OBSTETRICS

1. FIRST SIGN OF PREGNANCY SEEN ON A

USG - GESTATIONAL RING
2. MIFEPRISTONE REQUIRED FOR ABORTION
IS - 200MG
3. MOST COMMON CAUSE OF FETAL BLOOD
LOSS - ABRUPTIO PLACENTA
4. SCAR RUPTURE OF PREVIOUS CESARIAN
SECTION DURING 2ND PREGNANCY IS
WITHIN- 18 MONTHS OF PREVIOUS
PREGNANCY
5. MC COMPLICATION WHICH CAN OCCUR
WITH NEXT PREGNANCY WHEN
FEMALE HAD PREVIOUS CESARION
SECTION - PLACENTA PREVIA
6. POST PREGNANCY UTERUS BECOMES A
PELVIC ORGAN AT - 10-12 DAYS(2WEEKS)
7. TILL WHAT TIME OF BEFORE PREGNANCY
UTERUS REMAINS A PELVIC ORGAN - 12
WEEKS
8. MCC OF PEURPERIAL SEPSIS -
STREPTOCOCCUS
9. MC SITE OF PEURPERIAL INFECTION -
PLACENTAL SITE
10. NORMAL PRESSURE OF MANUAL
VACCUM ASPIRATION PERFORMED FOR
MTP - 70-80MMHG
11. CORTISOL RELEASED JUST BEFORE
BIRTH DOES - CAUSES MATURATION OF
FETAL LUNG
12. JUST BEFORE BIRTH WHICH OF
THE FOLLOWING RESPONSIBLE IN
BABY FOR LUNG MATURATION -
CORTISOL.

13. HEGAR'S SIGN AT 6-10 WEEK - UPPER

PART OF UTERUS FEELS FIRM/LOWER PART
EMPTY.
14. SONOGRAPHY GESTATION RING - 5TH
WEEK/CARDIAC - 7TH WEEK/FHR BY
DOPPLER-10TH WEEK.
15. MECHANISM OF NORMAL LABOR –
FLEXION-INT.ROTATION-CROWNING-
EXTENSION-RESTITUTION-
EXT.ROTATION-LATERAL FLEXION
16. MC TYPE OF EPISIOTOMY - MEDIO-
LATERAL
17. INDICATION OF LSCS-
PREVIOUS2LSCS/PLACENTA
PREVIA/INDICATION F TRANSVERSE LIE
MAJOR
18. COMMONEST CAUSE OF BREACH
PRESENTATION - PREMATURITY
●COMMONEST COMPLICATION OF
BREACH PRESENTATION - ASPHYXIA
19. ANTICONVULSANT OF CHOICE IN
ECLAMPSIA - MGSO4
●SEVERE PIH -
BP>160/110/PROTEINURIA
20. ANTIDOTE FOR HELLP SYNDROME
SEEN IN SEVERE PIH - CALCIUM
GLUCONATE
21. ANTIHYPERTENSIVES IN PREGNANCY -
METHYLDOPA
22. DILATION & CURETTAGE IS
PROCEDURE OF CHOICE FOR- INCOMPLETE
ABORTION
23. MCC OF PPH - UTERINE ATONICITY
24. FETO MATERNAL TRANSFUSION IS
DEMONSTRATED IN THE MOTHER BY -
KLEIHAUSER COUNT
25. MATERNAL ALPHA-FETA PROTEIN IS
INCREASED IN - NEURAL TUBE DEFECTS
26. SURE SIGN OF UTERINE DEATH
IUD-SPALDING SIGN(OVERLAPPING OF
SKULL BONES)/GAS IN AORTA
27. CHARACTERISTIC OF CONGENITAL
ANOMALIES IN THE FETUS OF DIABETIC
WOMEN-SACRAL AGENESIS
28. ECTOPIC PREGNANCY IS
ASSOCIATED WITH -
SALPHINGITIS/IUCD/PLASTIC
PROCEDURE IN TUBE 102.ABSOLUTE
 CONTRAINDICATION FOR OCP -
CAD/MIGRAINE/EPILEPSY
29. UNRUPTURED TUBAL
ECTOPIC PREGNANCY IS BEST
DIAGNOSED BY - USG
30. POLYHYDRAMNIOS
OCCURS IN - MULTIPLE
PREGNANCY/DM/ANENCEPHAL
Y/TOXEMIA/TRACHEOESOPHA
GEAL FISTULA

