OBSTETRICS
Section A
1. Obstetrics Anatomy Including Pelvis and fetal skull.............................................273
2. Placenta and its Abnormalities.............................................................................277
3. Physiological Changes During Pregnancy and Endocrinology in Pregnancy .......279
4. Diagnosis of Pregnancy and Antenatal Care.........................................................284
5. Fetus....................................................................................................................288
6. Normal Labor.......................................................................................................290
7. Induction of Labor and Trial of Labor...................................................................294
8. Abortion and MTP................................................................................................296
9. Ectopic Pregnancy...............................................................................................300
10. Trophoblastic Diseases Including Choriocarcinoma............................................305
11. Antepartum Hemorrhage......................................................................................309
12. Postpartum Hemorrhage and Uterine Inversion...................................................313
13. Multifetal Pregnancy............................................................................................316
14. Medical, Surgical and Gynecological Illness Complicating Pregnancy.................319
15. Preterm Labor, PROM and Postdated Pregnancy................................................338
16. Intrauterine Death................................................................................................341
17. Malpresentations.................................................................................................343
18. Contracted Pelvis.................................................................................................348
19. Obstructed Labor, Dystocia and Rupture Uterus..................................................350
20. Fetus, Newborn and IUGR....................................................................................353
,21. Fetal Malformations.............................................................................................357
22. Drugs in Pregnancy and High Risk Pregnancy.....................................................359
23. Diagsssssnosis in Obstetrics...............................................................................363
24. Pharmacotherapeutics.........................................................................................369
25. Operative Obstetrics.............................................................................................373
26. Down Syndrome..................................................................................................378
27. Puerperium and its Abnormalities........................................................................381
28. Miscellaneous......................................................................................................385
Section B
Practice Questions.........................................................................................389
(Comprising of Questions from Recent Exams and NEET Pattern Questions)
,Section A
1. OBSTETRICS ANATOMY
INCLUDING PELVIS
AND FETAL SKULL
, 274 Jaypee’s Triple A
OBSTETRICS ANATOMY INCLUDING PELVIS AND FETAL SKULL (QUESTIONS)
1. Most important diameter of pelvis during labour is: 8. After how many days of ovulation embryo implantation
(DP PGMEE 2010) occurs: (DNB 2008)
a. Interspinous diameter of outlet a. 3-5 days
b. Oblique diameter of inlet b. 7-9 days
c. AP diameter of outlet c. 10-12 days
d. Intertubercular diameter d. 13-15 days Ref: Dutta Obs 7/e p22, 6/e p23
Ref: Dutta 7/e p90, 6/e p91 9. Asynclitism is diagnosed when: (AP 2012)
2. The most unfavourable prognosis is of: a. Sagittal suture is deflected from transverse diameter of
(MHPGM-CET 2010) pelvis
a. Mentoposterior position b. Face presents at the inlet
b. Occipitoanterior position c. Head is deflexed
c. Occipitoposterior position d. Sagittal suture is oblique in the pelvis
d. Mentoanterior position Ref: Dutta Obs 7/e p123
Ref: Textbook of Obstetrics DC Dutta, 7/e p389, 6/e 390, 577 10. What is the type of pelvis if the inlet is triangular, side walls
3. Living ligature of the uterus is: of the cavity are convergent and subpubic angle is narrow?
(ORISSA 2000, MHPGM-CET 2010) (AP 2012)
a. Endometrium a. Gynaecoid
b. Middle layer of myometrium b. Anthropoid
c. Inner layer of myometrium c. Android
d. Parametrium d. Platypelloid Ref: Dutta Obs 7/e p346
Ref: Dutta Obs 7/e p123, Shaw’s Text book of 11. Which is the largest diameter of foetal skull?
