Combined Medical Services Examination Page 23


109. A 23 year old presents with recurrent abortions at 16 weeks gestation. She should
be investigated for:
(a) TORCH infection
(b) Hepatitis B infection
(c) Incompetent cervix
(d) Balanced paternal translocation
110. Which of the following is the most common cause of abortion during first trimester?
(a) Cervical incompetence
(b) Progesterone deficiency
(c) Antiphospholipid antibody syndrome
(d) Chromosomal anomalies of foetus
111. Abnormally low alpha-fetoprotein in maternal serum indicates:
(a) Down’s syndrome
(b) Anencephaly
(c) Encephalocele
(d) Meningocele
112. Umbilical cord blood stem cells are used to treat all the following diseases except :
(a) Parkinsonism
(b) Leukemia
(c) Diabetes
(d) Osteoporosis
A patient of ectopic pregnancy had beta-hCG less than 6000 IU/ml. Medical
management was done by single dose methotrexate. Beta-hCG repeated after 48 hours was
found 7000 IU/ml. What will you do further?
(a) Repeat the injection of methotrexate
(b) Operate the patient
(c) Follow up with Beta-hCG after one week
(d) Follow up with Beta-hCG after 72 hours
114. A 35 year old married woman with no risk factors for cervical cancer is having Pap
smear showing ‘atypical squamous cells of undermined significance (ASCUS)’ for the first
time. What is the further step in the management?
(a) Repeat Pap immediately
(b) Cryotherapy
(c) Large loop excision of the transformation zone
(d) To follow up with Pap test at 6 months


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