31. POST PARTUM VVF IS BEST

REPAIRED AFTER - 6 WEEKS
32. SHORTEST DIAMETER OF PELVIC
OUTLET IS - POSTERIOR SAGITAL
DIAMETER
●MOST IMPORTANT DIAMETER OF THE
PELVIC INLET IS - DIAGONAL
CONJUGATE
33. COMMONEST TYPE OF VERTEX
PRESENTATION IS - LEFT OCCIPITO
ANTERIOR
34. SURE SIGN OF FETAL DISTRESS IS
FETAL ECG (STRESS TEST) - LATE
DECELERATION.
35. HCG DISAPPEARS FROM THE
 MATERNAL URINE AFTER -
48HRS AFTER DELIVERY
●PEAK LEVELS OF HCG IN THE
URINE ARE SEEN AFTER - 90
DAYS OF PREGNANCY
126.TOTAL DURATION OF
PREGNANCY IS - 280 DAYS

36. ULTRASOUND DETECTION OF

FETAL HEART MOVEMENTS CAN BE
DONE AT - 8 WEEKS
37. BEST PARAMETER MEASURED BY
ULTRASOUND TO ASSESS FETAL MATURITY
- CROWN RUMP LENGTH
38. CCF IS MOST LIKELY IN
PREGNANCY AT - 1ST STAGE OF
LABOUR

39. COMMONEST CAUSE OF

MATERNAL MORTALITY - SEVERE
ANEMIA
40. SPONTANEOUS ABORTIONS
COMMONLY OCCUR DURING - 2ND
MONTH
41. CARUNCULAE MYRIFORMIS IS
DIAGNOSTIC OF - PREVIOUS CHILD
BIRTH
42. PAINLESS VAGINAL BLEEDING AT 34
WEEKS IS TREATED BY - REST & SEDATION
43. 1ST TRIMESTER ABORTION - DEFECTIVE
GENESIS
●2ND TRIMESTER ABORTION -
INCOMPETENT CERVIX
44. SEX DETERMINATION IN EARLY
PREGNANCY IS DONE BY – AMNIOCENTESIS
45. DEFINITIVE SIGN OF
PREGNANCY IS - FETAL SKELETON
IN X-RAYS
46. COMMONEST SITE OF IMPLANTATION
OCCCURS IN ECTOPIC PREGNANCY IS
AMPULLA(FALLOPIAN TUBE)
●IN VITRO FERTILISATION IS DONE
FOR - TUBAL DISEASE
47. MATERNAL ANTIBODIES ARE PRESENT
AGAINST MUMPS/MEASLES/POLIO/TETANUS
48. WHEN IS PREGNANCY TERMINATED IN
HYPER EMESIS GRAVIDORUM -VOMIT>3
MONTHS/DECREASED URINE
OUTPUT/INCREASED URINE ACETONE.
49. AMNIOTIC FLUID ALPHA FETO PROTEIN
IS RAISED BY - OPEN NEURAL TUBE
DEFECT/IUD.
50. CAUSES OF ECTOPIC PREGNANCY-
IUCD/TUBAL CILIARY DAMAGE/LATE
FERTILISATION/ENDOMETRIOSIS
51. SHOULDER DYSTOCIA IS SEEN IN
PREDOMINANTLY – ANENCEPHALY
52. CAUSE OF BREECH -
HYDRAMNOIS/SEPTATE
UTERUS/HYDROCEPHALUS
53. URINE IS COLLECTED FOR
EXAMINATION IN A PREGNANT FEMALE -
EARLY MORNING URINE SAMPLE.
54. . IF PREGNANT LADY SHOWS RUBELLA
ANTIBODY +VE : IT MEANS SHE IS IMMUNE
TO RUBELLA DURING HER PREGNANCY
AND NEED NOT WORRY FOR RUBELLA
INFECTION.
55. FETAL SCALP BLOOD
PH OF LESS THAN - 7.2 IS
ABNORMAL
56. DEVELOPMENT OF
SEPTIC DEFECTS IN HEART
OCCURS AT - 5-8 WKS

