obs Flashcards
1
Q
- Female patient pregnant with history of previous 4 C-section presented
with mild bleeding and hypotension, what is the most likely cause of her
presentation “This is the full scenario no further details”
A- cord prolapse
B- Uterine rupture
C- abruptio placentae
D- fetal vessel rupture
A
B- Uterine rupture
2
Q
- Pregnant women Last menstrual period 7th of May, she has regular period
and is sure about it. What is the Expected date of delivery?
A. 10 February next year
B. 10 December same year
C. 25 December next year
D. 30 February next year
A
A. 10 February next year
3
Q
- healthy young lady just delivered a baby 4 months ago. However, she tells
you that she does not want to get pregnant for the next 2 years. What
method of contraception will you recommend?
a. Combined OCP
b. Depo Provera injection
c. Vaginal ring
d. Transdermal patch
A
b. Depo Provera injection
4
Q
- Nullipara with menorrhagia and dysmenorrhea, what is the type of
contraceptive appropriate for this patient?
A. OCP
B. Depo Provera Injection
A
A. OCP
5
Q
- When do you screen for diabetes in pregnant women ?
A. 13-14 w
B. 18-20 w
A
It should be ar 24 weeks of gestation or after.
6
Q
- A pregnant woman presented with massive vaginal bleeding from the
abruption placenta and her Hgb: 8.6, BP 84\40, HR140. What is the best
management to save her life?
A- Admit to ICU
B- Immediate Transfusion of 2 packs FFP
C- Call multidisciplinary and rapid response team (RRT)
A
C- Call multidisciplinary and rapid response team (RRT)
7
Q
- female 7 week gestation with vaginal spotting, otherwise normal, what
to do ?
A-evacuate
B-reassure
A
B-reassure
8
Q
- Pregnant at 34 weeks with blurred vision, headache and her BP 170/
What to do ?
A. stabilize + mg and wait till 37 weeks
B. call anaesthesia now and deliver
C. stabilize and give MG and deliver
A
C. stabilize and give MG and deliver
9
Q
- 34 y/o female 30 gestation with painless vaginal bleeding, did vaginal
examination found suspicious mass
(see report)
Report: US shows that the fetus corresponds to the Gestational age
What is the most appropriate next step?
A. Colposcopy
B. Cone biopsy
C. Pap smear
D. Endocervical curettage
A
A. Colposcopy
10
Q
- Newly married young woman came for routine check up gyne, highest
diagnostic value?
A. General appearance
B. Vaginal inspection
C. Abdominal exam
D. Pelvic digital exam
A
D. Pelvic digital exam
11
Q
- Monochorionic and Diamniotic twin what is the timing of cleavage ?
A) <72 hour
B) 4-8 day
C) 8-12 day
D) >13 day
A
B) 4-8 day
12
Q
- Married for 3 years, off contraceptive since 18 months and still didn’t
get pregnant
A. IVF
B. Induction ovulation
C. Infertility investigation for both wife and husband
D. Continue trying
A
C. Infertility investigation for both wife and husband
13
Q
- Pregnant Patient Presents with Cottage Cheese Discharge. What is the
Treatment of Choice?
A. Oral Anti Fungal
B. Topical Anti Fungal
C. Oral Antibiotic
D. Topical Antibiotic
A
B. Topical Anti Fungal
14
Q
- Yellow green discoloration and husband has urethral discharge,
management?
A- fluconazol
B- other antifungal
C-metronidazol
A
C-metronidazol
15
Q
- Female with vaginal discharge Grey, fishy odor , smear : show clue
cells, diagnosis?
A.Trichomoniasis
B.Bacterial vaginosis
C.Candida
A
B.Bacterial vaginosis
16
Q
- Vaginal discharge burning itching, dyspareunia thin yellow to green.
Examination revealed erythematous vulva and red inflamed friable cervix.
Microscopy examination reveled flagellated protozoa. What’s you
causative organism?
