GYN

Question 1

Infertility and cysts in ovary what is the problem?

Answer 1

Ovulation

Question 2

Pt with preterm symptoms ( contractions and cervical changes before 34 wks) the best test to confirm your diagnosis is :

A. US to determine cervical length
B. continues CTG
C. forceps

Answer 2

A. US to determine cervical length

Question 3

Post menopausal women what test to confirm that she is post-menopaused 
A- FSH 
B- LH
C- estrogen
D- Progesterone

Answer 3

A- FSH

Question 4

most accurate method to make sure full placental seperation? 
A.pressure and massage uterus
B. manual removal
C. wait for spontaneous
D. with a sponge

Answer 4

B. manual removal

Question 5

Hx of Genital warts and treated, after 2 years she complain of bleeding after intercourse, where is the lesion?

Answer 5

B. Uterine cervix

Question 6

Test to confirm ovulation 
A- FSH
B- LH
C- progesterone
D- Estrogen

Answer 6

C- progesterone

Question 7

Bleeding diagnosed with Ovulatory dysfunction treatment?

Answer 7

OCP

Question 8

Female with 2 history of preterm labour now she pregnant in 20week cervical length 30 What you will do for her??
A-Progesterone
B-Cervical cerclage now

Answer 8

A-Progesterone

Interventions to prevent preterm delivery* :
_ Weekly IM progesterone if cervical length >25 mm with prior spontaneous PTB
_Weekly IM progesterone + cervical cerclage placement if cervical length <25 mm before 24 weeks with prior PTB
_Daily vaginal progesterone if cervical length <20 mm before 24 weeks but no prior PTB)

Question 9

Female 45 years presents for routine pap smear and in US they found a fibroid about 4x5 cm, what you will do?
A- Lap myomectomy
B- hysteroscope myomectomy
C- Follow up with US 
D- Follow up with and CBC every 2 months

Answer 9

C- Follow up with US

Question 10

A 42 YO female P6036 complaining of vaginal fullness and heaviness increased through the day. She uses manual pressure to empty her bladder completely. She has stress incontinence. Diagnosis?
A. cystocele 
B. rectocele
C. enterocele 
D. periodoncia

Answer 10

A. cystocele

Question 11

Case of preeclampsia on labetalol she’s 32 weeks, fundal height 28. what will commonly occur with IUGR ?

A. oligohydramnios
b. polyhydramnios

Answer 11

A. oligohydramnios

most common cause idiopathic.

Question 12

20 pregnant Woman presented with lots of fetal movement followed by out with decrease urinary and difficulty breathing
Ptt prolonged, fibrinogen was below normal , platelets low
A-acute glomerulonephritis
B-DIC
C-autoimmune thrombocytopenia purpura
D-acute amniotic embolism

Answer 12

D-acute amniotic embolism

NOTE: Its Amniotic fluid embolism complicated by DIC,D is more accurate)

Question 13

Chlamdiya + pregnant woman, what is the most commonly infected part of the neonate:

Answer 13

eyes

Question 14

Female complain of infertility since 2 years, regular period, normal semen analysis, monophasic basal body temperature. What the cause of her infertility?

A. Male factor
B. Cervical
C. Anovulation

Answer 14

C. Anovulation

ttt: clomiphene.

Question 15

A case of pregnant women who developed vaginal bleeding as a result of placenta abruption i think and it was clearly mentioned: high PTT , high PT , low fibrongen , low platelets ?

A- DIC
B- ITP
C- TTP

Answer 15

A- DIC

Question 16

woman in her 30s with irregular cycles and anovulatory cycles since several years endometrial biopsy was done and showed atypical hyperplasia what is the best treatment?
A. oral progestin
B. Tamoxifen

Answer 16

A. oral progestin

Question 17

most common cause of ectoplc pregnancy ( no hx of anything )
A. previous ectapic
B. PID
C. IUD

Answer 17

B. PID

Most common risk factor of ectopic is PID
Most significant factor is previous ectopic

Question 18

-22 years female known case of severe depression ،suicidal attempts, she is controlled on paroxetine. Now, she is
pregnant. What to do:
A. Stop paroxetine because of fetal malformation
B. Continue paroxetine and control her depression
C. Decrease dose

Answer 18

B. Continue paroxetine and control her depression

Question 19

Which bacterial infection is associated with intrauterine device in PID ?

Answer 19

Actinomycosis

Question 20

Women with history of excessive post partum bleeding what is the not able to breastfeeding dx?

Answer 20

Sheehan syndrome

Question 21

How to confirm the diagnose premature ruptured membrane?

Answer 21

Nitrazine blue test

Question 22

Important causes for CTG changes:

• Oxytocin >
• Epidural >
• mgs4 >
• fetal head compression >

Answer 22

• Oxytocin > late dervicetion
• Epidural > bradycardia right.
• mgs4 > Decreases variability.
• Early deceleration: caused by fetal head compression -–it’s normal.

Question 23

Pregnant came for antenatal visit on us found to have nuchal translucency increased. The baby is at increased risk of what?

Answer 23

(No chromosomal abnormality or down)
A) cardiac anomalies ✅

NOTE= If he asked about the dx then chromosomal abnormality
If he asked about increase risk of what ? Then it will be Cardiac anamolies)

Question 24

Pregnant lady with term baby had recapture of membrane 1 h ago but she had history of multiple vaginal herps attacks what you will did next:
A. Cs 
B. Iv acyclovir 
C. Pelvic speculum exam
d. Induction of labour

Answer 24

C. Pelvic speculum exam

Question 25

37 yr femeal bleed came with AUB ( Hx of persistant AUB for 8 months ) and there is no Hx of endometrial cancer in the family , what investigation will be more accurate ?
A- pelvic MRI
B- CT abdomen , chest , pelvic
C- EM biopsy 
D- hysteroscopy

Answer 25

C- EM biopsy

Question 26

what vaginal infection can cause incompetency?

1. Bacterial vaginitis
2. Candida
3. Trichomoniasis

Answer 26

1. Bacterial vaginitis

most common cause is trauma