اسئلة النسائية 2014 (2)
Obstetrics and gynecology
1 ) All are true about placenta except ?
A . Normal site of implantation is upper uterine segment .
B . Produces hormones as HPL , estrogen , B _ HCG .
C . It receives one umbilical artery and two umbilical veins .
D . It composed of chorion tissues ( fetal ) and decidua tissues ( maternal ) .
E . Placental blood flow is approximately 700 ml / min at term .
2 ) All are true physical signs of pregnancy except ?
A . Godell sign
B . Cullen sign
C . Chadwick sign
D . Hegar sign
E . Breast engorgement
3 ) All are true about B _ HCG except ?
A . It is steroid hormone produced by placenta .
B . Positive in serum 9 days post conception .
C . Positive in urine at the time of next missed periods .
D . Peak in serum at 8 _ 10 weeks of pregnancy .
E . Level higher than expected suggest molar pregnancy .
4 ) Fetal heart tones are visible by transvaginal ultrasound in normal pregnancy at ?
A . 2 _ 3 weeks gestation .
B . 3 _ 4 weeks gestation .
C . 4 _ 5 weeks gestation .
D . 6 _ 7 weeks gestation .
E . 7 _ 8 weeks gestation .
5 ) All are true about maternal physiology during normal pregnancy except ?
A . Skin _ Linea nigra and hyperpigmentation .
B . CVS _ increasing cardiac output , heart rate , blood pressure , SVR .
C . Hematology _ Anemia , leukocytosis , Thrombocytopenia .
D . Respirology _ Respiratory Alkalosis .
E . GIT _ Constipation and hemorrhoids .
6 ) The critical period of organogenesis at ?
A . 2 _ 6 weeks gestation .
B . 3 _ 8 weeks gestation .
C . 4 _ 10 weeks gestation .
D . 5 _ 10 weeks gestation .
E . 0 _ 10 weeks gestation .
7 ) All are increased during normal physiology of pregnancy except ?
A . Cardiac output
B . Blood volume
C . Venous pressure in lower extremities
D . Heart rate
E . Peripheral vascular resistance
8 ) Uterine fundus is palpable at umbilicus in normal pregnancy at ?
A . 12 weeks gestation .
B . 16 weeks gestation .
C . 20 weeks gestation .
D . 25 weeks gestation .
E . 30 weeks gestation .
9) The normal physiological length and diameter of umbilical cord in a full term neonate is usually ?
A . Length 40 cm , Diameter 0.5 cm .
B . Length 45 cm , Diameter 1 cm .
C . Length 50 cm , Diameter 2 cm .
D . Length 55 cm , Diameter 2.5 cm .
E . Length 60 cm , Diameter 3 cm .
10 ) The typical time for triple screening test ( MSAFP , B _ HCG , unconjugated estriol ) , during normal pregnancy at ?
A . 5 _ 10 weeks gestation .
B . 10 _ 15 weeks gestation .
C . 15 _ 20 weeks gestation .
D . 20 _ 25 weeks gestation .
E . 25 _ 30 weeks gestation .
11 ) All are causes of increased maternal serum alpha fetoprotein except ?
A . Wrong date .
B . NTD .
C . IUFD .
D . Edward syndrome .
E . Omphalocele .
12 ) All drugs are contraindicated during normal pregnancy except ?
A . Diethylstilbestrol .
B . Phenytoin .
C . Magnesium sulfate .
D . Tetracycline .
E . Chloramphenicol .
13 ) All are indications of normal NST during normal pregnancy except ?
A . Basline heart rate 110 _ 160 BPM .
B . Absent of variability .
C . Absent of Decelerations .
D . Presence of accelerations .
E . Explained tachycardia .
14 ) All are true about management of DM during normal pregnancy except ?
A . First line for Gestational diabetes is diet and exercise .
B . Typical time for screening of gestational diabetes is 20 _ 25 weeks gestation .
C . During normal pregnancy increased demand and resistance to insulin .
D . Tight glycemic control optimal for gestational diabetes, DM type one , DM type two .
E . Elective cesarean section for predicted birth weight > 4.5 kg .
15 ) All are true about HTN in pregnancy except ?
A . SBP > 140 mmhg or DBP > 90 mmhg after 20 weeks .
B. Extremes of maternal age is a risk factor .
C . Placenta previa is a complication .
D . Alpha Methyldopa is drug of choice in mild case's .
