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obs Flashcards

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1
Q
  1. Female patient pregnant with history of previous 4 C-section presented
    with mild bleeding and hypotension, what is the most likely cause of her
    presentation “This is the full scenario no further details”
    A- cord prolapse
    B- Uterine rupture
    C- abruptio placentae
    D- fetal vessel rupture
A

B- Uterine rupture

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2
Q
  1. Pregnant women Last menstrual period 7th of May, she has regular period
    and is sure about it. What is the Expected date of delivery?
    A. 10 February next year
    B. 10 December same year
    C. 25 December next year
    D. 30 February next year
A

A. 10 February next year

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3
Q
  1. healthy young lady just delivered a baby 4 months ago. However, she tells
    you that she does not want to get pregnant for the next 2 years. What
    method of contraception will you recommend?
    a. Combined OCP
    b. Depo Provera injection
    c. Vaginal ring
    d. Transdermal patch
A

b. Depo Provera injection

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4
Q
  1. Nullipara with menorrhagia and dysmenorrhea, what is the type of
    contraceptive appropriate for this patient?
    A. OCP
    B. Depo Provera Injection
A

A. OCP

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5
Q
  1. When do you screen for diabetes in pregnant women ?
    A. 13-14 w
    B. 18-20 w
A

It should be ar 24 weeks of gestation or after.

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6
Q
  1. A pregnant woman presented with massive vaginal bleeding from the
    abruption placenta and her Hgb: 8.6, BP 84\40, HR140. What is the best
    management to save her life?
    A- Admit to ICU
    B- Immediate Transfusion of 2 packs FFP
    C- Call multidisciplinary and rapid response team (RRT)
A

C- Call multidisciplinary and rapid response team (RRT)

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7
Q
  1. female 7 week gestation with vaginal spotting, otherwise normal, what
    to do ?
    A-evacuate
    B-reassure
A

B-reassure

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8
Q
  1. Pregnant at 34 weeks with blurred vision, headache and her BP 170/
    What to do ?
    A. stabilize + mg and wait till 37 weeks
    B. call anaesthesia now and deliver
    C. stabilize and give MG and deliver
A

C. stabilize and give MG and deliver

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9
Q
  1. 34 y/o female 30 gestation with painless vaginal bleeding, did vaginal
    examination found suspicious mass
    (see report)
    Report: US shows that the fetus corresponds to the Gestational age
    What is the most appropriate next step?
    A. Colposcopy
    B. Cone biopsy
    C. Pap smear
    D. Endocervical curettage
A

A. Colposcopy

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10
Q
  1. Newly married young woman came for routine check up gyne, highest
    diagnostic value?
    A. General appearance
    B. Vaginal inspection
    C. Abdominal exam
    D. Pelvic digital exam
A

D. Pelvic digital exam

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11
Q
  1. Monochorionic and Diamniotic twin what is the timing of cleavage ?
    A) <72 hour
    B) 4-8 day
    C) 8-12 day
    D) >13 day
A

B) 4-8 day

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12
Q
  1. Married for 3 years, off contraceptive since 18 months and still didn’t
    get pregnant
    A. IVF
    B. Induction ovulation
    C. Infertility investigation for both wife and husband
    D. Continue trying
A

C. Infertility investigation for both wife and husband

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13
Q
  1. Pregnant Patient Presents with Cottage Cheese Discharge. What is the
    Treatment of Choice?
    A. Oral Anti Fungal
    B. Topical Anti Fungal
    C. Oral Antibiotic
    D. Topical Antibiotic
A

B. Topical Anti Fungal

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14
Q
  1. Yellow green discoloration and husband has urethral discharge,
    management?
    A- fluconazol
    B- other antifungal
    C-metronidazol
A

C-metronidazol

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15
Q
  1. Female with vaginal discharge Grey, fishy odor , smear : show clue
    cells, diagnosis?
    A.Trichomoniasis
    B.Bacterial vaginosis
    C.Candida
A

B.Bacterial vaginosis

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16
Q
  1. Vaginal discharge burning itching, dyspareunia thin yellow to green.
    Examination revealed erythematous vulva and red inflamed friable cervix.
    Microscopy examination reveled flagellated protozoa. What’s you
    causative organism?
    A-bacterial vaginosis
    B-trichomoniasis
    C-gonorrhea
    D-syphilis
A

