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4. SMLE (difficult Qs) > GYN > Flashcards

GYN Flashcards

1
Q

Infertility and cysts in ovary what is the problem?

A

Ovulation

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2
Q

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

A

A. US to determine cervical length

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3
Q 
Post menopausal women what test to confirm that she is post-menopaused 
A- FSH 
B- LH
C- estrogen
D- Progesterone
A

A- FSH

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4
Q 
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
A

B. manual removal

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5
Q

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

A

B. Uterine cervix

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6
Q 
Test to confirm ovulation 
A- FSH
B- LH
C- progesterone
D- Estrogen
A

C- progesterone

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7
Q

Bleeding diagnosed with Ovulatory dysfunction treatment?

A

OCP

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8
Q

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

A

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)

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9
Q 
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
A

C- Follow up with US

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10
Q 
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
A

A. cystocele

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11
Q

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

A. oligohydramnios
b. polyhydramnios

A

A. oligohydramnios

most common cause idiopathic.

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12
Q

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

A

D-acute amniotic embolism

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

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13
Q

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

A

eyes

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14
Q

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

A

C. Anovulation

ttt: clomiphene.

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15
Q

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

A

A- DIC

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16
Q

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

A

A. oral progestin

17
Q

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

A

B. PID

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

18
Q

-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

A

B. Continue paroxetine and control her depression

19
Q

Which bacterial infection is associated with intrauterine device in PID ?

A

Actinomycosis

20
Q

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

A

Sheehan syndrome

21
Q

How to confirm the diagnose premature ruptured membrane?

A

Nitrazine blue test

22
Q

Important causes for CTG changes:

  • Oxytocin >
  • Epidural >
  • mgs4 >
  • fetal head compression >
A
  • Oxytocin > late dervicetion
  • Epidural > bradycardia right.
  • mgs4 > Decreases variability.
  • Early deceleration: caused by fetal head compression -–it’s normal.
23
Q

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

A

(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)

24
Q 
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
A

C. Pelvic speculum exam

25
Q 
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
A

C- EM biopsy

26
Q

what vaginal infection can cause incompetency?

  1. Bacterial vaginitis
  2. Candida
  3. Trichomoniasis
A
  1. Bacterial vaginitis

most common cause is trauma

4. SMLE (difficult Qs) (6 decks)

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