PATOK

Question 1

Absent uterus and vagina

Answer 1

MRKH syndrome

Question 2

Endocrine abnormality that causes AUB

Answer 2

Hyperthyroidism

Question 3

Androgenic steroid

Answer 3

Danazol

Question 4

PCOS is aka

Answer 4

Stein-Leventhal syndrome

Question 5

Failure of normal masculinization of the external genitalia in chromosomally male individuals

Answer 5

Androgen insensitivity syndrome (AIS; formerly known as testicular feminization; may be complete or partial)

Question 6

Symmetrical abdominal enlargement in a 40 year-old

Answer 6

Adenomyosis

Question 7

Vertically transmitted infections

Answer 7

Rubella, CMV, VZV, Parvovirus B19, HIV

Question 8

Mgt for adenomyosis

Answer 8

Hysterectomy with or without salpingooophorectomy

Question 9

Adjunct treatment for adenomyosis

Answer 9

Estrogen

Question 10

Biopsy finding in adenomyosis

Answer 10

Endometrial glands within the myometrium

Question 11

Finger-like projections and vesicles on the vulva

Answer 11

Vestibular papillomatosis; condyloma acuminatum/genital warts if not in choices

Question 12

Clue cells

Answer 12

Bacterial vaginosis

Question 13

Yellow-green frothy vaginal discharge

Answer 13

Trichomonas

Question 14

MC mode of spread of genital Tb

Answer 14

Hematogenous

Question 15

MC organ involved in genital Tb

Answer 15

Fallopian tube

Question 16

Laterality of fallopian tube Tb

Answer 16

Bilateral

Question 17

MC initial symptom of genital Tb

Answer 17

Infertility (2nd: Lower abdominal or pelvic pain)

Question 18

Treatment for genital tb

Answer 18

Anti tb drugs > surgery > anti tb drugs (9 months anti-tb drugs)

Question 19

Treatment for painful vesicular papule

Answer 19

Azithromycin

Question 20

Treatment for multiple painful vesicles

Answer 20

Acyclovir

Question 21

Shortest AP diameter

Answer 21

Obstetric conjugate

Question 22

Variable decleration

Answer 22

Cord compression

Question 23

Late deceleration

Answer 23

Uteroplacental insufficiency

Question 24

Early deceleration

Answer 24

Head compression

Question 25

Most important according to Friedman

Answer 25

Descent (1st requisite for birth of newborn; station)

Question 26

Used to deliver the after-coming head

Answer 26

Piper forceps

Question 27

Cause of post partum haemorrhage after 10 days

Answer 27

Retained secundins

Question 28

Anti-hypertensive contraindicated in pregnancy

Answer 28

ACE inhibitor (causes renal agenesis)

Question 29

One-sided lower abdominal pain associated with ovulation

Answer 29

Mittelschmerz

Question 30

Cytokine responsible for menstruation

Answer 30

PG

Question 31

Hormone responsible for menopause

Answer 31

Increased FSH

Question 32

DOC for Tb in pregnancy

Answer 32

INH

Question 33

Magamenet for eclampsia

Answer 33

MgSO4

Question 34

Avoid MMR vaccination when

Answer 34

1 month before or during pregnancy

Question 35

Susceptible pregnant women with varicella exposure should be given VZIG within ___

Answer 35

96 hours

Question 36

Why UTI is common in pregnancy

Answer 36

Decreased urinary peristalsis/urinary retention

Question 37

MC site of laceration in forceps delivery

Answer 37

Middle 1/3 posterior

Question 38

Ovarian mass in pregnancy is prone to what complication

Answer 38

Torsion

Question 39

Test to differentiate Cushing's from PCOS

Answer 39

ACTH; Dexamethasone challenge test; 24-hour urine

Question 40

Management of placenta accrete for young patients

Answer 40

Subtotal hysterectomy

Question 41

MC complication of benign ovarian cyst

Answer 41

Torsion

Question 42

MC complication of serous ovarian cyst

Answer 42

Rupture

Question 43

Management for labial adhesion with UTI

Answer 43

Estrogen cream

Question 44

With creases and lanugo

Answer 44

36-38 weeks

Question 45

Best time to give measles vaccine

Answer 45

Post-partum

Question 46

MOA of clomiphene citrate in infertility

Answer 46

Leads to depletion of estrogen receptors at the level of the pituitary and hypothalamus, interrupting the negative feedback that estrogen normally produces. As a result, GnRH secretion is improved and stimulates pituitary production of follicle-stimulating hormone (FSH), which in turn drives follicular growth and maturation with emergence of 1 or more dominant follicles

Question 47

T/F Agonist properties of clomiphene citrate manifest only when endogenous estrogen levels are extremely low

Answer 47

T