A-bacterial vaginosis
B-trichomoniasis
C-gonorrhea
D-syphilis
A
B-trichomoniasis
17
Q
- 70 years old woman, sexually active, hysterectomy done before, and
she complains of prolapse and enlarged vaginal opening, what is the
appropriate procedure?
A. sacrospinous fixation
B. Ant and post colpoperineorrhaphy
C. Manchester repair (Fothergill operation)
A
A. sacrospinous fixation
18
Q
- Pregnant 38wk at hospital planned for elective CS , US showed “
Placenta ATTACHED DEEPLY “ into uterine wall , what’s Dx:
A- P. Increta
B- P.Accreta
C- P. Penceta
D- Placenta previa
A
B- P.Accreta
19
Q
- female pregnant with type 2 diabetes on insulin. She is not complaint
with her medication. Labs: HgA1c 12. What is the most compilation?
A- preeclampsia
B- Polyhydramnios
A
A- preeclampsia
20
Q
- CTG: deceleration 41 weeks:
A- U\S and BPP
B- Delivery
C- CTG Daily
A
B- Delivery
21
Q
- 23 years old female pregnant in her 28th week, pregnancy test was
done at home. She presented with mild bleeding loss of fetal movement.
She denied any passage of tissue or abdominal pain. Transvaginal US was
done and showed pregnancy of 18 weeks and no heart beat. (No other
information was provided about the cervix). What is your diagnosis?
A-missed abortion
B-fetal dismess
C-Incomplete abortion
A
A-missed abortion
22
Q
- Hormone that confirm ovulation
A-Estogen
B-Progesterone
C-Fsh
D-Lh
A
B-Progesterone
23
Q
- pregnant in labour on at term. OE (describe breech . As head in funds
and filix both hip and knee ) spine pf baby parrele to spine of mother.
What is the lie.( Atention ask for lie not presentaion)???
A-longitudinall
B-transverse.
C-breach
D-cephalic
A
A-longitudinall
24
Q
- 20 years old lady(not 21 years) came for pap smere. Time??
A-Now
B-after 1 year
C-after 3 years
D-after 5 years
A
B-after 1 year
25
Q
- What of the following decreases the risk of preeclampsia?
A. Antibiotic
B. Aspirin
C. MgS04
A
B. Aspirin
26
Q
- Patient got rubella vaccine( doctor told her to avoid getting pregnant at
least for 2 months).But she did get pregnant after 1 month.What is the
most common possible complication?
A- abortion in the first trimester
B- fetus dead in the third trimester
C- malformations
D- not affected.
A
D- not affected
27
Q
- Female take rubella vaccination and get pregnant (less than 1 month).
What is prognosis
A- Favorable pregnancy outcome
B- fourfold malformation
C- increase risk of pregnancy loss
A
A- Favorable pregnancy outcome
28
Q
- 44 female c/o dysmenorrhea + menorrhage Pelvic exam revealed
uterus symmetric enlarge and tender endometrial biopsy normal
A- adenomyosis
B- endometriosis
C- sarcoma
D- liomyoma
A
A- adenomyosis
29
Q
- 38 weeks stable head +3 ctg showing deceleration ?
A-c.s
B- mechanical delivery
A
B- mechanical delivery
30
Q
- female c/o prolong and heavy menstrual bleeding for 10 days
A-misoprostol
B- oxytocin
A
See explanation
31
Q
- Female post term 42 weeks indication of labor had been started what
will you give her?
A-steroid
B- prostaglandin
A
B- prostaglandin
32
Q
- Lady mised period which most appropriate time of us
A. 11-13 weeks
B. 16 - 18 weeks
C. 18 - 22 weeks
A
A. 11-13 weeks
33
Q
- 19 yrs old dysmenorrhea resolve on 3rd day and resolve after few , Sxs
associated with sever pain radiated to upper thigh, she had this for several
years and getting worse
A- Primary dysmenorrhea
B- premenstrual
C- secondary dysmenorrhea
D- endometriosis
A
C- secondary dysmenorrhea
34
Q
- Pt had fibroid myomectomy, risk of placenta accreta?