57. GERM CELL TUMOUR -

DYSGERMINOMA/TERATOMA/EMBRYONAL
CELL CARCINOMA
58. IMMEDIATE COMPLICATION OF
EVACUATION OF VESCICULAR MOLE IS -
INCOMPLETE EVACUATION
●GESTATIONAL TROPHOBLASTIC
TUMOURS OCCUR MC AFTER -
 SPONTANEOUS ABORTION
●TOC FOR HYDATIDIFORM MOLE IN 40YR
OLD WOMAN IS – HYSTERECTOMY

59. BEST METHOD FOR INDUCING MID

TRIMESTER ABORTIONS –
PROSTAGLANDINS.
60. WHICH HEART DISEASE HAS WORST
PROGNOSIS IN PREGNANCY - MS
●WHICH HEART DISEASE HAS HIGHEST
MORTALITY IN PREGNANCY -
PULMONARY HYPERTENSION
61. PARTOGRAM HELP IN DETECTION OF -
OBSTRUCTED LABOUR.
62. PREGNANT LADY ON ORAL
ANTICOAGULANTS SHOULD SWITCH
OVER TO HEPARIN AT - 12 WKS
63. SURGERY FOR MS DURING
PREGNANCY IS IDEALLY DONE AT -
14 WKS

64. POST TERM PREGNANCY IS THAT

WHICH CONTINUES BEYOND - 42
WEEKS(294 DAYS)

65. MICROCEPHALY IS COMMON IN

MOTHERS WITH - ALCOHOL ADDICTION
66. MCC DURING VAGINAL DELIVERY IN
 DM PATIENT - SHOULDER DYSTOCIA
67. POST PARTUM ECLAMPSIA DEVELOPS
AFTER HOW MANY HOURS OF DELIVERY -
48-72 HRS
68. DURATION OF LOCHIA RUBRA - 1ST 3
DAYS OF PUERPERIUM
69. DURING UTERINE
CONTRACTION OF LABOUR,THE
UTERINE BLOOD FLOW -
DECREASE

70. EARLIEST SIGN OF PLACENTAL

SEPARATION IS - CHANGE IN SHAPE &
CONSISTENCY OF UTERUS
71. NORMAL FOETAL HEART RATE AT 37-
40 WKS OF PREGNANCY IS - 120-160/MT

72. AMNIOTIC FLUID AT TERM CONTAINS -

GLUCOSE/PROSTAGLANDINS/OESTERIOL
73. OVARIAN TUMOUR DIAGNOSED AFTER
DELIVERY SHOULD BE REMOVED -WITHIN
48 HRS OF DELIVERY
74. BEST METHOD OF ASSESSING FOETAL
WELL BEING AT TERM IS BY SERIAL
ESTIMATION OF - OESTRIOL
75. PALM-LEAF CERVIX
PATTERN OCCURS - DUE TO
OESTROGENS

76. RECOMMENDATION FOR INDUCED

ABORTION FOR >12 WEEKS OF
GESTATION:

● *RECOMMENDED COMBINED REGIMEN:

