BM1 BIMEX

Question 1

Where does the terminate?

a. pelvic wall
b. labia majora
c. labia minora
d. clitoris
round

Answer 1

b. labia majora

Question 2

The inferior strait corresponds to which plane of the pelvic bone?

a. plane of pelvic outlet
b. plane of midpelvis
c. plane of greatest pelvic dimension
d. plane of the pelvic inlet

Answer 2

a. plane of pelvic outlet

Question 3

Which part of the vagina drains into the internal iliac lymph nodes?

a. superior
b. anterior
c. inferior
d. middle

Answer 3

d. middle

Question 4

CASE: Margaret gave birth to a lovely daughter 2 days ago and was told that her infant shows characteristics of an enlarged labia majora, a small vaginal opening and enlarged clitoris

What is the diagnosis for her infant’s condition?

a. female pseudohermaphroditism
b. ambiguous genitalia
c. imperforate hymen
d. clitoral hyperplasia

Answer 4

a. female pseudohermaphroditism
b. ambiguous genitalia
??

Question 5

CASE: Margaret gave birth to a lovely daughter 2 days ago and was told that her infant shows characteristics of an enlarged labia majora, a small vaginal opening and enlarged clitoris

What will you request to properly diagnose the patient?

a. Karyotyping
b. MRI
c. CT scan
d. Abdominal ultrasound

Answer 5

a. Karyotyping

Question 6

CASE: Margaret gave birth to a lovely daughter 2 days ago and was told that her infant shows characteristics of an enlarged labia majora, a small vaginal opening and enlarged clitoris

What diagnostic tool will be helpful to confirm the diagnosis of female pseudohermaphroditism?

a. MRI
b. Serum testosterone
c. Cortisol
d. Serum androgen

Answer 6

b. Serum testosterone

Question 7

CASE: AP, 27 years old G2P1 (1001), 29 weeks AOG, came to the OPD for prenatal consultation. Her vital signs are 138/min. This is her third visit and her previous weight 3 weeks ago was 56 kgs. She has no current…. verbalized that her baby has good kicks. What is the expected weight gain of the patient?

a. 56.5 kgs
b. 57 kgs
c. 57.5 kgs
d. 58 kgs.

Answer 7

c. 57.5 kgs

Question 8

What characteristic compensated the anterior position of the enlarging uterus?

a. increased relaxin secretion
b. progressive lordosis
c. increased mobility of the sacroiliac joints
d. waddling gait on walking

Answer 8

b. progressive lordosis

Question 9

Which hormone causes fall of plasma osmolality with increased total body weight and resultant edema?

a. progesterone
b. antidiuretic hormone
c. estrogen
d. hCG

Answer 9

b. antidiuretic hormone

Question 10

CASE: A family friend approached you and asks questions regarding her pregnancy since she knows that you are a 3rd year medical student. She is eager and excited to hear your answers. Her first question is: “Where does human placental formation usually begin? And your answer is:

a. It begins with trophoectoderm
b. It begins when trophoblasts differentiate into syncytiotrophoblasts
c. It begins with formation of cytotrophoblasts
d. It begins with implantation of the double layered extraembryonic disc

Answer 10

a. It begins with trophoectoderm

Question 11

She also asks: “When is the placental circulation established?” Your answer should be:

a. 2 months after documented pregnancy test
b. Before 12th day post fertilization
c. 12th day after fertilization
d. 17th day post fertilization

Answer 11

d. 17th day post fertilization

Question 12

____ decidual reaction is considered completed?

a. blastocyst implantation
b. when spiral arteries lengthen and becomes tortuous
c. during morula formation
d. when cytoplasm becomes clearer

Answer 12

a. blastocyst implantation

Question 13

What type of amniotic disorder can cause facial clefts in fetus?

a. Amnion nodosum
b. Amniotic cord
c. Amniotic band
d. Amniotic sheet

Answer 13

c. Amniotic band

Question 14

What is the most common condition that can metastasize to the placenta?