E . It is the most common cause of Abruptio placentae .
16 ) All are complications of DM in pregnancy except ?
A . Preeclampsia .
B . Oligohydramnios .
C . UTI .
D . Macrosomia .
E . Neonatal hypoglycemia .
17 ) All of the following drug's are used for treatment HTN in pregnancy except ?
A . Labetalol .
B . Hydralazine .
C . Methyldopa .
D . Thiazide .
E . Nifedipine .
18 ) All are complications of multiple gestation except ?
A . Preeclampsia .
B . Preterm ROM .
C . Oligohydramnios .
D . Placenta previa .
E . Malpresentation .
19 ) Most common cause of perinatal mortality in multiple gestation is ?
A . Prematurity .
B . Cord anomalies .
C . Congenital anomalies .
D . Twin Twin transfusion syndrome .
E . Abruptio placentae .
20 ) All of the following are fetal complication of gestational diabetes mellitus except ?
A . Sacral agenesis .
B . IUGR .
C . Macrosomia .
D . Respiratory distress syndrome .
E . Hypocalcemia .
21 ) Most common indication for cesarean section in primiparous women ?
A . Previous uterine surgery .
B . Failure to progress .
C . Malpresentation .
D . Cord prolapse .
E . Abruptio placentae .
22 ) All of the following are risk factors for endometrial cancer except ?
A . Polycystic ovary syndrome .
B . Hormone replacement therapy .
C . Lynch syndrome .
D . Early menopause .
E . Tamoxifen .
23 ) All are risk factors of preeclampsia except ?
A . Maternal obesity .
B . DM .
C . Multiparity .
D . Antiphospholipid syndrome .
E . Renal disease .
24 ) The type of monozygous twins pregnancy if the time of cleavage is 4 _ 8 day's post conception ?
A . Diamniotic dichorionic .
B . Diamniotic monochorionic .
C . Monoamniotic monochorionic .
D . Monoamniotic dichorionic .
E . Conjoined twins .
25 ) All of the following matching are true about treatment of female factors of infertility except ?
A . Polycystic ovary syndrome _ Clomiphene citrate .
B . Hyperprolactinemia _ estrogen .
C . Luteal phase defect _ progesterone .
D . Antiphospholipid syndrome _ aspirin .
E . Asherman syndrome _ Adhesiolysis .
26 ) All are complications of HTN during pregnancy except ?
A . HELLP syndrome .
B . Polyhydramnios .
C . Oliguria .
D . Abruptio placentae .
E . IUGR .
27 ) All are causes of IUGR except ?
A . Maternal smoking during pregnancy .
B . TORCH infection .
C . Abruptio placentae .
D . DM type one .
E . Placenta previa .
28 ) Most common cause of postpartum hemorrhage is ?
A . Uterine atony .
B . Uterine rupture .
C . DIC .
D . Retained placental tissue .
E . Laceration of birth canal .
29 ) All are causes of Macrosomia except ?
A . Maternal obesity .
B . DM type two .
C . Nulliparity .
D . Prolonged gestation .
E . Gestational diabetes .
30 ) All of the following drug's are safe in pregnancy except ?
A . Cefazolin .
B . Dexamethasone .
C . Labetalol .
D . Methotrexate .
E . Paracetamol .
31 ) All are contraindications of IUD contraceptive method except ?
A . Pelvic inflammatory disease .
B . Wilson's disease .
C . Suspected pregnancy .
D . Septate uterus .
E . Thromboembolic disease .
32 ) Drug of choice for seizure prophylaxis in preeclampsia is ?
A . Carbamazepine .
B . Phenytoin .
C . Magnesium sulfate .
D . Valproate sodium .
E . Lamotrigine .
33 ) All are causes of Polyhydramnios except ?
A . DM .
B . Multiple gestation .
C . Fetal hydrops .
D .Anencephaly .
E . Postterm pregnancy .
34 ) The uterine ligament that travel from fundus of the uterus through inguinal canal then terminate in the labia majora is called ?
A . Uterosacral ligament .
B . Round ligament .
C . Cardinal ligament .
D . Broad ligament .
E . Infundibulopelvic ligament .
35 ) The normal Basline range of fetal heart rate ?
A . 100 _ 150 BPM .
B . 110 _ 160 BPM .
C . 120 _ 170 BPM .
D . 130 _ 180 BPM .
E . 100 _ 170 BPM .
