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mcq Flashcards

1
Q

Active management of the third stage of labor includes all except:

A

Abdominal pressure

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2
Q

-Which of the following is a contraindication to the use of oxytocin for stimulating labor?

A

–Hypertonic uterine dysfunction

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3
Q

Which antibiotic is contraindicated for the treatment of urinary tract infection (UTI) during pregnancy?

A

Tetracycline

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4
Q

Maternal indication for induction of labor

A

Post-term pregnancy

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5
Q

-30-year-old G5P4 woman at 32 weeks gestation complains of painless vaginal bleeding. Four weeks previously, she experienced some post.. vaginal bleeding. The abdomen is soft and uterus nontender. Fetal heart tones are in the range of 140 to 150 bpm.
What is the most appropriate diagnosis

A

Placenta praevia

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6
Q

-What are the indications for cesarian hysterectomy

A

Placenta previa

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7
Q

Delivery is not possible per vaginam in

A

Persistent mentoposterior postion

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8
Q

The lining of uterus to which the embryo implants is called

A

Endometrium

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9
Q

Lichen sclerosus involves everything without

A

Anal canal

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10
Q

What is the borderline between abortion and delivery in Bulgaria

A

22 g.w

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11
Q

The infant of a diabetic mother is at increased risk of … except

A

Hypermagnesemia

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12
Q

Which of the following is most common finding in a uterine test in preeclampsia

A

Proteinuria

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13
Q

Eclampsia is characterized by

A

Seizures

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14
Q

The placenta lies within 2 cm of the internal os of the cervix, but does not fully cover it. What type of placenta previa is

A

Low lying placenta marginallis

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15
Q

A complication of placental abruption is NOT

A

Uterine inversion

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16
Q

What occurs when egg and sperm fuse

A

-Fertilization

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17
Q

A 29-year-old G1P0 at 11 weeks gestation is being seen for her first prenatal visit. Which of the following statements is most accurate regarding tests for isoimmunization

A

Antibody screen on paternal blood is important in Rh negative women to determine likelihood of the fetus being affected

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18
Q

You are counseling a 30-year-old woman who wants to become pregnant. Which of the following is the most accurate method for her to time intercourse

A

Urinary luteinizing hormone kit testing

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19
Q

A 45-year-old patient with uterine leiomyomata found on pelvic examination complains of excessive uterine bleeding. Which of the following should be the next step in the management of this patient?

A

Endometrial biopsy

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20
Q

Most common cause of breech presentation is

A

Prematurity

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21
Q

Women perceive the menstrual flow as an indication that the reproductive system is functioning well. In fact the actual menstrual flow is associated with which of the following?

A

Withdrawal of progesterone

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22
Q

n 18-year-old adolescent female undergoes laparoscopy for an acute abdomen. Erythematous fallopian tubes are noted and a diagnosis of PID is made. Cultures of the purulent drainage would most likely reveal which of the following

A

Multiple organisms

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23
Q

Signs of puerperal sepsis in any of the following except

A

Lochia rubra

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24
Q

Which of the following is not a part from the description of anatomy of the forceps

A

Needle

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25
Q

A 18-year-old G1 at 8 weeks gestation complains of nausea and vomiting over the past weeks occuring on a daily basis. Nausea and emesis are a common symptom in early pregnancy. Which of the following signs or symptoms would indicate a more serious diagnosis of hyperemesis gravidarum?

A

Hypokalemia

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26
Q

The most suitable treatment for a thirty four-year-old woman with minimal endometriosis on laparoscopy, who has been trying to conceive for two years and has pelvic pain, is?

A

Laser Ablation

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27
Q

In which of the following conditions there is constriction of the pulmonary blood vessels as a result of hypoxia and acidosis

A

Persistant pulmonary hypertention

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28
Q

Attitude and position of the fetal head – which of the following is false?