Gynaecology 14/ e p6-7 a. Submentobregmatic
4. Interspinous diameter: b. Suboccipitofrontal
a. 9 cm c. Occipitofrontal
b. 10 cm d. Suboccipitobregmatic Ref: Dutta Obs 7/e p85
c. 11 cm 12. What is the normal bitemporal diameter? (AP 2010)
d. 12 cm a. 7.5 cm
Ref: Williams Obs. 22/e, p35; Dutta Obs. 7/e p90, 6/e, p91 b. 8 cm
5. Longest pelvic diameter: c. 8.5 cm
a. Suboccipitofrontal d. 9 cm Ref: Dutta Obs 7/e p85
b. Submentovertical 13. Ovulation coincides with: (Delhi 2008)
c. Suboccipitobregmatic a. High estrogen & high progesterone
d. Biparietal b. LH surge
Ref: Textbook of Obstetrics DC Dutta 7/e p85, 6/e p81 c. Low estrogen & high progesterone
6. Face to pubis compression is most likely to occur in pelvis d. Progesterone peak Ref: Dutta 7/e p20, Shaw 14/e p27
at: 14. The smallest diameter of the true pelvis is:
a. Suboccipitobregmatic a. Interspinous Diameter (AI 05)
b. Suboccipitomental b. Diagonal conjugate
c. Submentobregmatic c. True conjugate
Obstetrics
d. All of the above d. Intertuberous diameter
Ref: Dutta Obs 7/e p85, 86, 370 Ref: Dutta Obs 7/e p90
7. Lowermost portion of presenting fetal part at ischial spine 15. Which is the most common type of female pelvis:
means station______ (DNB 04; 03; PGI 85)
a. -1 a. Gynaecoid
b. 0 b. Anthropoid
c. +1 c. Android
d. None d. Platypelloid
Ref: Williams Obstetrics 23/e p392, 22nd/ Chapter 17 Ref: Dutta Obs 7/e p345
Ans. 1. a. Interspinous… 2. a. Mentoposterior position 3. b. Middle layer of… 4. b. 10 cm
5. b. Submentovertical 6. c. Submentobregmatic 7. b. 0 8. b. 7-9 days
9. a. Sagittal suture… 10. c. Android 11. c. Occipito-frontal 12. b. 8 cm
13. b. LH surge 14. a. Interspinous Diameter… 15. a. Gynaecoid
Section A
1. Obstetrics Anatomy Including Pelvis and fetal skull.............................................273
2. Placenta and its Abnormalities.............................................................................277
3. Physiological Changes During Pregnancy and Endocrinology in Pregnancy .......279
4. Diagnosis of Pregnancy and Antenatal Care.........................................................284
5. Fetus....................................................................................................................288
6. Normal Labor.......................................................................................................290
7. Induction of Labor and Trial of Labor...................................................................294
8. Abortion and MTP................................................................................................296
9. Ectopic Pregnancy...............................................................................................300
10. Trophoblastic Diseases Including Choriocarcinoma............................................305
11. Antepartum Hemorrhage......................................................................................309
12. Postpartum Hemorrhage and Uterine Inversion...................................................313
13. Multifetal Pregnancy............................................................................................316
14. Medical, Surgical and Gynecological Illness Complicating Pregnancy.................319
15. Preterm Labor, PROM and Postdated Pregnancy................................................338
16. Intrauterine Death................................................................................................341
17. Malpresentations.................................................................................................343
18. Contracted Pelvis.................................................................................................348
19. Obstructed Labor, Dystocia and Rupture Uterus..................................................350
20. Fetus, Newborn and IUGR....................................................................................353
,21. Fetal Malformations.............................................................................................357
22. Drugs in Pregnancy and High Risk Pregnancy.....................................................359