36 ) The half life of oxytocin is ?
A . 1 _ 3 minutes .
B . 3 _ 5 minutes .
C . 5 _ 7 minutes .
D . 7 _ 10 minutes .
E . 10 _ 12 minutes .
37 ) All are used for induction of labor except ?
A . Prostaglandin E1 .
B . Prostaglandin E2 .
C . Progesterone .
D . Oxytocin .
E . Artificial rupture of membranes .
38 ) All are causes of secondary amenorrhea except ?
A . Hypothyroidism .
B . Hyperprolactinemia .
C . Polycystic ovary syndrome .
D . SLE .
E . Gonadal agenesis .
39 ) All are indications of classical cesarean section except ?
A . Transverse lie .
B . Lower uterine segment adhesions .
C . Cervical fibroids .
D . Failure to progress .
E . Placenta previa lie anteriorly .
40 ) The definitive diagnosis of ectopic pregnancy by ?
A . Serial B_HCG .
B . Laparoscopy .
C . Laparotomy .
D . Physical examination .
E . Ultrasound .
41) The best method for fetal monitoring in labor to rule out fetal distress is ?
A . Vaginal examination .
B . Transvaginal ultrasound .
C . Transabdominal ultrasound .
D . Electronic fetal heart rate monitoring .
E . Fetal scalp blood sampling .
42 ) All are true about clinical features of placenta previa except ?
A . Painless vaginal bleeding .
B . Uterus soft and non tender .
C . Transverse lie of fetus .
D . Fetal distress .
E . Shoulder or arm presentation .
43 ) All are true about Abruptio placentae except ?
A . Painful vaginal bleeding after 2 weeks gestation .
B . If Abruptio is concealed so vaginal bleeding is very severe .
C . Fetal distress and IUFD are present .
D . Coagulopathy and DIC are known complications .
E . Vaginal delivery if no evidence of fetal or maternal distress .
44 ) All are true about Abruptio placentae except ?
A . Premature separation of placenta after 20 weeks gestation .
B . 1 _ 2 of all pregnancy .
C . Most common cause is maternal HTN .
D . Painful vaginal bleeding after 20 weeks gestation .
E . Ultrasound is sensitive for diagnosis .
45 ) All are risk factors for Endometriosis except ?
A . Multiparity .
B . Family history .
C . White women .
D . Non smokers .
E . SLE .
46 ) All are risk factors for ectopic pregnancy except ?
A . Pelvic inflammatory disease .
B . Clomiphene citrate .
C . Smoking .
D . Oral contraceptive pills .
E . Uterine fibroids .
47 ) Most common fetal position is ?
A . Left occiput anterior .
B . Left occiput posterior .
C . Right occiput anterior .
D . Right occiput posterior .
E . Occiput transverse .
48 ) All are causes of primary amenorrhea except ?
A . Mullerian agenesis .
B . Imperforate hymen .
C . Turner syndrome .
D . Asherman syndrome .
E . Androgen insensitivity syndrome .
49 ) Most common cause of Antepartum hemorrhage is ?
A . Placenta previa .
B . Abruptio placentae .
C . Vasa previa .
D . Uterine rupture .
E . Placenta accreta .
50 ) Most common site of ectopic pregnancy implantation ?
A . Tubal ampullary part .
B . Tubal isthmic part .
C . Ovarian .
D . Abdominal .
E . Cervical .
51 ) The normal duration of second stage of normal labor in multiparous women is ?
A . Up to 30 minutes .
B . Up to 1 hour .
C . Up to 2 hours .
D . Up to 3 hours .
E . Up to 4 hours .
52 ) All are true about placenta previa except ?
A . Placenta implanted in the lower uterine segment .
B . Painless bright red vaginal bleeding after 20 weeks gestation of term .
C . Uterus is hard , tender .
D . Do not perform vaginal examination .
E . It is per se absolute indication for cesarean section .
53 ) All are true about Luteal phase of menstrual cycle except ?
A . It is fixed constant duration 14 day's after ovulation .
B . It includes secretory phase in endometrium .
C . Peak of estrogen takes place here .
D . It is progesterone dominant phase .
E . Stopping building up endometrial tissues .
54 ) All are true about first stage of normal labor except ?
A . It lasts up to 18 hours in nulliparous women .
B . It includes latent and active phases .
C . Painful regular contractions . Each lomint lasting for 90 seconds .
D . End by full cervical dilation 10 cm .
E . Rate of cervical dilation in active phase 1.2 _ 1.5 cm/hr .
55 ) One is true about variable deceleration on CTG ?
A . Gradual drop in fetal heart rate .
B . Onest is always early in contraction .
C . It is reflect sympathetic stimulation .
D . It means cord compression .
E . It is usually reassuring sign .
56 ) All are true about early deceleration on CTG except ?
A . Mirrors view to uterine contractions .
B . Sudden drop and sudden return of fetal rate .
C . It reflects vagal fetal stimulation .
D . It means head compression .
E . It is always benign and reassuring sign .
57 ) The orientation of the long axis of the fetus to the long axis of the uterus is called ?
A . Fetal lie .
B . Fetal presentation .
C . Fetal position .
D . Fetal attitude .
E . Fetal station .
58 ) All are true about follicular phase of menstrual cycle except ?
A . It is variable duration .
B . It includes menstrual and proliferative changes in the endometrium .
C . It is progesterone dominant phase .
D . At the end of this phase ovulation will occur due to surge of LH .
E . Ovulation occur at end of this phase .
59 ) Disseminated intravascular coagulation is known complication of one of the following ?
A . Threatened abortion .
B . Missed abortion .
C . Incomplete abortion .
D . Complete abortion .
E . Inevitable abortion .
60 ) Most common site of endometriosis is ?
A . Ovaries .
B . Peritonium .
C . Fallopian tubes .
D . Broad ligament .
E . Colon .
61 ) All are indications for oxytocin except ?
A . Threatened abortion .
B . Inevitable abortion .
C . Incomplete abortion .
D . Missed abortion .
E . Septic abortion .
62 ) For diagnosis Polyhydramnios . The AFI must be more than ?
A . 5
B . 10
C . 15
D . 25
E . 30
63 ) The blood supply of uterus by uterine artery come from ?
A . Internal pudendal artery .
B . Internal iliac artery .
C . Common iliac artery .
D . Abdominal aorta .
E . Common femoral artery .
64 ) Extension of area's of endometrial glands into myometrium is called ?
A . Fibroids
B . Adenomyosis
C . Leiomyoma
D . Endometriosis
E . Endometrioma
65 ) The uterine ligament that pass from lateral side wall of pelvis to uterus , and contain fallopian tube , uterine and ovarian nerves , vessels , lymphatics is Called ?
A . Round ligament .
B . Uterosacral ligament .
C . Cardinal ligament .
D . Broad ligament .
E . Infundibulopelvic ligament .
66 ) All are causes of Oligohydramnios except ?
A . Potter syndrome .
B . Indomethacin .
C . Duodenal atresia .
D . Rupture of membrane .
E . Preeclampsia .
67 ) All are true about Threatened abortion except ?
A . First trimester vaginal bleeding .
B . Cervix is opened .
C . Viable fetus by ultrasound .
D . Give to mother progesterone and Rhogam if she RH negative .
E . Less than 50 % go to abortion .
68 ) All are true about Rubella infection during pregnancy except ?
A . It is RNA togavirus .
B . Transplacental transmission to fetus .
C . Greatest transmission to the fetus during second trimester .
D . All pregnant women are screened for rubella infection .
E . Do not administer vaccine during pregnancy .
69 ) The therapeutic level of magnesium sulfate for seizure prophylaxis in preeclampsia is ?
A . 2 _ 4 meq/L .
B . 4 _ 5 meq/L .
C . 4 _ 7 meq/L .
D . 7 _ 10 meq/L .
E . 10 _ 12 meq/L .
70 ) ALL are true about Combined OCPs except ?
A . Mechanism of action is inhibition of ovulation .
B . Increased risk of ovarian and endometrial cancer .
C . They causes fluid retention and Thromboembolism .
D . CVA and CAD are absolute contraindications .
E . Phenytoin can decrease efficacy of OCPs .
1 ) All are true about placenta except ?
A . Normal site of implantation is upper uterine segment .
B . Produces hormones as HPL , estrogen , B _ HCG .
C . It receives one umbilical artery and two umbilical veins .
D . It composed of chorion tissues ( fetal ) and decidua tissues ( maternal ) .
E . Placental blood flow is approximately 700 ml / min at term .
2 ) All are true physical signs of pregnancy except ?
A . Godell sign
B . Cullen sign
C . Chadwick sign
D . Hegar sign
E . Breast engorgement
3 ) All are true about B _ HCG except ?
A . It is steroid hormone produced by placenta .
B . Positive in serum 9 days post conception .
C . Positive in urine at the time of next missed periods .
D . Peak in serum at 8 _ 10 weeks of pregnancy .
E . Level higher than expected suggest molar pregnancy .
4 ) Fetal heart tones are visible by transvaginal ultrasound in normal pregnancy at ?
A . 2 _ 3 weeks gestation .
B . 3 _ 4 weeks gestation .
C . 4 _ 5 weeks gestation .
D . 6 _ 7 weeks gestation .
E . 7 _ 8 weeks gestation .
5 ) All are true about maternal physiology during normal pregnancy except ?
A . Skin _ Linea nigra and hyperpigmentation .
B . CVS _ increasing cardiac output , heart rate , blood pressure , SVR .
C . Hematology _ Anemia , leukocytosis , Thrombocytopenia .
D . Respirology _ Respiratory Alkalosis .
E . GIT _ Constipation and hemorrhoids .
6 ) The critical period of organogenesis at ?
A . 2 _ 6 weeks gestation .
B . 3 _ 8 weeks gestation .
C . 4 _ 10 weeks gestation .
D . 5 _ 10 weeks gestation .
E . 0 _ 10 weeks gestation .
7 ) All are increased during normal physiology of pregnancy except ?
A . Cardiac output
B . Blood volume
C . Venous pressure in lower extremities
D . Heart rate
E . Peripheral vascular resistance
8 ) Uterine fundus is palpable at umbilicus in normal pregnancy at ?
A . 12 weeks gestation .
B . 16 weeks gestation .
C . 20 weeks gestation .
D . 25 weeks gestation .
E . 30 weeks gestation .
9) The normal physiological length and diameter of umbilical cord in a full term neonate is usually ?
A . Length 40 cm , Diameter 0.5 cm .
B . Length 45 cm , Diameter 1 cm .
C . Length 50 cm , Diameter 2 cm .
D . Length 55 cm , Diameter 2.5 cm .
E . Length 60 cm , Diameter 3 cm .
10 ) The typical time for triple screening test ( MSAFP , B _ HCG , unconjugated estriol ) , during normal pregnancy at ?
A . 5 _ 10 weeks gestation .
B . 10 _ 15 weeks gestation .
C . 15 _ 20 weeks gestation .
D . 20 _ 25 weeks gestation .
E . 25 _ 30 weeks gestation .
11 ) All are causes of increased maternal serum alpha fetoprotein except ?
A . Wrong date .
B . NTD .
C . IUFD .
D . Edward syndrome .
E . Omphalocele .
12 ) All drugs are contraindicated during normal pregnancy except ?
A . Diethylstilbestrol .
B . Phenytoin .
C . Magnesium sulfate .
D . Tetracycline .
E . Chloramphenicol .
13 ) All are indications of normal NST during normal pregnancy except ?
A . Basline heart rate 110 _ 160 BPM .
B . Absent of variability .
C . Absent of Decelerations .
D . Presence of accelerations .
E . Explained tachycardia .
14 ) All are true about management of DM during normal pregnancy except ?
A . First line for Gestational diabetes is diet and exercise .
B . Typical time for screening of gestational diabetes is 20 _ 25 weeks gestation .
C . During normal pregnancy increased demand and resistance to insulin .
D . Tight glycemic control optimal for gestational diabetes, DM type one , DM type two .
E . Elective cesarean section for predicted birth weight > 4.5 kg .
15 ) All are true about HTN in pregnancy except ?
A . SBP > 140 mmhg or DBP > 90 mmhg after 20 weeks .
B. Extremes of maternal age is a risk factor .
C . Placenta previa is a complication .
D . Alpha Methyldopa is drug of choice in mild case's .
E . It is the most common cause of Abruptio placentae .
16 ) All are complications of DM in pregnancy except ?
A . Preeclampsia .
B . Oligohydramnios .
C . UTI .
D . Macrosomia .
E . Neonatal hypoglycemia .
17 ) All of the following drug's are used for treatment HTN in pregnancy except ?
A . Labetalol .
B . Hydralazine .
C . Methyldopa .
D . Thiazide .
E . Nifedipine .
18 ) All are complications of multiple gestation except ?
A . Preeclampsia .
B . Preterm ROM .
C . Oligohydramnios .