A) Decrease
B) Increased
C) Unknown
D) No risk
A
B) Increased
35
Q
- Typical case of preeclampsia, asking about which of the following
clinical findings with this condition?
A-elevated mother liver enzymes
B-oligohydroamnios
C-polyhydroamnios
A
B-oligohydroamnios
36
Q
- woman with dyspareunia and spotting fresh blood after intercourse .
She had a history of warts on vulva with cryotherapy done 2 yrs back what
is the site of the bleeding?
a. valva
b. vagina
c. cervix uterus
d. body of uterus
A
c. cervix uterus
37
Q
- Pregnant with low risk pregnancy at 32 weeks came with vaginal
bleeding, diagnosed as placenta abruption and managed conservatively ,
most appropriate next step?
A- remain in hospital
B- reclassified as high risk and f/u with US for fetal growth
C-apply as low risk with f/u outpatient clinic
D-apply as low risk and f/u with US for vaginal bleeding
A
B- reclassified as high risk and f/u with US for fetal growth
38
Q
- Pregnant 28 weeks came with bilateral breast mass it was movable and
the size was3x4 cm, most appropriate next step?
A-reassurance and follow up after delivery
B- bilateral breast ultrasound
C-Bilateral breast mammogram
D-MRI
A
A-reassurance and follow up after delivery
39
Q
- Pregnant lady 26 weeks gestation presented with large genital wart
how you gonna manage?
A)Cryotherapy
B)Thermal
C)Intralesional immuno … injection
D) podophyllin
A
A)Cryotherapy
40
Q
- Pregnant lady 35 weeks gestation Known case of Bicornute uterus in
leopoid manouver you found globally soft structure in 1&2 grib Fetal
heart in the level of the umbilicus of the mother Fetal kicking felt in lower
abdomen How you will deliver this baby?
A) CS
B) Normal vaginal
C) Ventose
D) Forceps
A
A) CS
41
Q
- Pregnant lady came with SOB, she have Leg swelling , what is the most
appropriate next step?
A. CT PA
B. Chest x-ray
C. Doppler US of LL
D. V/Q scan
A
C. Doppler US of LL
42
Q
- pt with chlamydia. treatment?
A
A- Azithromycin
43
Q
- PROM How to confirm its amniotic fluid?
A. Sterile speculum examination
B. Abx
C. chemical testing
D. Fetal hormones
A
A. Sterile speculum examination
44
Q
- pt with hx of ectopic pregnancy, now pregnat. asking about the risk of
geting ectopic?
A. 5%
B. 20%
(no any choice of 10%)
A
B. 20%
45
Q
- Intrauterine device implantation patient have brown discoloration
and abdominal pain.What’s the most likely diagnosis?
A. Uterine rupture
B. Pelvic inflammatory disease
A
B. Pelvic inflammatory disease
46
Q
- 17year old female, medically free, gymnast in her class, developed
breasts later and never menstruated, on examination she is tanner stage 5
but no menstruation, diagnosis?
A. hypothalamic hypogonadism
B. imperforate hymen
C. gonadal agenesis
D. testicular feminization
A
A. hypothalamic hypogonadism
47
Q
- Post menopausal women present with itchiness and oderless
discharge with vaginal excoriation what is the dx
A- Candidiasis
B- triachomniasis
C- vagnosis
D- atrophied vaginitis
A
D- atrophied vaginitis
48
Q
- Female with vaginal discharge, examination reveals straw cells s
A- BV
B- CHLamydia
C- Trichomonas vaginalis
A
C- Trichomonas vaginalis
49
Q
- A 38 week gestation with high pressure , low platelet , protein in urine
what to do ?
