3.OBY-GYNE

Question 1

Increase nuchal translucency with on US commonly associated with …

Answer 1

Congenital heart disease

N.B: increase Nuchal translucency > Down syndrome , which associated with congenital heart disease.

Question 2

Endometriosis, took NSAID, but No improvement What is the most appropriate for her case?

Answer 2

OCP
look below *

Question 3

Pregnant lady who had a child with Down syndrome she is concerned about having another child with Down syndrome what is the BEST test to role out Down syndrome in the SECOND trimester ?

Answer 3

Answer; Amniocentesis ( amniotic fluid sample ) is the procedure of choice for second trimester ~ 15-20w

Note ; the procedure of choice for first trimester for diagnostic test is **chorionic villi sampling done between 10-13 w * Dr.Wafa notes

Question 4

Women with Hx of miscarriage,now in 7 weeks with vaginal spotting, no Hx of passing tissue, on exam os is closed and no bleeding ,what is the most likely diagnosis?

Answer 4

Threatened abortion

Question 5

Who classifications of miscarriage ( abortion)

Answer 5

Remember this table **a lot of Q ! **

Question 6

Female have regular cycle every 30 days her last period before 36 ,,, she received rubella vaccine before 3 weeks. She was asked not to get pregnant until 2 months of receiving rubella , But she got pregnant, what’s the most likely pregnancy outcome?

— A. Not affected
— B. Associated with congenital malformations.

Answer 6

Answer; A

Question 7

Primigravida come to clinic with no symptoms, upon examination cervical os is OPEN ,US showed viable fetus ,what type of abortion ?

Answer 7

Inevitable abortion اجهاض حتمي لا مفر منه ء!
Keywords ( open OS & viable IUP)

Question 8

Pt at 8 weeks gestation presented to the ED with vaginal bleeding & abdominal pain ,her cervical OS is open & TISSUE CAN BE SEEN within the cervical os ,what is the diagnosis ?

Answer 8

Incomplete abortion
Keyword is tissue within cervical os

Question 9

30 YO female Hx of infertility, recent IVE turned to be ectopic pregnancy in the left follapain tube. It’s size is 4 cm . What’s your best mangmenent?
A- Methotrexate.
B- Bilateral Slpingectomy.
D- Left salpengectomy

Answer 9

-D _ Left salpingectomy

Salpingectomy is required for patients with:

●Ruptured tube or moderately or severely damage tube.
●Uncontrolled tubal bleeding.
●A large tubal pregnancy. In our practice, we use 3 cm as the threshold.
UpToDate

Question 10

Mx of ectopic pregnancy?

Answer 10

Medical&raquo_space; by MTX
OR
Surgery&raquo_space; salpengioectomy or salpengiostomy if size 3-5 cm

• Salpengioectomy* standard procedure*( remove of tube partially or complete )
• salpingostomy is preferred for patients who desire future childbearing and in whom the contralateral tube is absent or damaged.
  UpToDate

Question 11

Pregnancy know hypothyroidism on thyroxin 125 mcg TFT normal what to do next
A. Continue on same dose
B. Increase dose
C. Reaper TFT

Answer 11

Increase the dose

Question 12

Female complain of infertility What is the diagnosis?

Answer 12

hydrosalpinx

Question 13

August

Pregnant lady, with a picture of CTG showing :
1. CTG finding ?
2.diagnosis?
3.Management?

Answer 13

1. late deceleration
2. Uteroplacental insufficiency
3. Change maternal position first step into lateral position - followed by O2 - IV fluid - stop oxytocin- give tocolytic drugs ** by Dr,Wafa

Question 14

August

Pregnant lady, with a picture of CTG showing :
1. CTG finding ?
2.diagnosis?
3.Management?

Answer 14

1. late deceleration
2. Uteroplacental insufficiency
3. Change maternal position first step into lateral position - followed by O2 - IV fluid - stop oxytocin- give tocolytic drugs ** by Dr,Wafa

Question 15

Q.Monochorionic monoamniotic pregnancy, when did the ovulation occur?

Answer 15

8-12 days

Question 16

Q.Monochorionic monoamniotic pregnancy, when did the ovulation occur?

Answer 16

8-12 days

Question 17

Pregnant with bacterial vaginosis ttt ?
A. mpicillin
B. Metronidazole

Answer 17

B

Question 18

Which of the following is the indication of cervical cercalge
A. Cervical cerclage length less than 30
B. Cervical cerclage length less than 35
C. Cervical cerclage length less than 25
D. Cervical cerclage length less than 20

Answer 18

C

Question 19

Placenta in implanted in the uterine wall, what is that?

Answer 19

Placenta increta

Question 20

Pregnant women, her last menstrual period 7th of May, she has regular period and is sure about it. What is the Expected date of delivery?

Answer 20

14/ February next year

Question 21

Pregnant who has a child with down syndrome. She’s concerned about having another child with down syndrome. What is the best test to rule out down syndrome in the second trimester?

Answer 21

Amniotic fluid sample ( Amniocentesis)&raquo_space; second trimester
First trimmer&raquo_space; chorionic villus sampling