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Obs And Gyne > Y5 Only > Flashcards

Y5 Only Flashcards

1
Q

A 30 year old pre-eclamptic at 34 weeks had an ultrasound scan done. Which one of the following findings is most likely suggestive of asymmetric fetal growth restriction.

A

An AC of 30 weeks and an HC of 33 weeks

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2
Q

Regarding osteoporosis, which of the following is not true?

A

It is due to impaired bone remineralization, leading to softening of the bone

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3
Q

A 35 year old woman with a parity of 2+2 had an OGTT done at 28 weeks. The values was follows: fasting 90 mg/dl, one hour 160 mg/dl, two hour 35 mg/dl. What would be the next step in management? 

A

Reassure and continue routine antenatal care

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4
Q

Which of the following is not a recognized risk factor for ovarian cancer?

A

Use of the oral contraceptive pill

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5
Q

Active management of the third stage of labor involves the following, except

A

Delayed cord clamping

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6
Q

Is 16 year old girl presents with left iliac fossa pain. An ultrasound scan of the pelvis shows is 7 cm complex ovarian with solid, calcified, and fatty deposits. What is the most likely diagnosis?

A

Mature, cystic, teratoma 

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7
Q

Which of the following is not a recognized indication for the use of MgSO4

A

Prevention of RDS in the neonate in preterm labor

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8
Q

Regarding fetal circulation, which of the following is not true

A

The ductus venosus develops into the ligamentum teres after birth

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9
Q

The Lall phase of the ovarian cycle

A

Commences about 14 days prior to menstruation 

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10
Q

Menopausal symptoms include the following, except

A
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11
Q

Which of the following is not true regarding ovarian cysts

A

Dysgerminomas are not radio sensitive 

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12
Q

In a normal 28 day menstrual cycle, when would you expect the LH surge to occur?

A

Day, 11 to 13 

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13
Q

Which of the following is not a recognized risk factor for endometrial cancer?

A

Multiparity 

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14
Q
A

Fetal hypoxia

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15
Q

Which statement is most accurate regarding cervical circlage?

A

It may be placed using the transvaginal approach 

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16
Q

It 25 year old primigravida is induced at 38 weeks due to type one diabetes and pregnancy. She had dinopostone 3 mg and inserted into the posterior fornix 4 hours ago. You review her and she is now 3 cm dilated with regular contractions every five minutes.what would the most appropriate next step in management be?

A

Leave alone and monitor progress of labor

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17
Q

Which one of the following statements regarding diabetes and pregnancy is correct

A

The risk of congenital anomalies rises in relation to maternal hemoglobin A1c

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18
Q

An ultrasound scan is being performed at 20 weeks of gestation for a patient who is known to have monochorionic diamniotic twins. Which of the following findings may suggest twin to twin transfusion syndrome and does require close and monitoring?

A

Olga hydramine in twin 1

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19
Q

Which of the following is false regarding postdatism?

A

It is defined as a gestational age greater than 42 weeks 

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20
Q

Which of the following is least likely to be associated with endometriosis

A

Postcoital bleeding 

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21
Q

25 year old, severe pre-eclamptic at 33 weeks gestational age is admitted to the ward for blood pressure control. She had an ultrasound scan performed which showed features suggestive of asymmetric fetal growth restriction. Which of the following is not a recognized modality for monitoring in this group restricted fetus?

A

Doppler of the ductus arteriosus

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22
Q

When performing a vaginal breech delivery, which of the following should not be performed?
a. Hands off approach
b. Free a loop of cord after delivery of umbilicus
c. Axial traction
d. Ensure the fetus is in a back up positon
e. Mauriceau-Smellie-Veit manouvre for delivery of the head

A

c. Axial traction

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23
Q

With 34 year old woman was admitted at 37 weeks gestation with heavy, vaginal bleeding and abdominal pain anomaly scan at 20 weeks gestation showed the placenta that is located at the uterine fundus. What is her most likely diagnosis?

A

Placental abruption 

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24
Q

HRT is associated with a reduced risk of

A

Colon cancer 

25
Q

Regarding methotrexate in the medical management of ectopic pregnancy, which of the following is false? 

A

Women should delay pregnancy for at least 2 months after administration 

26
Q

A 26 year old, nulliparous woman presented to the gynecology clinic with abnormal uterine bleeding. She gives a history of irregular, in frequent periods, dysmenorrhea and superficial dyspareunea. She has recurrent visits to the dermatologist for acne. An ultrasound done short, 3 2 cm subserosal fibroids and an endometrial thickness of 8 mm. Which of the following is the most likely cause of her bleeding?

A

Polycystic ovary syndrome 

27
Q

Which of the following is the main advantage of performing a medio lateral episiotomy?

A

Less anal sphincter damage

28
Q

The registrar on duty just induced a patient by inserting, a dinoprostone, 3 mg tablet into the posterior fornix of the vagina. He proceeds to write the notes. Which of the following is least likely to include in this entry in the notes.

