Part 1 Flashcards
1- Which of the following muscles will be affected during normal vaginal delivery?
A-coccygeal
B-pubococcygeal
C-ischial…
1st degree: vaginal mucosa affected only (skin & subcutaneous tissue but the perineal muscles remain Intact).
2nd degree: involvement of perineal body muscles which includes: (not anal sphincter) bulbocavernous superficial transverse perineal muscle pubococcygeus muscles
3rd degree: involvement of the external anal sphincter and/ internal anal sphincter.
4th degree: extent through the anal mucosa.
Lactating mother complaining of breast tenderness, hotness and redness, diagnosed to have bacterial mastitis. What will you recommend for her?
A. Continue breast feeding, hot compressor and antibiotic.
B. Discontinue breast feeding and give antibiotic to mother and baby.
A
3-Multigravida in labor with 60% effacement and dilated cervix (5 cm). After 1 hour she still has 60% effacement but the cervix dilates to 6 cm. What will you do for her? A. expectant management
B. oxytocin
C. cervix ripening
D. artificial rupture of membranes
A
Cervical ripening via intravaginal PGE2 in case of closed cervix.
4- Swelling at the labia majora for 6 month. It was aspirated and now it relapsed. What is your management?
A. Aspiration
B. Marsupialization
B
Bartholin gland abscess
- pain and swelling inferolateral
- I&D
- Marsupilization under GA
Primigravida week 16. She is RH negative. What is your next step?
A-US
B-Anti-D Rh immunoglobulin
C-Rh antibody titer
C
If unsensitized (no antibodies), give RHOGAM is given in
- 28 weeks
- Abortion
- amniocentesis
- Vaginal bleeding
- Delivery
42 years old female complaining of amenorrhea, night sweat and flushing for the last 6 months. What is the most likely diagnosis? A-Hypothyroid B-Hyperprolactinemia C-Congenital adrenal Hyperplasia D-Pheochromocytoma
The answer is B
Hyperprolactinemia inhibits GnRh, FSH and LH, and this can be a cause of secondary ovarian insufficiency
Multigravida 34 week, her baby is breech, what you will do for her?
A-expectant delivery
B-CS
A
ECV: after 36 weeks and before labor.
What is the most common cause of vaginal bleeding?
The most common specific causes in adult women who are not known to be pregnant are: Anovulatory (dysfunctional uterine) bleeding
Which of the following non hormonal supplements will decrease the hot flashes in postmenopausal women?
A-Black Cohosh
B-Paroxetine
C-Bromocriptine
B
Why postmenopausal women develop osteoporosis?
A. decrease progestin
B. increase FSH
C. decrease Estrogen
C
In polycystic ovarian syndrome, which of the following will be found on blood test?
A -FSH:LH 1:3
The LH-to-FSH ratio greater than 1
Mom wants to know if her baby is having thalassemia or not. How you will investigate her antenatally?
CVS 10-12 wk
Amniocentesis 15-16 to term
21 years old Female with negative pap smear. You should advise her to repeat pap smear every:
A-6 months
B- 12 months
C-18 months
D-no repeat
I think the choices are wrong and the answer is q3 years. However if these are the real choices choose B. (Annual screening vs. q3 screening: showed q3 is more effective)
Woman with endometriosis. What is the best way to diagnose?
laparoscopy
How ectopic pregnancy occurs at the cellular level? A-Disappearance of zona pellucida. B-Fertilization at ampulla tube. C-Persistence of Zona pellucida. D-Fast division of blastomere.
A