A- Emergency delivery
B- Observation
Another recall: Pregnant at 38 wk GA.long senario of HTN and hemolysis
and low plt and high liver enzyme. Management?
A.observe
B.emergancy deliver
A
B.emergancy deliver
50
Q
- Fetus with breech presentation flexing hip and extending knees, what’s
the presentation?
A- Frank breech.
B- Complete breech
C- Incomplete breech
D- longitudinal
A
A- Frank breech.
51
Q
- Pregnant with SC trait.complication ?
A-IUGR
B-UTI
A
B-UTI
52
Q
- Pregnant woman at 12 week gestation known to have seizure disorder
on phenytoin (last seizure attack 6 years ago), what to do about her
medication?
A- switch the medication
B- continue the medication
C- decrease the dose
D- increase the dose
A
A- switch the medication
53
Q
- Pregnant 15 GA Known case of epilepsy on phenytoin last attack 6
years ago came to antenatal visit ?
A- stop phenytoin
B- change it to safe medication
C- refer her to neurologist to stop medication
D- continue the same
A
B- change it to safe medication
54
Q
- 14ys girl with painless vaginal bleeding every 3 weeks to 2 months with
NO clots or menstrual symptoms examination show normal breast and
pubic hair development what investigations you will order:
A- LH hormone
B- reassure
C- ultrasound
A
B- reassure
55
Q
- 40 years old female, P4 did Tubal ligation 4 years ago, after her last CS.
Her last Menstrual cycle was 6weeks ago Presented to ER with vaginal
spotting. NO abdominal pain On examination there was fullness in her
abdomen in RLQ what’s your initial step?
A-Pregnancy test
B-US
C-CT
A
A-Pregnancy test
56
Q
- 17y female with uterine bleeding, recurrent every 6to8 w,examined all
things are normal what is ur management
A-reassurance
B-pco
C-hysterectomy
A
A-reassurance
57
Q
- 32 y/o female she has abdominal pain 1 week , history of amenorrhea
for 2 months and she had hx of appendix rupture when she was 14 What is
diagnosis?
A-Diverticulitis
B-Tubal pregnancy
C-Acute cystitis
A
B-Tubal pregnancy
58
Q
- Molar pregnancy , on methotrexate
Bhcg day 1 : 560
Day 2 :340
Day3 : 180
Day 4:70
Day 5 : 70
What is next step ?
A-follow up
B⁃ Methotrexate immediately
A
A-follow up
59
Q
- Pregnant I forgot which week but the was <34 week with abruptio
placenta with minimal bleeding that was control and she is vitally stable ?
What is next
A ⁃ Stay in the hospital
B ⁃ Discharge and f/up closeley
C⁃ Immediate delivery
A
A ⁃ Stay in the hospital
60
Q
- Pregnant at 27 week, vaginal bleeding, us: placenta previa totalis, CTG
is good and mother is stable
Wht to give?
A-oxygen
B-steriod
C-antibiotics
D-tocolytic
A
B-steriod
61
Q
- Woman is using a contraceptive with strong androgenic progestin but
she get pregnant while on it Wht is the teratogenic effect of this drug on a
female fetus:
A- nothing
B- hirsutism
C- feminization
D-musculization
A
D-musculization
62
Q
- Patient 45 presents with menorrhagia. US reveals huge fibroid
distorting endometrial lining. What’s the most appropriate step to do?
A. Hysterectomy
B. Artery ligation
C. Endometrial ablation
A
A. Hysterectomy
63
Q
- Female post D&C complaining of infertility for one year, diagnosis?
A- shehan
B- asherman
A
B- asherman
64
Q
- Had gestational diabetes, has family history of DM2, came after 6
months, HbA1c 6.4 “also another glucose test was pre-diabetic by 0.1 less
than diabetes” . What’s now (no more lab or history)
A- insulin
B- A…bus
C- Gly…..
D- metformin
A
A- insulin
65
Q
- lady with sever dysmenorhea(endometriosis)not lpmrove with NSAD
what to give?