B-trichomoniasis

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17
Q
  1. 70 years old woman, sexually active, hysterectomy done before, and
    she complains of prolapse and enlarged vaginal opening, what is the
    appropriate procedure?
    A. sacrospinous fixation
    B. Ant and post colpoperineorrhaphy
    C. Manchester repair (Fothergill operation)
A

A. sacrospinous fixation

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18
Q
  1. Pregnant 38wk at hospital planned for elective CS , US showed “
    Placenta ATTACHED DEEPLY “ into uterine wall , what’s Dx:
    A- P. Increta
    B- P.Accreta
    C- P. Penceta
    D- Placenta previa
A

B- P.Accreta

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19
Q
  1. female pregnant with type 2 diabetes on insulin. She is not complaint
    with her medication. Labs: HgA1c 12. What is the most compilation?
    A- preeclampsia
    B- Polyhydramnios
A

A- preeclampsia

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20
Q
  1. CTG: deceleration 41 weeks:
    A- U\S and BPP
    B- Delivery
    C- CTG Daily
A

B- Delivery

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21
Q
  1. 23 years old female pregnant in her 28th week, pregnancy test was
    done at home. She presented with mild bleeding loss of fetal movement.
    She denied any passage of tissue or abdominal pain. Transvaginal US was
    done and showed pregnancy of 18 weeks and no heart beat. (No other
    information was provided about the cervix). What is your diagnosis?
    A-missed abortion
    B-fetal dismess
    C-Incomplete abortion
A

A-missed abortion

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22
Q
  1. Hormone that confirm ovulation
    A-Estogen
    B-Progesterone
    C-Fsh
    D-Lh
A

B-Progesterone

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23
Q
  1. pregnant in labour on at term. OE (describe breech . As head in funds
    and filix both hip and knee ) spine pf baby parrele to spine of mother.
    What is the lie.( Atention ask for lie not presentaion)???
    A-longitudinall
    B-transverse.
    C-breach
    D-cephalic
A

A-longitudinall

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24
Q
  1. 20 years old lady(not 21 years) came for pap smere. Time??
    A-Now
    B-after 1 year
    C-after 3 years
    D-after 5 years
A