A

For repeat dose, in three hours if cervix is still unfavorable 

29
Q

All of the following are associated with neonatal syphilis, except

A

Blackberry pupils

30
Q

The midwife on duty asks you to review a patient who has just been seen in the labor ward admission room. She tells you that the patient has a twin gestation and is complaining of contractions Every 15 minutes. which of the following factors is least likely to influence the management of this patient.

A

Presentation of twin 2

31
Q
A

0, 1, 2 

32
Q

A patient presents with vulval itching, vaginal soreness and a profuse white cottage trees like discharge. What is the most likely diagnosis?

A

Candidiasis

33
Q

The following statements about patients with sickle cell disease and pregnancy are true, except

A

They should have a blood transfusion at 34 to 35 weeks to reach a hemoglobin level of 11 g / DL 

34
Q

A 30 year old with a parity of 4+1 presented to the gynecology ward with mild vaginal bleeding for eight days. She has a regular cycles and is unsure of her last menstrual Period. her urine pregnancy test is positive. On examination, the abdomen is non-tender, the OS admits the finger, there is minimal vaginal bleeding, and no products of conception as seen. An ultrasound showed no intrauterine gestation, no free fluid and no adnexal masses. What would be your next step in management?

A

Perform a 0 hour and 48 hour beta hcg 

35
Q

Regarding Pavo virus, which of the following is not true

A

It is a RNA virus

36
Q

During a total abdominal hysterectomy, with ovarian conservation, which of the following is not ligated?

A

Ovarian ligament 

37
Q

What is the most reliable way of diagnosing placenta previa?

A

Transvaginal ultrasound 

38
Q

What is the most appropriate management option for a 60 year old postmenopausal woman with two episodes of vaginal bleeding

A

Hysteroscopy and endometrial biopsy 

39
Q

Liver adhesions, secondary to pelvic, inflammatory diseases, known as

A

Fitz Hugh Curtis syndrome 

40
Q

Which of the following cardiovascular changes is not associated with pregnancy

A

Pulmonary hypertension 

41
Q

836 year old male has been trying with his partner for a pregnancy. He attempts your clinic with semen analysis result and some blood tests. On semen concentration is 0.2 M/ML, FSH 0.3 IU/L, LH 1 IU back/L and testosterone 1970 ng/DL. Which of the following is the most likely diagnosis

A

Anabolic steroid use

42
Q

Tranexamic acid

A

Is contraindicated in women with a previous thromboembolism

43
Q

You are the intern on duty and your registrar asks you to perform the routine pre-eclampsia blood investigations for a patient with moderate preeclampsia. Which of the following options would you request?

A

e. CBC, RFT, LFT, PT/PTT

44
Q

A 24-year-old is seen with her partner in the gynaecology outpatient clinic with a history of 5 first trimester miscarriages and a left femoral DVT. Her partner is 30 years old and has 2 children with a different partner.
Which of the following investigations would be most helpfl in reaching a diagnois?

A

d. Lupus anticoagulant antibodies

45
Q

In Trinidad, the standard CTG paper speed (horizontal scale) is set at:

A

b. 1cm/min

46
Q

Which of the following is NOT a cause of secondary amennorhoea

A

e. Mayer-Rokitansky-Kuster Hauser syndrome

47
Q

Regarding Mirena as a form of contraception, which of the following statements is true

A

a. It causes endometrial atrophy

48
Q

Which of the following regarding breech presentation is TRUE?

A

d. A Caesarean section is recommended if there is a breech presentation at term

49
Q

Possible pharmacological alternatives to HRT include all of the following EXCEPT:

A

b. Ca channel blockers

50
Q

Which of the following risks is LEAST likely to be associated with preterm prelabour rupture of membranes?

A

e. Pre-eclampsia

51
Q

Choose the option that is the GREATEST contraindication to epidural anaesthesia.

A

Hypovolemia

52
Q

The internal pudendal artery leaves the pelvis via what structure?

A

Greater sciatic foramen

53
Q

A 30-year-old with a parity of 1+0 attends the antenatal clinic at 36 weeks gestational age. She has no medical problems, no prior surgeries and had an uncomplicated pregnancy thus far. On examination, the fetus was found to be in a frank breech presentation. Which of the following is LEAST LIKELY to be an appropriate management option?

A

c. Leave alone with the hope of spontaneous version

54
Q

The temporary swelling on the baby’s head created by the ventouse suction cup during a vacuum assisted: delivery is known as:

A

d. A Chignon.

55
Q

Advantages of laparoscopic surgery include the following EXCEPT?

A

e. Easier to perform

56
Q

Which of the following should be avoided when managing a cardiac patient in labour?

A

c. Intramuscular Syntomerine

57
Q

Which of the following is NOT a recognised cause of pruritis vulvae?

A

e. Nephrotic syndrome

58
Q

Regarding complete molar pregnancies, which of the following is FALSE?

A

d. They are less likely than partial moles to require chemotherapy

Obs And Gyne (2 decks)

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