200 MG OF ORAL MIFEPRISTONE
FOLLOWED 1-2 DAYS LATER BY 400 MCG
OF BUCCAL, VAGINAL, OR SUBLINGUAL
MISOPROSTOL, EVERY 3 HOURS.
●
● *MISOPROSTOL ONLY REGIMEN
(ALTERNATIVE): 400 MCG MISOPROSTOL
ADMINISTERED VAGINALLY, SUBLINGUALLY
OR BUCCALLY, EVERY 3 HOURS.
●
● IN PREGNANCIES, MORE THAN 12 WEEKS
OF GESTATION THE COMBINED REGIMEN
(MIFEPRISTONE AND MISOPROSTOL) DOES
NOT HAVE THE LOADING DOSE OF 800
MCG MISOPROSTOL AS IN THE PRIOR
GUIDANCE.
●
● FOR BOTH THE COMBINATION REGIMEN
AND THE MISOPROSTOL-ONLY REGIMEN,
THE BUCCAL ROUTE HAS BEEN ADDED AS
AN OPTION. THE MAXIMUM NUMBER OF
DOSES HAS BEEN REMOVED AND THE
TIME PERIOD BETWEEN MIFEPRISTONE
AND MISOPROSTOL DOSING IS GIVEN IN
DAYS.
77. RECOMMENDATION FOR INDUCED
ABORTION FOR < 12 WEEKS OF
GESTATION:

● *COMBINED REGIMEN (RECOMMENDED):

200 MG OF ORAL MIFEPRISTONE
FOLLOWED 1-2 DAYS LATER BY 800 MCG
OF BUCCAL, VAGINAL OR SUBLINGUAL
MISOPROSTOL
●
● *MISOPROSTOL ONLY REGIMEN
(ALTERNATIVE): 800 MCG MISOPROSTOL
ADMINISTERED VAGINAL, SUBLINGUAL, OR
BUCCAL ROUTES.
●
● THIS UPDATED RECOMMENDATION
APPLIES TO PREGNANCIES UP TO 12
WEEKS OF GESTATION, WHEREAS, IN THE
PREVIOUS GUIDELINES, DIFFERENT
REGIMENS WERE RECOMMENDED FOR
PREGNANCIES UP TO 7 WEEKS, 9 WEEKS,
AND 12 WEEKS.
●
● FOR THE RECOMMENDED MISOPROSTOL-
ONLY REGIMEN, THE BUCCAL ROUTE OF
ADMINISTRATION HAS BEEN ADDED AND
THE MAXIMUM NUMBER OF DOSES HAS
BEEN REMOVED.
78. POST-MENOPAUSAL ENDOMETRIAL
THICKNESS IS 1-3 MM.
79. RED DEGENERATION OF FIBROID
OCCURS MOST COMMONLY IN 2ND
TRIMESTER.
80. IN A PREGNANT WOMAN WITH RED
DEGENERATION, MANAGEMENT IS
CONSERVATIVE TREATMENT.
81. DRUG NOT HELPFUL IN INDUCTION OF
OVULATION IS PROGESTERONE.
82. THE COMMONEST INDICATION OF IVF
IS ABNORMALITY OF FALLOPIAN TUBE.
●MOST COMMON CAUSE OF VVF IN
INDIA IS OBSTETRICAL TRAUMA.
83. RETENTION OF URINE IN A PREGNANT
 WOMAN WITH A RETROVERTED UTERUS IS
SEEN AT 12-16 WEEKS.
84. RISKS OF INTRAUTERINE GRAWTH
RESTRICTION AND SMALL FOR
GESTATIONAL AGE:
▪A)ANTEPARTUM :
● 1- HYPOXIA
● 2- INTRAUTERINE DEATH
85. ▪️PERIPARTUM
● 1-HYPOXIA
● 2-INTRAUTERINE DEATH
● 3- MECONIUM ASPIRATION
86. ▪️POSTPARTUM :
● 1- NEONATAL HYPOGLYCEMIA
● 2- HYPOCALCAEMIA
● 3- HYPOTHERMIA
● 4- POLYCYTHAEMIA
● 5- HYPOXIC-ISCHEMIC ENCEPHALOPATHY
87. DIFFERENTIAL DIAGNOSIS OF BIG
BABY:
● 1-CONSTITUTIONALLY LARGE FOR DATES
● 2-MACROSOMIA (E.G. SECONDARY TO
DIABETES)
● 3-WRONG DATE
● 4-POLYHYDRAMINOS
● 5-MULTIPLE PREGNANCY
● 6-HYDROPS
88. USE OF ANTI-D IMMUNOGLOBULIN
FOR RHESUS D PROPHYLAXIS:
1- ECTOPIC PREGNANCY : ANTI-D
IMMUNOGLOBULIN SHOULD BE GIVEN TO
ALL NON-SENSITIZED RHD NEGATIVE
WOMEN WHO HAVE AN ECTOPIC
PREGNANCY

