer: Conization
Explanation:

Q-15. A midwife at a PHC did per vaginal examination of a woman in labor with 8 cm cervical dilation and 70% cervical effacement with the fetal head at +1 station. This +1 station implies the position of fetal head is:
a) 1 cm above the ischial spine
b) 1 cm below the ischial spine
c) At the level of ischial spine
d) 1 cm below the cervical os

Answer: 1 cm below the ischial spine
Explanation: