اسئلة النسائية و التوليد 12/2013

 1) The major cause of unplanned pregnancies in women with oral contraception is ?
A . Breakthrough ovulation at midcycles .
B . High frequency of intercourse .
C . Incorrect use of oral contraception .
D . Malabsorption
E . Vomiting .

 2) The ranking cause of death in postmenopausal women is ?
A . Coronary heart disease
B . Endometrial cancer
C . Carcinoma of breast
D . Hip fracture
E . Stroke

 3) Risk factors for fetal Macrosomia include all of the following except ?
A . Gestational age
B . Maternal smoking
C . Excessive maternal weight gain
D . Multiparity
E . Macrosomia in a previous infant

 4) All of the following are contraindicated in pregnancy except ?
A . Tetracycline
B . Digoxin
C . Warfarin in first trimester
D . Statin
E . Carbimazole

 5) The main health hazard of menopause is ?
A . Cardiovascular diseases
B . Endometrial cancer
C . Hot flushes
D . Depression
E . Osteoporosis
 6) All of the following are absolute contraindication for HRT use except ?
A . History of venous thrombosis
B . Pregnancy
C . Undiagnosed dysfunctional uterine bleeding
D . Active liver disease
E . Suspected breast cancer

 7) Habitual abortion can result from all the following except ?
A . Infections
B . Subserous myomas
C . Chromosomal abnormalities
D . Hormonal dysfunction
E . Cervical incompetence

 8 ) Lower leg edema during the last trimester of pregnancy is mainly due to ?
A . Complete venous obstruction
B . Lymphedema
C . Intra_abdominal tumor
D . Increased venous pressure due to partial obstruction
E . Arterial obstruction in pelvis
 9) All of the following signs and symptoms in pregnancy should be reported immediately as a potential danger signal except ?
A . Swelling of ankles and feet
B . Vaginal bleeding
C . Severe headache
D . Blurring of vision
E . Escape of fluid from vagina

10) All of the following are true for osteoporosis except ?
A . Osteoporosis is an abnormal bone mineralization .
B . Osteoporosis is usually asymptomatic .
C . Can result from long term corticosteroids use .
D . It is more frequent in thin people .
E . Serum alkaline phosphatase is usually normal

 11) Risk factors for breast cancer include all of the following except ?
A . Breast feeding
B . Early menarche
C . First pregnancy after 30 years age
D . Late menopause
E . Nulliparity
 12) The following factors would put a 30 weeks gestation pregnant lady into a high risk category except ?
A . Anemia
B . Breech presentation
C . Weight gain of 0.1 kg per week
D . Glycosuria on 3 occasions
E . Proteinuria on 3 occasions in the absence of HTN or UTI .

 13) Contraindication to the use of Combined OCP include all of the following except ?
A . Active liver disease
B . SLE
C . Age above 35 and smokers
D . Porphyria
E . PCOS

 14) Women with PCOS have a high risk of which one of the following ?
A . Sexual dysfunction
B . Pituitary adenoma
C . Adrenal hyperplasia
D . Impaired glucose tolerance
E . Ovarian malignancy

 15) All of the following are true for Atrophic vaginitis except ?
A . It is usually caused by estrogen deficiency .
B . It is often asymptomatic .
C . Spotting or bleeding exclude Atrophic vaginitis as a cause .
D . Oral estrogen replacement is used to treat severe symptoms
E . It can present with dysparunia

 16) All of the following are true for breast pain except ?
A . Breast pain is common and may interfere with quality of life .
B . Breast cancer is unlikely to present with pain without associated mass .
C . Breast feeding should be discontinue on the affected breast if the cause of pain is mastitis .
D . More than half of women with premenstrual syndrome report breast pain as predominant symptom .
E . Spontaneous resolution of cyclical breast pain occurs in majority of cases .
 17) All of the following are true for ectopic pregnancy except ?
A . The fertilized ovum implants in the fallopian tubes in 50 % of cases .
B . Presence of intra_uterine device is a risk factor .
C . Transvaginal ultrasound is the initial diagnostic test .
D . The onest of pain is usually at 6 to 8th weeks gestational age .
E . Acute appendicitis is one of differential diagnosis .

 18) All of the following are true for HTN in pregnancy except ?
A . It is defined as blood pressure > 140/90 measured on more than one occasion .
B . HTN occurring before 20 weeks gestation is classified as chronic HTN .
C . Pregnant women should be screened for HTN every visit .
D . HTN with an onest after 20 weeks gestation is always classified as preeclampsia .
E . Dihydropyridine CCB are safe in pregnancy .

 19) All of the following are true for asymptomatic bacteruria except ?
A . It occurs in about one third of pregnant women .
B . A urine dipstick is an adequate screening test .
C . The most causative agent is E coli .
D . Nitrofurantoin is effective treatment .
E . Treatment reduces incidence of preterm
 20) All of the following are true for fibroids except ?
A . Can present with Menorrhagia .
B . Can be the underlying cause for infertility .
C . Increase risk of miscarriage
D . Obesity is a risk factor
E . May presents with difficulty in passing urine

21) All of the following are true for chlamydia infection except ?
A . Majority of cases are asymptomatic .
B . May present with postcoital bleeding .
C . It is a preventable cause of infertility .
D . Urine sample can be used for screening asymptomatic women .
E . Mucopurulent cervicitis is found on examination


 22) All of the following are true for smoking in pregnancy except ?
A . It increases risk of miscarriage
B . It increases risk of ectopic pregnancy
C . It decreases birth weight
D . It increases risk of perinatal mortality
E . Smoking has no relation with placenta previa