2- SPONTANEOUS MISCARRIAGE: ANTI-D

SHOULD BE GIVEN TO ALL NON-
SENSITIZED RHD NEGATIVE WOMEN WHO
HAVE SPONTANEOUS COMPLETE OR
INCOMPLETE ABORTION AFTER 12 WEEKS
OF PREGNANCY.
89. ANTI-D LG SHOULD BE SHOULD BE
GIVEN TO SUCH WOMEN PEIOR TO 12
WEEKS WHEN THERE HAS BEEN AN
INTERVENTION TO EVACUATE THE UTERUS

90. THREATENED MISCARRIAGE: ANTI-D

IMMUNOGLOBULIN SHOULD BE GIVEN TO
ALL NON-SENSITIZED RHD NEGATIVE
WOMEN WITH A THREATENED
MISCARRIAGE AFTER 12 WEEKS OF
PREGNANCY.
91. WHERE BLEEDING CONTINUES
INTERMITTENTLY AFTER 12 WEEKS'
GESTATION , ANTI-D IMMUNOGLOBULIN
SHOULD BE GIVEN AT 6-WEEKLY
 INTERVALS.
92. ROUTINE ADMINISTRATION OF ANTI-D
LG IN THREATENED MISCARRIAGE BEFOR
12 WEEKS IS NOT RECOMMENDED.
HOWEVER IT MAY BE PRUDENT TO
ADMINISTER ANTI-D WHERE BLEEDING IS
HEAVY OR REPEATED OR WHERE IS
ASSOCIATED WITH ABDOMINAL PAIN,
PARTICULARLY IF THESE EVENTS OCCUR
AT GESTATION APPROACH 12 WEEKS.
93. COMMONEST COMPLICATION OF TWIN
PREGNANCY DURING DELIVERY INCLUDES
– PPH
94. INDICATION OF
CLASSICAL CAESERIAN
SECTION IS - CA CERVIX

●IN CLASSICAL CAESERIAN SECTION

MORE CHANCES OF RUPTURE OF
UTERUS IN - UPPER UTERINE SEGMENT
95. BREAST FEEDING SHOULD BE
STARTED IN NORMAL DELIVERY - AFTER 2
HRS
96. ABSOLUTE INDICATION FOR
CAESERIAN SECTION - PREVIOUS RUPTURE
OF UTERUS
97. HYDROCEPHALUS IN THE
FOETUS IS DIAGNOSED BY
LARGE FONTANELL WIDELY
 SEPARATED SUTURES AS FELT
ON PV EXAMINATION

98.
98. DEFINITIVE SIGN OF
PREGNANCY - FOETAL HEART
SOUND
99. WEIGHT OF NORMAL PLACENTA - 500
GM
100. MOST APPROPRIATE TIME FOR
CHORIONIC VILLI SAMPLING - 8-10 WKS
101.PREDICTIVE TEST FOR PIH-ROLLING
OVER TEST/URINARY PROTEIN/GAIN IN
WEIGHT >2KG IN 1 MON.