A

Attitude is the degree of flexion of the head on the neck. The ideal attitude is maximal extension

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29
Q

A patient´s husband has had a previous vasectomy reversal. They have been attempting to achieve a pregnancy for a year without success. Which of the following test should be considered primarily in this man?

A

Semen analysis

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30
Q

What degrees of contracted pelvis are contraindicated for normal labor

A

III and IV stage

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31
Q

All are true about breastmilk except?

A

The main carbohydrate is glucose

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32
Q

Partial hydatidiform moles

A

Are usually triploid

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33
Q

-Which hormonal medication is prescribed for cessation of breastfeeding

A

Bromocryptine

34
Q

What is the respiratory rate of the newborn

A
  • 40-60 / min
35
Q

Which of the following is the most common indication for primary cesarean section

A

Malpresentation

36
Q

Which of the following gametes is released from the Graafian during ovulation?

A

Secondary oocyte and first polar body

37
Q

The silverman scale is used to estimate

A

Respiratory failure

38
Q

What is the most sensitive test for detection of Trichomonas vaginalis infection

A

Nucleic acid amplification test (NAAT)

39
Q

Following the delivery of a healthy baby, which one is the first to be done

A

to clear the air passage

40
Q

Intrapartum CTG (cardiotocography) finding of late deceleration is

A

Is most commonly due to placental insufficiency

41
Q

A forceps delivery performed when the leading point of the fetal skull is at station +2 cm and not on the pelvic floors is

A

Low Forceps Delivery

42
Q

A 59 year-old woman undergoes vaginal hysterectomy and anteroposterior repair for uterine prolapse. Which of the following is a complication of this procedure that often develops within 2 weeks of surgery?

A

Stress urinary incontinence

43
Q

Which hormonal medication is prescribed for cessation of breastfeeding

A

Bromocryptine

44
Q

26-year-old G2P1 woman at 41 weeks’ gestation has been pushing for 3 hours without progress. Throughout this time, her vaginal examination has remained completely dilated, completely ffaced, and 0 station, with the head persistently in the occiput posterior position. Which of the following statements accurately describes the situation?

A

The patient is best described as having an arrest of descent.

45
Q

What are the possible complications in elective surgical abortion in second trimester?

A

all of the above

endometriosis, intrauterine adhesions , uterine perforations

46
Q

Cephalo-pelvic disproportion (CPD) in the absence of gross pelvic abnormality
can be diagnosed by

A

Trial of vaginal surgery

47
Q

A 35-year-old complains of increasing dysmenorrhea and pelvic pain. She has not become pregnant despite 3 years of unprotected intercourse. Her pelvic examination demonstrates tenderness and nodularity over her uterosacral ligaments and a 4-cm right ovarian cyst. Which of the following is her most likely diagnosis?

A

Chronic pelvic inflammatory disease (PID)

48
Q

Which of the following symptoms is NOT typical of ectopic pregnancy?

A

Rectal bleeding

49
Q

In assisted vaginal breech delivery, how is called the maneuver for delivery of the aftercoming head of the baby

A

Maunceao-Smellie-Vait

50
Q

What are the possible complications in elective surgical abortion in second trimester?

A

All of the above

Endometritis , intrauterine adhesions , uterine perforation

51
Q

The normal lochia discharge at the end of second week is called

A

Lochia alba

52
Q

A 20-year-old patient complains of painful vulvar ulcers present for 72 hours. Examination reveals three tender, punched-out lesions with yellow exudate but no induration. Which of the following is the most likely diagnosis?

A

Chancroid

53
Q

In case of suspected infection of the newborn, the antibiotic of choice is from the group of.

A

Aminopenicillins

54
Q

First trimester biochemical markers pregnancy-associated plasma protein (PAPP-A) and free beta-hCG in fetuses with trisomy 21 (Down Syndrome) are?

A

Low PAPP-A, high beta-hCG

55
Q

Which among the following is the cell division without growth?

