25.

26.

27.

28.

29.

A 28 yr old primi gravida at 37 weeks of gestation was presented to the emergency
department with generalised tonic clonic seizures. No details of ANC was available. The
patient was adequately managed and she delivered a 2.8kg healthy male baby. After 4 hrs of
delivery the patient was noticed to have low urine output and on further evaluation was
noted to be drowsy with a respiratory rate of 7 and loss of patellar reflexes. Which of the
following most likely caused the patient’s current condition?

(A) Diazepam (B) MgSO.
(C) Nifedipine ൩) Labetalol

Which of the following is not seen in a normal pregnant female?
(A) Increase in plasma volume
(B) Increase in cardiac output
(C) Decrease in systemic vascular resistance

(D) Decreased heart rate

Which of the following is the preferred choice of drug for hyperthyroidism in pregnancy?
(A) Thyroxine ൯) மாப
(C) Methimazole (D) Carbimazole

A 16 yr old female comes to the OPD with complaints of swelling in the vulval area. On
examination there is bilateral swelling in the labia majora and clitoromegaly. The girl has
not attained menarche yet. On USG no uterus or tubes or ovaries could be made out. What is
the likely diagnosis?

(A) Androgen insensitivity syndrome
‏برق‎ Mullerian dysgenesis
(C) Kallman syndrome

(D) Turner syndrome

A 48 yr old woman presented to you with complaints of severe pain during her menses
associated with increased bleeding for the past one year. On examination Uterus is bulky and
uniformly enlarged, but no focal masses were identified in the USG. The patient underwent a
hysterectomy, and HPR revealed the presence of endometrial glandular tissue in the
myometrium. What is the likely diagnosis?

(A) Endometrial hyperplasia ൯) Adenomyosis
(C) Endometritis (D) None of the above

7 159/2023
[P.T.0.]