A.cocp
B.gnrh
A
A.cocp
66
Q
- What of the following decreases the risk of eclampsia?
A- Antibiotic
B- Aspirin
C- MgS04
A
C- MgS04
67
Q
- Mangmenent of polynephritis in pregnant
Admission and Iv antibiotic,
oral
A
Admission and Iv antibiotic
68
Q
- Pregnant 28 weeks presents with vaginal spotting and loss of fetal
activity. Us reveals fetus age 18 weeks and no evidence of fetal movement
or heart beat.
Diagnosis?
A. Missed abortion
B. Ectopic pregnancy
C. Fetal demise
A
A. Missed abortion
69
Q
- Severe abruptio placenta treatment
A
….
70
Q
- Menorrhagea with fibroid where is MC location ?
A
A. submucosal fibroid
71
Q
- Folic acid porophylacsis for 27kg BMI
the choices were weird
A. 0.2
B. 0.8
C. 4.5
A
B. 0.8
72
Q
- Trichomatic vaginal infection Tx
A
Metronidazole
73
Q
- Candica vaginal infection. What is risk for candida infection ?
A
A. DM
74
Q
- After delivery they found one artery in the cord ? What is the child at
increased risk for ?
Another recall: 5 days Boy with single artery umbilical cord
Dm mother
Africa race
Low fetal risk
Risk of fetal malformation 80%
A
Dm mother
75
Q
- 18 years old female recently married, asking regarding PAP smear:
A. At 21 years old
B. Now
A
A. At 21 years old
76
Q
- Pregnant in 30g with recurrent UTI :
A- Ct
B- Ultrasound
C- Culture
Another recall: Pregnant with recurrent UTI what to do?
A- X ray
B- US
C- ureteroscopy
D- cystoscopy and RET’s
Another recall: Recurrent uti in pregnancy
Mri
X ray kup
No uls in choice
A
ultrasound
77
Q
- Pregnant women with pic of pyelonephritis. What you will give?
A. oral abx
B. iv abc
A
B. iv abc
78
Q
- How to confirm molar pregnancy
A-Transvaginal ultrasound
B- mri
C- xray
A
A-Transvaginal ultrasound
79
Q
- Most common types of uterine fibroids?
A. Subserosal
B. Sub mucosal
C. Intramural
A
C. Intramural
80
Q
- Folic acid quantity for a healthy lady wants to conceive and with
no prior diseases or disorders
A. 1 mg
B. 5 mg
C. 10 mg
D. 15 mg
A
A. 1 mg
81
Q
- Pregnant with high random blood sugar reading and fasting sugar. She’s
at risk of what vaginal Infection?
A. Candida
B. Bacterial vaginosis
A
A. Candida
82
Q
- Old lady medically free with difficulty defecation and constipation,
during defecation she introduce her finger in the vagina to intiate
movement, management?
A- posterior colporrhaphy
B- Anterior colporrhaphy
C- Enterocele resection
D- Hystrectomy
A
A- posterior colporrhaphy
83
Q
- Pregnant came to antenatal clinic for folow up, her abdominal is not
consistent with fetal gestation fetal growth restriction was detected. How
to follow up with patient?
A
A- Serial ultrasound
84
Q
- 30 y/o Pregnant 30 gestation came with severe antepartum
hemorrhage, CTG with deceleration, the mother BP 90/60 what is the
appropriate next step:
A. Steroids
B. Observe
C. CS
A
?
85
Q
- What considered the Best score on biophysical profile?
A- 8/10
B- 9/10
C- 12/12
A
B- 9/10
86
Q
- Intermenstrual bleeding for 5 days, what is the most appropriate next
step?
A-Us
B- Bhcg
C- TSH
A
A-Us
87
Q
- Pregnant with hx of recurrent uti, asthma on SABA, she is on labour,
what is the drug that should be administered during labour and delivery?