D . Placenta previa .
E . Malpresentation .
19 ) Most common cause of perinatal mortality in multiple gestation is ?
A . Prematurity .
B . Cord anomalies .
C . Congenital anomalies .
D . Twin Twin transfusion syndrome .
E . Abruptio placentae .
20 ) All of the following are fetal complication of gestational diabetes mellitus except ?
A . Sacral agenesis .
B . IUGR .
C . Macrosomia .
D . Respiratory distress syndrome .
E . Hypocalcemia .
21 ) Most common indication for cesarean section in primiparous women ?
A . Previous uterine surgery .
B . Failure to progress .
C . Malpresentation .
D . Cord prolapse .
E . Abruptio placentae .
22 ) All of the following are risk factors for endometrial cancer except ?
A . Polycystic ovary syndrome .
B . Hormone replacement therapy .
C . Lynch syndrome .
D . Early menopause .
E . Tamoxifen .
23 ) All are risk factors of preeclampsia except ?
A . Maternal obesity .
B . DM .
C . Multiparity .
D . Antiphospholipid syndrome .
E . Renal disease .
24 ) The type of monozygous twins pregnancy if the time of cleavage is 4 _ 8 day's post conception ?
A . Diamniotic dichorionic .
B . Diamniotic monochorionic .
C . Monoamniotic monochorionic .
D . Monoamniotic dichorionic .
E . Conjoined twins .
25 ) All of the following matching are true about treatment of female factors of infertility except ?
A . Polycystic ovary syndrome _ Clomiphene citrate .
B . Hyperprolactinemia _ estrogen .
C . Luteal phase defect _ progesterone .
D . Antiphospholipid syndrome _ aspirin .
E . Asherman syndrome _ Adhesiolysis .
26 ) All are complications of HTN during pregnancy except ?
A . HELLP syndrome .
B . Polyhydramnios .
C . Oliguria .
D . Abruptio placentae .
E . IUGR .
27 ) All are causes of IUGR except ?
A . Maternal smoking during pregnancy .
B . TORCH infection .
C . Abruptio placentae .
D . DM type one .
E . Placenta previa .
28 ) Most common cause of postpartum hemorrhage is ?
A . Uterine atony .
B . Uterine rupture .
C . DIC .
D . Retained placental tissue .
E . Laceration of birth canal .
29 ) All are causes of Macrosomia except ?
A . Maternal obesity .
B . DM type two .
C . Nulliparity .
D . Prolonged gestation .
E . Gestational diabetes .
30 ) All of the following drug's are safe in pregnancy except ?
A . Cefazolin .
B . Dexamethasone .
C . Labetalol .
D . Methotrexate .
E . Paracetamol .
31 ) All are contraindications of IUD contraceptive method except ?
A . Pelvic inflammatory disease .
B . Wilson's disease .
C . Suspected pregnancy .
D . Septate uterus .
E . Thromboembolic disease .
32 ) Drug of choice for seizure prophylaxis in preeclampsia is ?
A . Carbamazepine .
B . Phenytoin .
C . Magnesium sulfate .
D . Valproate sodium .
E . Lamotrigine .
33 ) All are causes of Polyhydramnios except ?
A . DM .
B . Multiple gestation .
C . Fetal hydrops .
D .Anencephaly .
E . Postterm pregnancy .
34 ) The uterine ligament that travel from fundus of the uterus through inguinal canal then terminate in the labia majora is called ?
A . Uterosacral ligament .
B . Round ligament .
C . Cardinal ligament .
D . Broad ligament .
E . Infundibulopelvic ligament .
35 ) The normal Basline range of fetal heart rate ?
A . 100 _ 150 BPM .
B . 110 _ 160 BPM .
C . 120 _ 170 BPM .
D . 130 _ 180 BPM .
E . 100 _ 170 BPM .
36 ) The half life of oxytocin is ?
A . 1 _ 3 minutes .
B . 3 _ 5 minutes .
C . 5 _ 7 minutes .
D . 7 _ 10 minutes .
E . 10 _ 12 minutes .
37 ) All are used for induction of labor except ?
A . Prostaglandin E1 .
B . Prostaglandin E2 .
C . Progesterone .
D . Oxytocin .
E . Artificial rupture of membranes .
38 ) All are causes of secondary amenorrhea except ?
A . Hypothyroidism .
B . Hyperprolactinemia .
