Community Medicine Questions and Answers Part-7

1. A 30 years old pregnant lady, gravidity 2 parity 1, visited the antenatal clinic at 32 weeks of gestation. She was a known smoker. On physical examination blood pressure was found to be 120/80 mm Hg. Blood examination showed Hb level of 12.5 g/dl. Ultrasound was suggestive of intrauterine growth retardation. Which factor during pregnancy would have contributed to intrauterine growth retardation?
a) Age
b) Parity
c) Anemia
d) Smoking

Answer: d

2. A 28 years old pregnant lady, gravidity 1 parity1, visited the antenatal clinic at 32 weeks of gestation. She was a known alcoholic. On physical examination blood pressure was found to be120/80 mm Hg. Blood examination showed Hb level of 12.5 g/dl. Ultrasound was suggestive of intrauterine growth retardation, Microcephaly and developmental delay. Which factor during pregnancy would have contributed to the fetal conditions?
a) Maternal age
b) Parity
c) Anemia
d) Alcohol consumption

Answer: d

3. A newly married couple visits family planning centre for contraception. Upon investigation the woman has hyperlipidemia. The method of contraception which would be used cautiously in this woman is:
a) Condom
b) Combined oral contraceptive pill
c) Second generation IUCD
d) Mini pill

Answer: b

4. A 35 years old woman was brought to hospital with toxic shock syndrome. She was using some method of contraception. The method of contraception which had likely lead to this condition is
a) Condom
b) Diaphragm
c) Vaginal douching
d) Oral pills

Answer: b

5. A 34 years old woman presented in the emergency department to a lady doctor with painful vulvar ulceration. On examination the ulcer had irregular margins with undermined edges. The ipsilateral inguinal lymph nodes were swollen and tender. The most likely diagnosis is:
a) Syphilis
b) Herpes
c) Chancroid
d) Lymphogranuloma venereum

Answer: c

6. A 30 years old lady having two kids wants to plan her family. On examination she is found to be anemia. She also gives history of ectopic pregnancy last year. The best method of contraception for her would be:
a) Lippe’s loop
b) Injectable contraceptives
c) Progestasert
d) Multi-load

Answer: b

7. A 42 years old female wants to use oral contraceptive pills. She is 55 kg of weight and beetle chewer. On general examination she was found to be suffering from mild depression. This contraceptive method should be used cautiously in this woman because of her:
a) Age
b) Excess weight
c) Low weight
d) Beetle chewing habit

Answer: a

8. For long term contraception, a sub -dermal implant known as “nor-plant” is being used now a days. The main disadvantage of Norplant is:
a) Spontaneous expulsion
b) Irregular menstrual bleeding
c) Pelvic inflammatory disease
d) Ectopic pregnancy

Answer: b

9. A primary Gravida with O- ve blood group comes to labour room with labour pains. Her husband’s blood group is O+v In order to avoid Rh incompatibility in pregnancy, which measure would you take:
a) Administer AntiRh immunoglobulins at delivery
b) Serial ultrasonography
c) Chorionic villous biopsy
d) Amniocentesis

Answer: a

10. An 8 weeks pregnant lady comes to gynae OPD for antenatal visit for the first time. She told the doctor that she has come from far off area and it’s not possible to come for her monthly antenatal visits. The doctor advised the minimum number of essential antenatal visits is:
a) 3
b) 4
c) 5
d) 6

Answer: a