A- Bethamethasone
B- Ampicllin
Forget the rest..
A
B- Ampicllin
88
Q
- Best test to see the glycemic control during pregnancy in the routine
visit in pregnant with DM?
A- random glucose
B- fasting
C- hba1c
A
C- hba1c
89
Q
- 45 years old female with Recurrent vaginal discharge curd like , what is
the most likely diagnosis?
A
A- DM
90
Q
- Patient presented with abdominal pain for 1 day intermittent, right
sided pain and fullness and rigidity
Pregnancy test is negative (she was hypotensive and had fever)
A- Appendicitis
B- Ectopic pregnancy
C- Ovarian torsion
A
C- Ovarian torsion
91
Q
- Newly married female came for routine chick up, Most important
exame
A-Pelvic digital examination
B-Vaginal exam
C-Abdomenal us
D-General appearance
A
A-Pelvic digital examination
92
Q
- A pregnant 10 weeks GA woman the cervix dilated ( 3 cm i think) tissue
passed out , in examination the cevix
was open ?
A. Inevitable abortion
B. cervical incompetence
C. Incomplete abortion
D. Threatened abortion
A
C. Incomplete abortion
93
Q
- Young female has a history of multiple miscarriages, came to
complaining that she want to conceive and want to receive all types
vaccinations. Her B-HCg is positive. What ti give her?
Measles
Rubella
Influenza
A
Influenza
94
Q
- When to screen for asymptomatic bacteruria in pregnancy?
A- 12th week
B- 20th week
A
A- 12th week
95
Q
- A Pregnant woman on the 8th week diagnosed with SCA, asking about
the dose of Folic acid to give.
A- 5mg to the 12th week
B- 5mg throughout the pregnancy
C- 0.4mg to the 12th week
D- 0.4mg throughout the pregnancy
A
B- 5mg throughout the pregnancy
96
Q
- A woman was taking highly androgenic progesterone without knowing
she is pregnant.
What complication will her daughter face?
A. Nothing will change
B. Hirsutism
C. Masculinization
D. Feminization
A
C. Masculinization
97
Q
- Which of the following is the indication of cervical cercalge
A- cervical length less than 30
B-cervical length less than 35
C- cervical length less than 25
D- cervical length less than 20
A
C- cervical length less than 25
98
Q
- Scenario about HELLP syndrome, ask about what to do ?
A
A) delivery
99
Q
- Pregnant in 38W GA, with polyhydramnios and PROM recently.
Presented with painful vaginal bleeding and uterine tenderness, CTG
finding shows persistent fetal bradycardia, what would be the cause?
A. Cord prolapse
B. Abruptio placenta
C. Vasa previa
D. Placenta previa
A
B. Abruptio placenta
100
Q
- Pregnant lady,41 GA in labor on epidural analgesia, mg sulfate for
pre-eclampsia and oxytocin, CTG showed prolonged deceleration and the
mother was hypotensive, most likely cause of the CTG finding:
A. Mg sulfate
B. Oxytocin
C. Epidural analgesia
A
C. Epidural analgesia
101
Q
- 40 us lady with heavy bleeding came to er, what to do?
A) IUD
B) D\C
C) Hysterectomy
D) Mefanemic acid
A
B) D\C
102
Q
- Young Female patient has severe dysmenorrhea she is taking NSAIDs
but still symptomatic…next step in managment?
A) oral contraceptives drugs
B) Diagnostic Laprospcopy
A
A) oral contraceptives drugs
103
Q
- A patient with pulmonary embolism that wants contraception ?
A) condom
B) IUD
C) OCP
D) POP
A
B) IUD
104
Q
- 47 year women came to the clinic complaining of abdominal distention
and heaviness
US and CT :
Ovarian mass 10*12cm , ascites and thicking of peritoneum
1-surgery only
2- surgery with chemo
3 -surgery with radiation
4-radiation therapy
A
2- surgery with chemo
105
Q
- 37 years old woman asymptomatic found to have 5x7 subserousal
fibroids
Most appropriate step in management?
