Old Wall Quiz #7

Question 1

1. All of the following are typical eligibility
   requirements for breech extraction of a second
   non-vertex twin EXCEPT:
   A. Pregnancy >28 weeks
   B. EFW>1500 g
   C. Skilled obstetrician trained in vaginal
   breech extraction
   D. Presenting twin is smaller and vertex
   E. ECV is first step prior to breech extraction

Answer 1

e

Question 2

2. Which of the following bacteria are least likely
causative in Chorioamnionitis?
A. Ureaplasma
B. Bacteroides
C. Gardnerella
D. Gonorrhea
E. Mycoplasma

Answer 2

d

Question 3

4. To expand the uterine cavity during diagnostic
hysteroscopy, intrauterine pressures of
distension media must reach at least how many
mm Hg?
A. 100 mm Hg
B. 60 mm Hg
C. 30 mm Hg
D. 10 mm Hg
E. 5 mmHg

Answer 3

b

Question 4

5. Where is the highest amount of C02 in the
fetal heart?
A. Left ventricle
B. Left atrium
C. Right atrium
D. Right ventricle
E. Umbilical artery

Answer 4

d

Question 5

7. All of the following vessels arise from the
   anterior branch of the internal iliac EXCEPT?
   A. Middle sacral
   B. Uterine
   C. Superior vesical
   D. Vaginal
   E. Internal pudendal

Answer 5

a

Question 6

8. What parameter would change on the semen
analysis of a 47XXY?
A. Sperm concentration
B. Forward progression
C. Sperm Morphology
D. Semen Volume
E. Semen pH

Answer 6

a

Question 7

11. On electrophoresis Beta thalassemia would
    show which of the following results:
    A. HbS – 85%, HbA – absent, HbA2 –2-3%, HbF
    - <10-15%
    B. HbA – 96%, HbA2 - > 3.5%
    C. Hb A –97%, HbA2 –-3%, HbF-<1%
    D. HbA- absent, HbH- 10-20%, HbBart’s-10-20%
    E. HbF -50% HbA – 50%

Answer 7

b

Question 8

22. For a woman with a BRCA-1 mutation, the
risk of ovarian cancer is:
A. 20%
B. 40%
C. 50%
D. 75%
E. 95%

Answer 8

b

Question 9

24. A pregnant women presents to your office
with a known history of Factor V Leiden
deficiency (homozygous), and a history of a VTE.
What is her chance of having a venous
thromboembolism?
A. 1.5%
B. 6%
C. 17%
D. 24%
E. 51%

Answer 9

c

Question 10

31. A 52 y/o asymptomatic female presents
    with 6 cm ovarian mass with thin internal septations, and one solid projection. Serum CA-125 is 9. Previous ultrasound 2 months ago revealed the mass to be 2.0 cm. The next best
    step is:

A. Computed tomography scan
B. Surgical management
C. Expectant management with serial Ca-125
D. Transvaginal aspiration of cyst
E. CT guided drainage of cyst

Answer 10

b

Question 11

35 Assisted euthanasia is legal in all the following
states EXCEPT:
A. Vermont
B. Colorado
C. Washington
D. Oregon

Answer 11

b

Question 12

39. A patient went to an outdoor graduation
    party and states she is now experiencing severe
    diarrhea with vomiting. What is the most likely
    cause?
    A. Staphylococcus aureus
    B. Salmonella
    C. E. coli
    D. Rotavirus
    E. Shigella

Answer 12

a

Question 13

43. Which anesthetic is associated with
neurotoxicity and cardiotoxicity at virtually
identical serum drug levels?
A. Lidocaine
B. Tetracaine
C. Bupivacaine
D. Ropivacaine
E. Marcaine

Answer 13

c

Question 14

49. The most common sex chromosome
aneuploidy is:
A. Trisomy 21
B. Klinefelter's syndrome (47 XXY)
C. Trisomy 18
D. Turners syndrome (45X)
E. Trisomy 13

Answer 14

b