23. Diagsssssnosis in Obstetrics...............................................................................363
24. Pharmacotherapeutics.........................................................................................369
25. Operative Obstetrics.............................................................................................373
26. Down Syndrome..................................................................................................378
27. Puerperium and its Abnormalities........................................................................381
28. Miscellaneous......................................................................................................385
Section B
Practice Questions.........................................................................................389
(Comprising of Questions from Recent Exams and NEET Pattern Questions)
,Section A
1. OBSTETRICS ANATOMY
INCLUDING PELVIS
AND FETAL SKULL
, 274 Jaypee’s Triple A
OBSTETRICS ANATOMY INCLUDING PELVIS AND FETAL SKULL (QUESTIONS)
1. Most important diameter of pelvis during labour is: 8. After how many days of ovulation embryo implantation
(DP PGMEE 2010) occurs: (DNB 2008)
a. Interspinous diameter of outlet a. 3-5 days
b. Oblique diameter of inlet b. 7-9 days
c. AP diameter of outlet c. 10-12 days
d. Intertubercular diameter d. 13-15 days Ref: Dutta Obs 7/e p22, 6/e p23
Ref: Dutta 7/e p90, 6/e p91 9. Asynclitism is diagnosed when: (AP 2012)
2. The most unfavourable prognosis is of: a. Sagittal suture is deflected from transverse diameter of
(MHPGM-CET 2010) pelvis
a. Mentoposterior position b. Face presents at the inlet
b. Occipitoanterior position c. Head is deflexed
c. Occipitoposterior position d. Sagittal suture is oblique in the pelvis
d. Mentoanterior position Ref: Dutta Obs 7/e p123
Ref: Textbook of Obstetrics DC Dutta, 7/e p389, 6/e 390, 577 10. What is the type of pelvis if the inlet is triangular, side walls
3. Living ligature of the uterus is: of the cavity are convergent and subpubic angle is narrow?
(ORISSA 2000, MHPGM-CET 2010) (AP 2012)
a. Endometrium a. Gynaecoid
b. Middle layer of myometrium b. Anthropoid
c. Inner layer of myometrium c. Android
d. Parametrium d. Platypelloid Ref: Dutta Obs 7/e p346
Ref: Dutta Obs 7/e p123, Shaw’s Text book of 11. Which is the largest diameter of foetal skull?
Gynaecology 14/ e p6-7 a. Submentobregmatic
4. Interspinous diameter: b. Suboccipitofrontal
a. 9 cm c. Occipitofrontal
b. 10 cm d. Suboccipitobregmatic Ref: Dutta Obs 7/e p85
c. 11 cm 12. What is the normal bitemporal diameter? (AP 2010)
d. 12 cm a. 7.5 cm
Ref: Williams Obs. 22/e, p35; Dutta Obs. 7/e p90, 6/e, p91 b. 8 cm
5. Longest pelvic diameter: c. 8.5 cm
a. Suboccipitofrontal d. 9 cm Ref: Dutta Obs 7/e p85
b. Submentovertical 13. Ovulation coincides with: (Delhi 2008)
c. Suboccipitobregmatic a. High estrogen & high progesterone
d. Biparietal b. LH surge
Ref: Textbook of Obstetrics DC Dutta 7/e p85, 6/e p81 c. Low estrogen & high progesterone
6. Face to pubis compression is most likely to occur in pelvis d. Progesterone peak Ref: Dutta 7/e p20, Shaw 14/e p27
at: 14. The smallest diameter of the true pelvis is:
a. Suboccipitobregmatic a. Interspinous Diameter (AI 05)
b. Suboccipitomental b. Diagonal conjugate
c. Submentobregmatic c. True conjugate
Obstetrics
d. All of the above d. Intertuberous diameter
Ref: Dutta Obs 7/e p85, 86, 370 Ref: Dutta Obs 7/e p90
7. Lowermost portion of presenting fetal part at ischial spine 15. Which is the most common type of female pelvis:
means station______ (DNB 04; 03; PGI 85)
a. -1 a. Gynaecoid
b. 0 b. Anthropoid
c. +1 c. Android
d. None d. Platypelloid
Ref: Williams Obstetrics 23/e p392, 22nd/ Chapter 17 Ref: Dutta Obs 7/e p345
Ans. 1. a. Interspinous… 2. a. Mentoposterior position 3. b. Middle layer of… 4. b. 10 cm
5. b. Submentovertical 6. c. Submentobregmatic 7. b. 0 8. b. 7-9 days
9. a. Sagittal suture… 10. c. Android 11. c. Occipito-frontal 12. b. 8 cm
13. b. LH surge 14. a. Interspinous Diameter… 15. a. Gynaecoid