B-after 1 year

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25
103. What of the following decreases the risk of preeclampsia? A. Antibiotic B. Aspirin C. MgS04
B. Aspirin
26
106. Patient got rubella vaccine( doctor told her to avoid getting pregnant at least for 2 months).But she did get pregnant after 1 month.What is the most common possible complication? A- abortion in the first trimester B- fetus dead in the third trimester C- malformations D- not affected.
D- not affected
27
108. Female take rubella vaccination and get pregnant (less than 1 month). What is prognosis A- Favorable pregnancy outcome B- fourfold malformation C- increase risk of pregnancy loss
A- Favorable pregnancy outcome
28
114. 44 female c/o dysmenorrhea + menorrhage Pelvic exam revealed uterus symmetric enlarge and tender endometrial biopsy normal A- adenomyosis B- endometriosis C- sarcoma D- liomyoma
A- adenomyosis
29
123. 38 weeks stable head +3 ctg showing deceleration ? A-c.s B- mechanical delivery
B- mechanical delivery
30
124. female c/o prolong and heavy menstrual bleeding for 10 days A-misoprostol B- oxytocin
See explanation
31
125. Female post term 42 weeks indication of labor had been started what will you give her? A-steroid B- prostaglandin
B- prostaglandin
32
133. Lady mised period which most appropriate time of us A. 11-13 weeks B. 16 - 18 weeks C. 18 - 22 weeks
A. 11-13 weeks
33
134. 19 yrs old dysmenorrhea resolve on 3rd day and resolve after few , Sxs associated with sever pain radiated to upper thigh, she had this for several years and getting worse A- Primary dysmenorrhea B- premenstrual C- secondary dysmenorrhea D- endometriosis
C- secondary dysmenorrhea
34
138. Pt had fibroid myomectomy, risk of placenta accreta? A) Decrease B) Increased C) Unknown D) No risk
B) Increased
35
144. Typical case of preeclampsia, asking about which of the following clinical findings with this condition? A-elevated mother liver enzymes B-oligohydroamnios C-polyhydroamnios
B-oligohydroamnios
36
145. woman with dyspareunia and spotting fresh blood after intercourse . She had a history of warts on vulva with cryotherapy done 2 yrs back what is the site of the bleeding? a. valva b. vagina c. cervix uterus d. body of uterus
c. cervix uterus
37
146. Pregnant with low risk pregnancy at 32 weeks came with vaginal bleeding, diagnosed as placenta abruption and managed conservatively , most appropriate next step? A- remain in hospital B- reclassified as high risk and f/u with US for fetal growth C-apply as low risk with f/u outpatient clinic D-apply as low risk and f/u with US for vaginal bleeding
B- reclassified as high risk and f/u with US for fetal growth
38
158. Pregnant 28 weeks came with bilateral breast mass it was movable and the size was3x4 cm, most appropriate next step? A-reassurance and follow up after delivery B- bilateral breast ultrasound C-Bilateral breast mammogram D-MRI
A-reassurance and follow up after delivery
39
164. Pregnant lady 26 weeks gestation presented with large genital wart how you gonna manage? A)Cryotherapy B)Thermal C)Intralesional immuno … injection D) podophyllin
A)Cryotherapy
40
165. Pregnant lady 35 weeks gestation Known case of Bicornute uterus in leopoid manouver you found globally soft structure in 1&2 grib Fetal heart in the level of the umbilicus of the mother Fetal kicking felt in lower abdomen How you will deliver this baby? A) CS B) Normal vaginal C) Ventose D) Forceps
A) CS
41
177. Pregnant lady came with SOB, she have Leg swelling , what is the most appropriate next step? A. CT PA B. Chest x-ray C. Doppler US of LL D. V/Q scan
C. Doppler US of LL
42
189. pt with chlamydia. treatment?
A- Azithromycin
43
190. PROM How to confirm its amniotic fluid? A. Sterile speculum examination B. Abx C. chemical testing D. Fetal hormones
A. Sterile speculum examination
44
191. pt with hx of ectopic pregnancy, now pregnat. asking about the risk of geting ectopic? A. 5% B. 20% (no any choice of 10%)
B. 20%
45
192. Intrauterine device implantation patient have brown discoloration and abdominal pain.What's the most likely diagnosis? A. Uterine rupture B. Pelvic inflammatory disease
B. Pelvic inflammatory disease
46
197. 17year old female, medically free, gymnast in her class, developed breasts later and never menstruated, on examination she is tanner stage 5 but no menstruation, diagnosis? A. hypothalamic hypogonadism B. imperforate hymen C. gonadal agenesis D. testicular feminization
