Y5 Only Flashcards
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.
An AC of 30 weeks and an HC of 33 weeks
Regarding osteoporosis, which of the following is not true?
It is due to impaired bone remineralization, leading to softening of the bone
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? 
Reassure and continue routine antenatal care
Which of the following is not a recognized risk factor for ovarian cancer?
Use of the oral contraceptive pill
Active management of the third stage of labor involves the following, except
Delayed cord clamping
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?
Mature, cystic, teratoma 
Which of the following is not a recognized indication for the use of MgSO4
Prevention of RDS in the neonate in preterm labor
Regarding fetal circulation, which of the following is not true
The ductus venosus develops into the ligamentum teres after birth
The Lall phase of the ovarian cycle
Commences about 14 days prior to menstruation 
Menopausal symptoms include the following, except
Which of the following is not true regarding ovarian cysts
Dysgerminomas are not radio sensitive 
In a normal 28 day menstrual cycle, when would you expect the LH surge to occur?
Day, 11 to 13 
Which of the following is not a recognized risk factor for endometrial cancer?
Multiparity 
Fetal hypoxia
Which statement is most accurate regarding cervical circlage?
It may be placed using the transvaginal approach 
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?
Leave alone and monitor progress of labor
Which one of the following statements regarding diabetes and pregnancy is correct
The risk of congenital anomalies rises in relation to maternal hemoglobin A1c
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?
Olga hydramine in twin 1
Which of the following is false regarding postdatism?
It is defined as a gestational age greater than 42 weeks 
Which of the following is least likely to be associated with endometriosis
Postcoital bleeding 
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?
Doppler of the ductus arteriosus
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
c. Axial traction
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?
Placental abruption 
HRT is associated with a reduced risk of
Colon cancer 
Regarding methotrexate in the medical management of ectopic pregnancy, which of the following is false? 
Women should delay pregnancy for at least 2 months after administration 
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?
Polycystic ovary syndrome 
Which of the following is the main advantage of performing a medio lateral episiotomy?
Less anal sphincter damage
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.
For repeat dose, in three hours if cervix is still unfavorable 
All of the following are associated with neonatal syphilis, except
Blackberry pupils
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.
Presentation of twin 2
0, 1, 2 
A patient presents with vulval itching, vaginal soreness and a profuse white cottage trees like discharge. What is the most likely diagnosis?
Candidiasis
The following statements about patients with sickle cell disease and pregnancy are true, except
They should have a blood transfusion at 34 to 35 weeks to reach a hemoglobin level of 11 g / DL 
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?
Perform a 0 hour and 48 hour beta hcg 
Regarding Pavo virus, which of the following is not true
It is a RNA virus
During a total abdominal hysterectomy, with ovarian conservation, which of the following is not ligated?
Ovarian ligament 
What is the most reliable way of diagnosing placenta previa?
Transvaginal ultrasound 
What is the most appropriate management option for a 60 year old postmenopausal woman with two episodes of vaginal bleeding
Hysteroscopy and endometrial biopsy 
Liver adhesions, secondary to pelvic, inflammatory diseases, known as
Fitz Hugh Curtis syndrome 
Which of the following cardiovascular changes is not associated with pregnancy
Pulmonary hypertension 
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
Anabolic steroid use
Tranexamic acid
Is contraindicated in women with a previous thromboembolism
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?
e. CBC, RFT, LFT, PT/PTT
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?
d. Lupus anticoagulant antibodies
In Trinidad, the standard CTG paper speed (horizontal scale) is set at:
b. 1cm/min
Which of the following is NOT a cause of secondary amennorhoea
e. Mayer-Rokitansky-Kuster Hauser syndrome
Regarding Mirena as a form of contraception, which of the following statements is true
a. It causes endometrial atrophy
Which of the following regarding breech presentation is TRUE?
d. A Caesarean section is recommended if there is a breech presentation at term
Possible pharmacological alternatives to HRT include all of the following EXCEPT:
b. Ca channel blockers
Which of the following risks is LEAST likely to be associated with preterm prelabour rupture of membranes?
e. Pre-eclampsia
Choose the option that is the GREATEST contraindication to epidural anaesthesia.
Hypovolemia
The internal pudendal artery leaves the pelvis via what structure?
Greater sciatic foramen
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?
c. Leave alone with the hope of spontaneous version
The temporary swelling on the baby’s head created by the ventouse suction cup during a vacuum assisted: delivery is known as:
d. A Chignon.
Advantages of laparoscopic surgery include the following EXCEPT?
e. Easier to perform
Which of the following should be avoided when managing a cardiac patient in labour?
c. Intramuscular Syntomerine
Which of the following is NOT a recognised cause of pruritis vulvae?
e. Nephrotic syndrome
Regarding complete molar pregnancies, which of the following is FALSE?
d. They are less likely than partial moles to require chemotherapy
