HD 201 E2 Samplex 2015 Flashcards
The most probably explanation for very poor maternal and child health indicator:
A. Paucity of primary health care
B. Deficiency in surgical expertise
C. Lack of high technology equipment
D. All of the above
A
Equity of health care is in conflict with these concepts
A. Quality
B. Efficiency
C. Accessibility
D. All of the above
B
Problems associated with increased maternal and child health morbidity are due to
A. High cost of care and services
B. Low accessibility of care and services
C. Low quality of care and services
D. All of the above
D
True statements about hyperpigmentation during pregnancy
A. Skin darkening develops in 10%
B. Pigmentation is more pronounced in women with white complexion
C.Dermal melanosis may persist up to 10 years in a third of affected women
D. Results from elevated MSH
C
True about hyperpigmentation EXCEPT
A. More pronounced in the areola, perineum, umbilicus and axilla
B. Begins to be evident usually in the 3rd trimester
C. Affects recent scars
D. Regresses postpartum
B
True statements about striae gravidarum EXCEPT
A. Family history is the strongest factor
B. These are silvery lines that represent the remains of previous striae in multigravids
C. Majority develop in the abdomen but may also be seen in the breast and thighs
D. Topical application of lotion during the first trimester will prevent this
D
True statements about nevi during pregnancy EXCEPT
A. A small minority develop enlarged melanocytes and increased melanin deposition
B. It is common for nevi to increase in diameter or become darker
C. No proof of malignant transformation
D. Further examination of nevi [which] enlarge
B
Mrs Martinez consulted with excessive hair loss. She delivered by CS two months ago. What will you advise her?
A. Will grow back in 2 months
B. There’s no treatment required
C. Further investigation
D. NOTA
B
True statements about hirsutism during pregnancy EXCEPT
A. Mild hirsutism is common
B. Women with predisposed genetically to coarse hair growth are more severely affected
C. Typically persists within several months after delivery
D. Prompt investigation if with other evidence of masculinization
C
Starting at 12 weeks of age, changes in uterine size are predominantly due to
a. Pressure from products of conception
b. Stimulation of estrogen
c. Initial position of placenta
d. Increasing production of myocytes
A
Braxton-Hicks contractions are characterized by the following EXCEPT
a. Intensity is 5-25
b. Comes in at regular intervals at the 2nd trimester
c. Causes false labor
d. Generally painless
B
A 26 year old primigravid underwent CS. She was was diagnosed to have 8 cm theca-lutein cysts. What should be the best management?
A. Total hysterectomy with bilateral salphingo-oophorectomy
B. Bilateral oophorocystectomy
C. Reassure her that it will regress postpartum
D. Give chemotherapy
C
Solid ovarian tumor which is an exaggeration of the luteinisation of the normal ovary
A. Luteoma
B. Theca-lutein
C. Derruoid
D. Endometrioma
A
Maternal hypervolemia is most marked at which stage?
A. 1st trimester
B. 2nd trimester
C. 3rd trimester
D. Labor
B
Mrs. Cruz has Hb 11mg/dl at 32 weeks AOG. What would you advise her?
A. This is due to hypervolemia of pregnancy and she should not be bothered by it
B. She should undergo blood transfusion right away as this could have deleterious effects on her baby
C. Her haemoglobin is within normal limits for a pregnant woman in the third trimester so she should be reassured
D. This is due to iron deficiency so she should increase her FeSO4 intake
D
Characteristics of hypervolemia except:
A. Results from an increase in both plasma and erythrocyte
B. More erythrocytes than plasma is added
C. Erythrocyte ↑ by 450 mL
D. Bone marrow hyperplasia
B
Iron requirement during pregnancy
A. 200 mg
B. 300 mg
C. 500 mg
D. 1000 mg
D
Which of the following have high levels during pregnancy?
A. Interleukin 1-β
B. T-helper 1
C. T-cytotoxic 1
D. Tumor necrosis factor β
A
Which of the following is depressed during pregnancy?
A. IgA
B. IgB
C. interferon γ
D. T-helper 2
C
A pregnant woman had lab test as prescribed by her doctor. Her WBC = 16,000/ml. Other findings are normal. What should be done?
A. Consult an infectious disease doctor
B. Consult a haematologist
C. Look for other indication of disease
D. Reassure her
D