A. hypothalamic hypogonadism
47
206. Post menopausal women present with itchiness and oderless discharge with vaginal excoriation what is the dx A- Candidiasis B- triachomniasis C- vagnosis D- atrophied vaginitis
D- atrophied vaginitis
48
209. Female with vaginal discharge, examination reveals straw cells s A- BV B- CHLamydia C- Trichomonas vaginalis
C- Trichomonas vaginalis
49
213. A 38 week gestation with high pressure , low platelet , protein in urine what to do ? A- Emergency delivery B- Observation Another recall: Pregnant at 38 wk GA.long senario of HTN and hemolysis and low plt and high liver enzyme. Management? A.observe B.emergancy deliver
B.emergancy deliver
50
214. Fetus with breech presentation flexing hip and extending knees, what's the presentation? A- Frank breech. B- Complete breech C- Incomplete breech D- longitudinal
A- Frank breech.
51
223. Pregnant with SC trait.complication ? A-IUGR B-UTI
B-UTI
52
275. Pregnant woman at 12 week gestation known to have seizure disorder on phenytoin (last seizure attack 6 years ago), what to do about her medication? A- switch the medication B- continue the medication C- decrease the dose D- increase the dose
A- switch the medication
53
276. Pregnant 15 GA Known case of epilepsy on phenytoin last attack 6 years ago came to antenatal visit ? A- stop phenytoin B- change it to safe medication C- refer her to neurologist to stop medication D- continue the same
B- change it to safe medication
54
279. 14ys girl with painless vaginal bleeding every 3 weeks to 2 months with NO clots or menstrual symptoms examination show normal breast and pubic hair development what investigations you will order: A- LH hormone B- reassure C- ultrasound
B- reassure
55
285. 40 years old female, P4 did Tubal ligation 4 years ago, after her last CS. Her last Menstrual cycle was 6weeks ago Presented to ER with vaginal spotting. NO abdominal pain On examination there was fullness in her abdomen in RLQ what’s your initial step? A-Pregnancy test B-US C-CT
A-Pregnancy test
56
295. 17y female with uterine bleeding, recurrent every 6to8 w,examined all things are normal what is ur management A-reassurance B-pco C-hysterectomy
A-reassurance
57
301. 32 y/o female she has abdominal pain 1 week , history of amenorrhea for 2 months and she had hx of appendix rupture when she was 14 What is diagnosis? A-Diverticulitis B-Tubal pregnancy C-Acute cystitis
B-Tubal pregnancy
58
311. Molar pregnancy , on methotrexate Bhcg day 1 : 560 Day 2 :340 Day3 : 180 Day 4:70 Day 5 : 70 What is next step ? A-follow up B⁃ Methotrexate immediately
A-follow up
59
314. Pregnant I forgot which week but the was <34 week with abruptio placenta with minimal bleeding that was control and she is vitally stable ? What is next A ⁃ Stay in the hospital B ⁃ Discharge and f/up closeley C⁃ Immediate delivery
A ⁃ Stay in the hospital
60
329. Pregnant at 27 week, vaginal bleeding, us: placenta previa totalis, CTG is good and mother is stable Wht to give? A-oxygen B-steriod C-antibiotics D-tocolytic
B-steriod
61
330. Woman is using a contraceptive with strong androgenic progestin but she get pregnant while on it Wht is the teratogenic effect of this drug on a female fetus: A- nothing B- hirsutism C- feminization D-musculization
D-musculization
62
335. Patient 45 presents with menorrhagia. US reveals huge fibroid distorting endometrial lining. What's the most appropriate step to do? A. Hysterectomy B. Artery ligation C. Endometrial ablation
A. Hysterectomy
63
340. Female post D&C complaining of infertility for one year, diagnosis? A- shehan B- asherman
B- asherman
64
341. Had gestational diabetes, has family history of DM2, came after 6 months, HbA1c 6.4 “also another glucose test was pre-diabetic by 0.1 less than diabetes” . What’s now (no more lab or history) A- insulin B- A…bus C- Gly….. D- metformin
A- insulin
65
352. lady with sever dysmenorhea(endometriosis)not lpmrove with NSAD what to give? A.cocp B.gnrh
A.cocp
66
353. What of the following decreases the risk of eclampsia? A- Antibiotic B- Aspirin C- MgS04
C- MgS04
67
355. Mangmenent of polynephritis in pregnant Admission and Iv antibiotic, oral
Admission and Iv antibiotic
68
360. Pregnant 28 weeks presents with vaginal spotting and loss of fetal activity. Us reveals fetus age 18 weeks and no evidence of fetal movement or heart beat. Diagnosis? A. Missed abortion B. Ectopic pregnancy C. Fetal demise