- myomectomy
- hysterectomy
- follow up with US every 12 months
- follow up with US and Complete blood count every 2 months
A
- follow up with US every 12 months
106
Q
- Mother in second trimester, have negative rubella , and want vaccine
when to give ?
A) now
B) post partum
A
B) post partum
107
Q
- Female pregnant first trimester, which one of the following blood
chemistry will mostly appear ?
A. Increase in plasma Na
B. Decrease in creatinine
C. Increase BUN
D. Unchanged BUN
A
B. Decrease in creatinine
108
Q
- When to do a full congenital anomalies US?
A. 14-16 weeks
B. 18-20 weeks
C. 22-24 weeks
D. 24-26 weeks
A
?
109
Q
- US detailed anatomy scan :
A-18-20 wk
B-10-12 wk
C-30
A
A-18-20 wk
110
Q
- Best indicator of chromosomal abnormalities in which week?
A-16 to 18wk
B-18 to 22wk
C-13 to 16wk
D-24 to 28wk
A
A-16 to 18wk
111
Q
- Pregnant lady did CTG and showed fetal abnormalities ( no other
details)
What will do INITIALLY?
A- oxygen
B - IV fluid
C- lateral position
D - C/s
A
?
112
Q
- A female with vaginal discharge and in examination there is “red
strawberry cervix”
A- Chlamydia
B- Neisseria gonorrhea
C- Trichomonas vaginalis
A
C- Trichomonas vaginalis
113
Q
- Female GBS swap 100000, 2 count in 10 minutes, cervix 7 cm, wt to do:
A. Oxytocin
B. Ampicillin
A
B. Ampicillin
114
Q
- Female pregnant with recurrent late deceleration and fetal bradycardia
and dilated 6cm what to do ?
- Emergency CS
- Reassure
- Induction
A
?
115
Q
- 52 y/o , last menstrual 12 month ago..ect, What is the responsible for
this condition?
A- FSH
B- Estradiol
C- progesterone
A
?
116
Q
- Pregnant at 13 weeks of gestation with history or spontaneous fetal loss
at 20 week. What is the most appropriate action to do?
A- Regular F/U without specific intervention
B- Cervical cerclage now
A
?
117
Q
- 60y old lady present with lower genital bleeding, she described it as
Scanty and barely stain the pad , what is the source of bleeding
A- Fallopian tube
B- Ovary
C- Uterus
D- Genital tract
A
?
118
Q
- Female patient complaing of menstrual irregularity,hypertension,
Hirtusm With high androgen in the blood US shows multiple small cysts in
the ovaries What is the most likely diagnosis?
A) gynecomastia
B)Kallmann syndromes
C)klinefelter syndrome
D) Stein-Leventhal syndrome
A
?
119
Q
- 28 years old female tried to get pregnant for many years, did IVF 2
times, now she’s pregnant in i forgot which week but was 2nd trimester
and US showed multiple fibroids, how to treat her without harming her
pregnancy?
A- myomectomy
B- GnRH injections
A
?
120
Q
- Patient give birth to Rh positive baby, she took anti-D immune globulin
during pregnancy, how much will give her after birth
A. 300
B. 1000
C. 2000
D. No need
A
?
121
Q
- pregnant patient in 1st trimester ( 6 weeks) came with palpatation and
sweating and other hyperthyroidism symptoms, all investigations were
done and it showed she had + ve antibodies.
They were asking about the initial management;
A- thyroidectomy
B- BB
C- propylythiouracil
D- methimazole
A
?
122
Q
- Lady presenting with history of 2 preterm labor, And currently
presenting with minimal vaginal bleeding / spotting, what is the next step:
A- estrogen
B- progesterone
C- LH
A
?
123
Q
- Female secondary infertility for 3 years hx of appendectomy (pic of
HSG) dx?