a. Breast cancer
b. Lung cancer
c. Choriocarcinoma
d. Cervical cancer

Answer 14

a. Breast cancer

Question 15

Placental calcification which shows echogenic indentations extending from the chorionic plate to the basal plate, which create discrete components that resemble cotyledons

a. Grade 0
b. Grade 1
c. Grade 2
d. Grade 3

Answer 15

d. Grade 3

Question 16

This abnormality is often associated with fetal growth restrictions which is characterizes increased capillary number in stem villi, but terminal villi are spared

a. Choriocarcinoma
b. Chorangiosis
c. Chorangiomatosis
d. Chorioangiomas

Answer 16

c. Chorangiomatosis

Question 17

CASE: Arina, 29yo, is 18 weeks pregnant with her first baby. She is a known smoker but had stopped when she knew she was pregnant at 8 weeks AOG. SHe works at a salon as an assistant and a nail expert. She claimed to have been diagnosed with heart problem when she was young and was on anticoagulant for 5 years. On ultrasound, there is mild oligohydramnios and her baby has microcephaly and wide nasal bridge. She was worried and in distraught. What could have caused the fetal abnormalities?

a. Phencyclidine
b. Toluene
c. Tobacco
d. Warfarin

Answer 17

b. Toluene

Question 18

What dosage of warfarin is known to cause warfarin embryopathy in 1% of exposed fetuses?

a. >10mg/day
b. < 10-8mg/day
c. >5-7 mg/day
d. < 5mg/day

Answer 18

d. < 5mg/day

Question 19

The pregnancy outcome of oligohydramnios is:

a. Fetal distress
b. Macrosomia
c. APGAR score 8
d. Abortion

Answer 19

a. Fetal distress

Question 20

CASE: Maribeth is pregnant to her second child. She came to the outpatient department to have her prenatal consult. You are the one who interviewed the patient and did PE. Her LMP was February 23, 2023. What is her expected date of delivery and age of gestation?

a. December 1, 2023 - 26 weeks AOG
b. November 30, 2023 - 26 5/7 weeks AOG
c. December 5, 2023 - 27 2/7 weeks AOG
d. November 2, 2023 - 27 weeks AOG

Answer 20

b. November 30, 2023 - 26 5/7 weeks AOG

Question 21

What vaccine should be given to the patient during that prenatal consult?

a. Tetanus toxoid
b. Flu vaccine
c. Tdap vaccine
d. Hepatitis B vaccine

Answer 21

c. Tdap vaccine

Question 22

CASE: JG, 38 years old came for consult at the OB-OPD. She complains of missed menses for 2 months and had epigastric pain and feeling nauseous each time she eats or smells something she does not like. There are no other symptoms. Pregnancy test is positive. You requested for an ultrasound. Which of these parameters will help you with your management?

a. Fetal presentation
b. Placental localization
c. Amniotic fluid volume
d. Gestational sac number

Answer 22

d. Gestational sac number

Question 23

The consultant requested for aneuploidy screening because of the patient’s age. Result showed that both beta hCG and the pregnancy-associated plasma protein A are decreased. What is the probable diagnosis?

a. Edwards syndrome
b. Down syndrome
c. Cri du chat syndrome
d. Klinefelter syndrome

Answer 23

a. Edwards syndrome

Question 24

What is the complication of cordocentesis?

a. rupture of membranes
b. fetal bradycardia
c. infection
d. abruptio placenta

Answer 24

b. fetal bradycardia

Question 25

CASE: You are assigned to the labor room to monitor a patient. She is G1P0, 39 weeks age of gestation and IE done on admission was 6 cm cervical dilatation, 70% effaced, station -1, cephalic. What phase of labor is included in the functional division the patient is now based on her internal examination?

a. pelvic division - second stage
b. preparatory division - acceleration phase

28. This is described as the descent of the fetal biparietal diameter in relation to a line drawn between maternal ischial spines
    a. deceleration phase
    b. station
    c. fetal descent
    d. midpelvis
    c. dilatational division - phase of maximum slope