A. Missed abortion
69
361. Severe abruptio placenta treatment
....
70
362. Menorrhagea with fibroid where is MC location ?
A. submucosal fibroid
71
371. Folic acid porophylacsis for 27kg BMI the choices were weird A. 0.2 B. 0.8 C. 4.5
B. 0.8
72
373. Trichomatic vaginal infection Tx
Metronidazole
73
374. Candica vaginal infection. What is risk for candida infection ?
A. DM
74
377. After delivery they found one artery in the cord ? What is the child at increased risk for ? Another recall: 5 days Boy with single artery umbilical cord Dm mother Africa race Low fetal risk Risk of fetal malformation 80%
Dm mother
75
387. 18 years old female recently married, asking regarding PAP smear: A. At 21 years old B. Now
A. At 21 years old
76
394. Pregnant in 30g with recurrent UTI : A- Ct B- Ultrasound C- Culture Another recall: Pregnant with recurrent UTI what to do? A- X ray B- US C- ureteroscopy D- cystoscopy and RET's Another recall: Recurrent uti in pregnancy Mri X ray kup No uls in choice
ultrasound
77
395. Pregnant women with pic of pyelonephritis. What you will give? A. oral abx B. iv abc
B. iv abc
78
396. How to confirm molar pregnancy A-Transvaginal ultrasound B- mri C- xray
A-Transvaginal ultrasound
79
398. Most common types of uterine fibroids? A. Subserosal B. Sub mucosal C. Intramural
C. Intramural
80
405. Folic acid quantity for a healthy lady wants to conceive and with no prior diseases or disorders A. 1 mg B. 5 mg C. 10 mg D. 15 mg
A. 1 mg
81
408. Pregnant with high random blood sugar reading and fasting sugar. She’s at risk of what vaginal Infection? A. Candida B. Bacterial vaginosis
A. Candida
82
409. Old lady medically free with difficulty defecation and constipation, during defecation she introduce her finger in the vagina to intiate movement, management? A- posterior colporrhaphy B- Anterior colporrhaphy C- Enterocele resection D- Hystrectomy
A- posterior colporrhaphy
83
411. Pregnant came to antenatal clinic for folow up, her abdominal is not consistent with fetal gestation fetal growth restriction was detected. How to follow up with patient?
A- Serial ultrasound
84
416. 30 y/o Pregnant 30 gestation came with severe antepartum hemorrhage, CTG with deceleration, the mother BP 90/60 what is the appropriate next step: A. Steroids B. Observe C. CS
?
85
418. What considered the Best score on biophysical profile? A- 8/10 B- 9/10 C- 12/12
B- 9/10
86
420. Intermenstrual bleeding for 5 days, what is the most appropriate next step? A-Us B- Bhcg C- TSH
A-Us
87
421. Pregnant with hx of recurrent uti, asthma on SABA, she is on labour, what is the drug that should be administered during labour and delivery? A- Bethamethasone B- Ampicllin Forget the rest..
B- Ampicllin
88
425. Best test to see the glycemic control during pregnancy in the routine visit in pregnant with DM? A- random glucose B- fasting C- hba1c
C- hba1c
89
436. 45 years old female with Recurrent vaginal discharge curd like , what is the most likely diagnosis?
A- DM
90
449. Patient presented with abdominal pain for 1 day intermittent, right sided pain and fullness and rigidity Pregnancy test is negative (she was hypotensive and had fever) A- Appendicitis B- Ectopic pregnancy C- Ovarian torsion
C- Ovarian torsion
91
460. Newly married female came for routine chick up, Most important exame A-Pelvic digital examination B-Vaginal exam C-Abdomenal us D-General appearance
A-Pelvic digital examination
92
462. A pregnant 10 weeks GA woman the cervix dilated ( 3 cm i think) tissue passed out , in examination the cevix was open ? A. Inevitable abortion B. cervical incompetence C. Incomplete abortion D. Threatened abortion
C. Incomplete abortion
93
475. Young female has a history of multiple miscarriages, came to complaining that she want to conceive and want to receive all types vaccinations. Her B-HCg is positive. What ti give her? Measles Rubella Influenza
Influenza
94
488. When to screen for asymptomatic bacteruria in pregnancy? A- 12th week B- 20th week
A- 12th week
95
492. A Pregnant woman on the 8th week diagnosed with SCA, asking about the dose of Folic acid to give. A- 5mg to the 12th week B- 5mg throughout the pregnancy C- 0.4mg to the 12th week D- 0.4mg throughout the pregnancy
B- 5mg throughout the pregnancy
96
494. A woman was taking highly androgenic progesterone without knowing she is pregnant. What complication will her daughter face? A. Nothing will change B. Hirsutism C. Masculinization D. Feminization