A-Adhesion ( I think it was the right answer in picture
B-Endometriosis
A
Most probably A
124
Q
- Why ACIs is Contraindicated during pregnancy :
A-fetal anomaly
B-Renal impairment of the fetus
A
?
125
Q
- A 37 y.o primigravida was diagnosed with sub-fertility. She smokes for 3
years. What is the highest risk factor?
A- Age
B- Smoking
C- Sub-fertility
A
A- Age
126
Q
- Female has headache, anxiety and mastalgia 10 days before her
periods, and she is asymptotic for the rest of the cycle. What is the Dx?
A. Pms
B. pelvic congestion syndrome
A
A. Pms
127
Q
- 30 years old female, pregnant , GA 33 , presented with fever, rigor , and
loin pain , she has hx of UTI twice in this pregnancy. What is the most
appropriate management?
A.MRI pelvis
B. Uretroscopy
C. Septic screening
D. Xray of kidney ,ureter and gallbladder
A
C. Septic screening
128
Q
- Which of the following is true regarding single umbilical artery?
A) Associated with maternal diabetes
B) Major malformation in 80% of cases
C) Low fetal mortality
D) Associated with african race
A
A) Associated with maternal diabetes
129
Q
- Young pregnant lady 8 weeks gastation , has vaginal spots , closed
cervix , Not palpable uterus, dx ( no mention about US finding) :
Normal pregnancy
Threatened abortion
Missed abortion
A
Threatened abortion
130
Q
- Female just gave birth 2 weeks ago and was having GDM and family
history of DM type2 and came for screening HBA1C was 5.5 Fasting was
normal And she is obese What drug to give?
Metformin
Acrobose
Galtride some things like that
Insulin
A
Metformin
131
Q
- 38 GA presented with headache and high BP. Labs show Hb 120 (within
normal range), low platelets, high liver enzymes. How to manage?
A- immediately delivery
B- MgSo4
A
A- immediately delivery
132
Q
- A 25 year old primigravida at 36 weeks gestation presented with
feeling fatigue and unwell. She shortly developed shortness of breath and
died. XRAY showed Enlargement of the cardiac silhouette What is the
likely cause of her presentation?
A) Amniotic Fluid Embolism
B) Peripartum Cardiomyopathy
A
B) Peripartum Cardiomyopathy
133
Q
- 17 yrs Senario of primary dysmenorrhea severe pain affect on life and
school attendance. She was on NSAID and pain become less severe, she
able to go school and do her life activities.. most appropriate next step?
1-OCP
2-counseling and education of self care
A
?
134
Q
- female givin heparin after Delivery she had patient profuse bleeding
with uterin contractions and developed DIC what to give
Vit K
FFP
A
?
135
Q
- Which of the following associated with increase risk of endometrial
cancer?
- nullparty
- underweight
- oral progesterone
- family hx of thyroid cancer
A
?
136
Q
- 30 year old female pregnant with new symptoms of dyspnea,
productive cough and fatigue. Doppler US was negative what is the next
test to do:
A: cta
B: d dimer
C: spirometery
D: ventilation and perfusion scan
A
?
137
Q
- A pregnant with previous normal delivery has low hbg. She has a hx of
frequent hospitalizations 1-2 every year. now no chest syndrome or
vasoocclusive crisis. What is the most appropriate management?
A: Observe
B: Blood transfusion
C: Exhange transfusion
D: hydroxyurea
A
?
138
Q
- Pregnant at 24 week all is good she’s just complaint of protruding mass
from the vagina, diagnosed as posterior vaginal wall Prolapse, what to do
?
A- reassure
B- Emergency delivery
A
?
139
Q
- Preeclampsia what expected to be significantly decrease?
A-Plasma uric acid
B-Plasma creatinine
C-Plasma volume
D-Serum urea
700
A
?
140
Q
- Standard therapy for PPH due to uterine atony?
A-oxytocin
B-ergot
A
?