A

Cleavage

56
Q

On the evening after a vaginal hysterectomy, a patient develops a temperature of 100.4°C. You are called to evaluate her. Which of the following do you consider most likely prior to examining the patient?

A

The temperature elevation is most likely unrelated to a surgical infection

57
Q

-Which hormone we don’t use for management dysfunctional uterine bleeding?

A

Methylergotamine

58
Q

-During the first few months of pregnancy, hypertrophy of the uterus is stimulated by which of the following?

A

Estrogen and Progesterone

59
Q

Which of the following statements best describes the role of FSH in mestruation?

A

FSH induces granulosa cell LH receptors within dominant follicules

60
Q

High levels of prolactin during breastfeeding inhibits pituitary gonadotropins FSH and LH which lead to?

A

Lactational amenorrhea

61
Q

-Implantation bleeding is called?

A

Hartman’s sign

62
Q

With regard to molar pregnancy?

A

There is a recognized association with ovarian theca-leutin cysts

63
Q

During a prenatal visit, you are assessing the fundal height. You find the fundus of the uterus to be right above the symphysis pubis. Based on this finding the patient is about how far along in her pregnancy?

A

12 weeks

64
Q

A 28-year-old woman is seen for her first obstetrical visit. Her LMP was 8 weeks ago. Her history is significant for infertility due to chronic salpingitis and she required in vitro fertilization (IVF) with multiple embryo transfer. A serum pregnancy test is positive. A transabdominal ultrasound shows an enlarged uterus containing five viable fetuses. You advise her that the optimal outcome can be achieved only with which of the following?

A

Embryo reduction.

65
Q

Breastfeeding after normal delivery should be started?

A

Immediately after birth

66
Q

-A 25-year-old woman experiences galactorrhea and amenorrhea of 8 weeks’s duration with irregular vaginal bleeding. Which of the following serum assays should initially be perfomed?

A

hCG

67
Q

-Hyperemesis gravidarum can be associated with?

A

All of the above

68
Q

True conjugate diameter of the pelvic brim measures

A

11

69
Q

Normal labor is the process by which contractions of the gravid uterus expel the fetus and other products of conception in which gestational week from the last menstrual period?

A

between 37 and 42 weeks

70
Q

Which of the following named maneuvers are used to deliver the fetal arms during vaginal breech delivery?

A

Lovset maneuver

71
Q

-Which of the following presentations is a absolute indication for Caeserean section?

A

Breech

72
Q
  1. Which of the following methods is the correct way to calculate the Estimated Date of Delivery (EDD) through the last menstrual period (LMP)?
A

First day of LMP + 9 months and 1 week

73
Q

New onset hypertension and proteinuria after 20 weeks gestation in a previously normotensive women is?

A

Preeclampsia

74
Q

A 20-year-old woman (gravida 1) has just delivered. After expression of the placenta, a red, raw surface is seen at the vaginal introitus. Simutaneously, the nurse states that the patient is pale and her BP is 70/40mm Hg. External bleeding has been of normal amount. Which of the following would be the most likely diagnosis?

A

Uterine inversion

75
Q

-A 24-year-old woman underwent a normal vaginal delivery of a term infant female. After the delivery, the placenta does not deliver even after 30 minutes. Which of the following would be the next step for the patient?

A

Attempt manual extraction of the placenta

76
Q

Umbilical arteries carry what kind of blood to the placenta?

A

Deoxygenated

77
Q

Which of the following hormone(s) is/are produced by the corpus luteum?

A

Progesterone, estrogen, inhibin, and relaxin only

78
Q

Risk factors for uterine atony are

A

All of the above

polyhydraminosis , multiple gestations , abnormal labor

79
Q

What image diagnostic method for pelvimetry is safe and can be used during pregnancy?

A

MRI

80
Q

If there is a missed abortion with long duration, the main danger is?

A

A risk of developing sepsis from decaying fetus parts

gyna (6 decks)

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