C. Masculinization
97
495. Which of the following is the indication of cervical cercalge A- cervical length less than 30 B-cervical length less than 35 C- cervical length less than 25 D- cervical length less than 20
C- cervical length less than 25
98
496. Scenario about HELLP syndrome, ask about what to do ?
A) delivery
99
497. Pregnant in 38W GA, with polyhydramnios and PROM recently. Presented with painful vaginal bleeding and uterine tenderness, CTG finding shows persistent fetal bradycardia, what would be the cause? A. Cord prolapse B. Abruptio placenta C. Vasa previa D. Placenta previa
B. Abruptio placenta
100
498. Pregnant lady,41 GA in labor on epidural analgesia, mg sulfate for pre-eclampsia and oxytocin, CTG showed prolonged deceleration and the mother was hypotensive, most likely cause of the CTG finding: A. Mg sulfate B. Oxytocin C. Epidural analgesia
C. Epidural analgesia
101
499. 40 us lady with heavy bleeding came to er, what to do? A) IUD B) D\C C) Hysterectomy D) Mefanemic acid
B) D\C
102
500. Young Female patient has severe dysmenorrhea she is taking NSAIDs but still symptomatic...next step in managment? A) oral contraceptives drugs B) Diagnostic Laprospcopy
A) oral contraceptives drugs
103
501. A patient with pulmonary embolism that wants contraception ? A) condom B) IUD C) OCP D) POP
B) IUD
104
510. 47 year women came to the clinic complaining of abdominal distention and heaviness US and CT : Ovarian mass 10*12cm , ascites and thicking of peritoneum 1-surgery only 2- surgery with chemo 3 -surgery with radiation 4-radiation therapy
2- surgery with chemo
105
515. 37 years old woman asymptomatic found to have 5x7 subserousal fibroids Most appropriate step in management? - myomectomy - hysterectomy - follow up with US every 12 months - follow up with US and Complete blood count every 2 months
- follow up with US every 12 months
106
523. Mother in second trimester, have negative rubella , and want vaccine when to give ? A) now B) post partum
B) post partum
107
539. Female pregnant first trimester, which one of the following blood chemistry will mostly appear ? A. Increase in plasma Na B. Decrease in creatinine C. Increase BUN D. Unchanged BUN
B. Decrease in creatinine
108
540. When to do a full congenital anomalies US? A. 14-16 weeks B. 18-20 weeks C. 22-24 weeks D. 24-26 weeks
?
109
541. US detailed anatomy scan : A-18-20 wk B-10-12 wk C-30
A-18-20 wk
110
542. Best indicator of chromosomal abnormalities in which week? A-16 to 18wk B-18 to 22wk C-13 to 16wk D-24 to 28wk
A-16 to 18wk
111
544. Pregnant lady did CTG and showed fetal abnormalities ( no other details) What will do INITIALLY? A- oxygen B - IV fluid C- lateral position D - C/s
?
112
561. A female with vaginal discharge and in examination there is "red strawberry cervix" A- Chlamydia B- Neisseria gonorrhea C- Trichomonas vaginalis
C- Trichomonas vaginalis
113
566. Female GBS swap 100000, 2 count in 10 minutes, cervix 7 cm, wt to do: A. Oxytocin B. Ampicillin
B. Ampicillin
114
571. Female pregnant with recurrent late deceleration and fetal bradycardia and dilated 6cm what to do ? - Emergency CS - Reassure - Induction
?
115
572. 52 y/o , last menstrual 12 month ago..ect, What is the responsible for this condition? A- FSH B- Estradiol C- progesterone
?
116
584. Pregnant at 13 weeks of gestation with history or spontaneous fetal loss at 20 week. What is the most appropriate action to do? A- Regular F/U without specific intervention B- Cervical cerclage now
?
117
585. 60y old lady present with lower genital bleeding, she described it as Scanty and barely stain the pad , what is the source of bleeding A- Fallopian tube B- Ovary C- Uterus D- Genital tract
?
118
587. Female patient complaing of menstrual irregularity,hypertension, Hirtusm With high androgen in the blood US shows multiple small cysts in the ovaries What is the most likely diagnosis? A) gynecomastia B)Kallmann syndromes C)klinefelter syndrome D) Stein-Leventhal syndrome
?
119
597. 28 years old female tried to get pregnant for many years, did IVF 2 times, now she’s pregnant in i forgot which week but was 2nd trimester and US showed multiple fibroids, how to treat her without harming her pregnancy? A- myomectomy B- GnRH injections
?
120
600. Patient give birth to Rh positive baby, she took anti-D immune globulin during pregnancy, how much will give her after birth A. 300 B. 1000 C. 2000 D. No need
