tought q's Flashcards
New onset hypertension and proteinuria after 20 weeks gestation in a previously normotensive women is A. Placental abruption B. Preeclampsia C. Preterm delivery D. All of them E. None of them
Preeclampsia
A 32-year-old G1P0 reports to your office for a routine OB visit at 14 weeks gestational age.
Labs drawn at her first prenatal visit 4 weeks ago reveal a platelet count of 60.000. a normal PT
PTT and bleeding tot de normal limits. During the present visit, the patient has a blood
pressure of 120/70 mm Hg. Her urine dio reveals the presence of trace protein. The patient
denies any complaints. The only medication setting up On taking a more in-depth history you
learn that, prior to pregnancy, your patient had a history of occasional nose and qum bleeds,
but no serious bleeding episodes. She has comidard benet to be upon the brow the following
is the most likely diagnosis?
A. Alloimmune thrombocytopenia B. Gestational thrombocytopenia C. Idiopathic thrombocytopenic purpura D. HELLP syndrome E. Pregnancy-induced hypertension
Idiopathic thrombocytopenic purpura
Which of the following is the most common indication for primary cesarean section?
A. Dystocia B. Prolapsed cord C. Diabetes D. Toxemia E. Malpresentation Frage
Dystocia
An 18-year-old adolescent female undergoes laparoscopy for an acute abdomen.
Erythematous fallopian tubes are noted and a diagnosis of PD is made. Cultures of the pure
drainage would most likely reveal which of the following?
A. Multiple organisms
B. Chlamydia trachomatis
C. Peptostreptococcus species
D. Neisseria gonorrhoeae
Multiple organisms
Variable decelerations during labor are caused by:
A. Placental abruption
B. Placental insufficiency
C. Cord compression
D. Head compression
Cord compression
A patient at 17 weeks gestation is diagnosed as having an intrauterine fetal demise. She returns to your
office 5 weeks later and her vital signs are: blood pressure 11072 mm Hg, pulse 93 beats per minute,
temperature 36.38°C, respiratory rate 16 breaths per minute. She has not had a miscarriage, although she
has had some occasional spotting Her cervix is closed on examination. This patient is at increased risk
for which of the following?
A. Septic abortion B. Recurrent abortion C. Consumptive coagulopathy with hypofibrinogenemia D. Future infertility E. Ectopic pregnancies
You’re assessing a patient’s chart and find that the patient is 36 weeks pregnant. Where should you find
the fundus of the uterus during your assessment of fundal height?
A. 4 cm below the xiphoid process
B. At the umbilicus
C. Xiphoid process
D. Pubic symphysis
Xiphoid process
False contractions are characterized by all except:
A. Occur at irregular intervals
B. Cervix dilates
C. Intensity doesn’t change
D. Pain is primarily in the lower abdomen
Cervix dilates
A complication of placental abruption IS NOT
A. Hemorrhagic shock
B. Consumptive coagulopathy (DIC)
C. Uterine inversion
D. Renal failure
C. Uterine inversion
Temperature of 38-C or higher on any two of the first 10 days postpartum, exclusive of the first 24 hours
is any of the following EXCEPT
A. Puerperal pyrexia
B. Normal physiological reaction in puerperium
C. Can be a sign of thrombophlebitis
D. Can be a sign of endometritis
Normal physiological reaction in puerperium
An 18-year-old adolescent female presents to the emergency department with a 36-hour history of
abdominal pain and nausea. Her temperature is 100.5°F (38.05°C). Her abdominal examination reveals
tenderness in the right lower quadrant with some mild rebound tenderness. Pelvic examination shows
some cervical motion tenderness and adnexal tenderness, and also some right-sided abdominal
tenderness. The pregnancy test is negative. In considering the differential diagnosis of appendicitis
versus PID, which of the following is the most accurate method of making the diagnosis?
A. Following serial abdominal examinations
B. Sonography of the pelvis and abdomen
C. Laparoscopy
D. Serum leukocyte count and cell differential
Laparoscopy
New onset hypertension and proteinuria after 20 weeks gestation in a previously normotensive
women is
A. Placental abruption B. Preeclampsia C. Preterm delivery D. All of them E. None of them
Preeclampsia
A 32-year-old G1P0 reports to your office for a routine OB visit at 14 weeks gestational age.
Labs drawn at her first prenatal visit 4 weeks ago reveal a platelet count of 60.000. a normal PT
PTT and bleeding tot de normal limits. During the present visit, the patient has a blood
pressure of 120/70 mm Hg. Her urine dio reveals the presence of trace protein. The patient
denies any complaints. The only medication setting up On taking a more in-depth history you
learn that, prior to pregnancy, your patient had a history of occasional nose and qum bleeds,
but no serious bleeding episodes. She has comidard benet to be upon the brow the following
is the most likely diagnosis?
A. Alloimmune thrombocytopenia B. Gestational thrombocytopenia C. Idiopathic thrombocytopenic purpura D. HELLP syndrome E. Pregnancy-induced hypertension
Idiopathic thrombocytopenic purpura
Variable decelerations during labor are caused by:
A. Placental abruption
B. Placental insufficiency
C. Cord compression
D. Head compression
Cord compression
Engaging diameter in fully flexed vertex presentation is:
A. Suboccipitobregmatic
B. Occipitofrontal
C. Mento Vertical
D. Sub Occipitofrontal
Suboccipitobregmatic
When performing a vaginal hysterectomy for any indication, prevention of future enterocele or vaginal
vault prolapse is aided by which of the following?
A. Closing the vaginal mucosa
B. Reattachment of the round ligaments to the vaginal cuff
C. Complete a purse string suture closure of the cul-de-sac peritoneum
D. Reattachment of the cardinal and uterosacral ligaments to the vaginal cuff
Reattachment of the cardinal and uterosacral ligaments to the vaginal cuff
Screening tests for diabetes in pregnancy include everything except
A. Performing glycosylated haemoglobin estimations on all women who have had a macrosomic baby >45
kg)
B. Random blood sampling at 28-32 weeks.
C. A 50 g glucose load at booking.
D. A 50 g glucose load at 28 weeks if potential diabetic features pertain
E. Glucose testing of the urine ?
Glucose testing of the urine
Emergency contraception can be effective if administered up until how long after intercourse?
A. 5 days
B. 48 hours
C. 72 hours
D. 24 hours
5 days
When does the development of heart begin?
A. 1st week
B. 12th week
C. 3rd week
D. 10th week
3rd week
Most common cause of breech presentation is ?
A. Prematurity
B. Postmaturity
C. Contracted pelvis
D. Diabetes mellitus
Prematurity
What are the indications for caesarean hysterectomy?
A. Placenta previa
B. Severe cervical dysplasia or early cervical cancer
C. An unrepairable uterine scar
D. Laceration of major uterine vessels
Placenta previa
The largest presenting diameter in cephalic presentation is:
A. Submentobregmatic
B. Mentovertical
C. Biparietal diameter
D. Suboccipitobregmatic
Mentovertical
Pregnant women in 9 g.w., with pain in a lower part of the abdomen, slight vaginal bleeding, by the USD
examination - GS 30mm in diameter, without FHR of the embryo, TV examination-OECC is closed,
uterus size is corresponding to the gestational age. What is the diagnose?
A. incomplete abortion
B. missed abortion
C. threatened abortion
D. septic abortion
incomplete abortion
The parameters measured by ultrasound to assess the gestational age of the fetus are all except
A. Biparietal diameter
B. Crown rump length
C. Fetal weight
D. Femur length
Fetal weight