?
121
607. pregnant patient in 1st trimester ( 6 weeks) came with palpatation and sweating and other hyperthyroidism symptoms, all investigations were done and it showed she had + ve antibodies. They were asking about the initial management; A- thyroidectomy B- BB C- propylythiouracil D- methimazole
?
122
609. Lady presenting with history of 2 preterm labor, And currently presenting with minimal vaginal bleeding / spotting, what is the next step: A- estrogen B- progesterone C- LH
?
123
615. Female secondary infertility for 3 years hx of appendectomy (pic of HSG) dx? A-Adhesion ( I think it was the right answer in picture B-Endometriosis
Most probably A
124
617. Why ACIs is Contraindicated during pregnancy : A-fetal anomaly B-Renal impairment of the fetus
?
125
621. A 37 y.o primigravida was diagnosed with sub-fertility. She smokes for 3 years. What is the highest risk factor? A- Age B- Smoking C- Sub-fertility
A- Age
126
625. Female has headache, anxiety and mastalgia 10 days before her periods, and she is asymptotic for the rest of the cycle. What is the Dx? A. Pms B. pelvic congestion syndrome
A. Pms
127
626. 30 years old female, pregnant , GA 33 , presented with fever, rigor , and loin pain , she has hx of UTI twice in this pregnancy. What is the most appropriate management? A.MRI pelvis B. Uretroscopy C. Septic screening D. Xray of kidney ,ureter and gallbladder
C. Septic screening
128
628. Which of the following is true regarding single umbilical artery? A) Associated with maternal diabetes B) Major malformation in 80% of cases C) Low fetal mortality D) Associated with african race
A) Associated with maternal diabetes
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632. Young pregnant lady 8 weeks gastation , has vaginal spots , closed cervix , Not palpable uterus, dx ( no mention about US finding) : Normal pregnancy Threatened abortion Missed abortion
Threatened abortion
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638. Female just gave birth 2 weeks ago and was having GDM and family history of DM type2 and came for screening HBA1C was 5.5 Fasting was normal And she is obese What drug to give? Metformin Acrobose Galtride some things like that Insulin
Metformin
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639. 38 GA presented with headache and high BP. Labs show Hb 120 (within normal range), low platelets, high liver enzymes. How to manage? A- immediately delivery B- MgSo4
A- immediately delivery
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644. A 25 year old primigravida at 36 weeks gestation presented with feeling fatigue and unwell. She shortly developed shortness of breath and died. XRAY showed Enlargement of the cardiac silhouette What is the likely cause of her presentation? A) Amniotic Fluid Embolism B) Peripartum Cardiomyopathy
B) Peripartum Cardiomyopathy
133
654. 17 yrs Senario of primary dysmenorrhea severe pain affect on life and school attendance. She was on NSAID and pain become less severe, she able to go school and do her life activities.. most appropriate next step? 1-OCP 2-counseling and education of self care
?
134
659. female givin heparin after Delivery she had patient profuse bleeding with uterin contractions and developed DIC what to give Vit K FFP
?
135
666. Which of the following associated with increase risk of endometrial cancer? - nullparty - underweight - oral progesterone - family hx of thyroid cancer
?
136
669. 30 year old female pregnant with new symptoms of dyspnea, productive cough and fatigue. Doppler US was negative what is the next test to do: A: cta B: d dimer C: spirometery D: ventilation and perfusion scan
?
137
675. A pregnant with previous normal delivery has low hbg. She has a hx of frequent hospitalizations 1-2 every year. now no chest syndrome or vasoocclusive crisis. What is the most appropriate management? A: Observe B: Blood transfusion C: Exhange transfusion D: hydroxyurea
?
138
685. Pregnant at 24 week all is good she’s just complaint of protruding mass from the vagina, diagnosed as posterior vaginal wall Prolapse, what to do ? A- reassure B- Emergency delivery
?
139
686. Preeclampsia what expected to be significantly decrease? A-Plasma uric acid B-Plasma creatinine C-Plasma volume D-Serum urea 700
?
140
689. Standard therapy for PPH due to uterine atony? A-oxytocin B-ergot
?
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