C . Polycystic ovary syndrome .
D . SLE .
E . Gonadal agenesis .
39 ) All are indications of classical cesarean section except ?
A . Transverse lie .
B . Lower uterine segment adhesions .
C . Cervical fibroids .
D . Failure to progress .
E . Placenta previa lie anteriorly .
40 ) The definitive diagnosis of ectopic pregnancy by ?
A . Serial B_HCG .
B . Laparoscopy .
C . Laparotomy .
D . Physical examination .
E . Ultrasound .
41) The best method for fetal monitoring in labor to rule out fetal distress is ?
A . Vaginal examination .
B . Transvaginal ultrasound .
C . Transabdominal ultrasound .
D . Electronic fetal heart rate monitoring .
E . Fetal scalp blood sampling .
42 ) All are true about clinical features of placenta previa except ?
A . Painless vaginal bleeding .
B . Uterus soft and non tender .
C . Transverse lie of fetus .
D . Fetal distress .
E . Shoulder or arm presentation .
43 ) All are true about Abruptio placentae except ?
A . Painful vaginal bleeding after 2 weeks gestation .
B . If Abruptio is concealed so vaginal bleeding is very severe .
C . Fetal distress and IUFD are present .
D . Coagulopathy and DIC are known complications .
E . Vaginal delivery if no evidence of fetal or maternal distress .
44 ) All are true about Abruptio placentae except ?
A . Premature separation of placenta after 20 weeks gestation .
B . 1 _ 2 of all pregnancy .
C . Most common cause is maternal HTN .
D . Painful vaginal bleeding after 20 weeks gestation .
E . Ultrasound is sensitive for diagnosis .
45 ) All are risk factors for Endometriosis except ?
A . Multiparity .
B . Family history .
C . White women .
D . Non smokers .
E . SLE .
46 ) All are risk factors for ectopic pregnancy except ?
A . Pelvic inflammatory disease .
B . Clomiphene citrate .
C . Smoking .
D . Oral contraceptive pills .
E . Uterine fibroids .
47 ) Most common fetal position is ?
A . Left occiput anterior .
B . Left occiput posterior .
C . Right occiput anterior .
D . Right occiput posterior .
E . Occiput transverse .
48 ) All are causes of primary amenorrhea except ?
A . Mullerian agenesis .
B . Imperforate hymen .
C . Turner syndrome .
D . Asherman syndrome .
E . Androgen insensitivity syndrome .
49 ) Most common cause of Antepartum hemorrhage is ?
A . Placenta previa .
B . Abruptio placentae .
C . Vasa previa .
D . Uterine rupture .
E . Placenta accreta .
50 ) Most common site of ectopic pregnancy implantation ?
A . Tubal ampullary part .
B . Tubal isthmic part .
C . Ovarian .
D . Abdominal .
E . Cervical .
51 ) The normal duration of second stage of normal labor in multiparous women is ?
A . Up to 30 minutes .
B . Up to 1 hour .
C . Up to 2 hours .
D . Up to 3 hours .
E . Up to 4 hours .
52 ) All are true about placenta previa except ?
A . Placenta implanted in the lower uterine segment .
B . Painless bright red vaginal bleeding after 20 weeks gestation of term .
C . Uterus is hard , tender .
D . Do not perform vaginal examination .
E . It is per se absolute indication for cesarean section .
53 ) All are true about Luteal phase of menstrual cycle except ?
A . It is fixed constant duration 14 day's after ovulation .
B . It includes secretory phase in endometrium .
C . Peak of estrogen takes place here .
D . It is progesterone dominant phase .
E . Stopping building up endometrial tissues .
54 ) All are true about first stage of normal labor except ?
A . It lasts up to 18 hours in nulliparous women .
B . It includes latent and active phases .
C . Painful regular contractions . Each lomint lasting for 90 seconds .
D . End by full cervical dilation 10 cm .
E . Rate of cervical dilation in active phase 1.2 _ 1.5 cm/hr .
55 ) One is true about variable deceleration on CTG ?
A . Gradual drop in fetal heart rate .
B . Onest is always early in contraction .
C . It is reflect sympathetic stimulation .
D . It means cord compression .
E . It is usually reassuring sign .
56 ) All are true about early deceleration on CTG except ?
A . Mirrors view to uterine contractions .
B . Sudden drop and sudden return of fetal rate .
C . It reflects vagal fetal stimulation .
D . It means head compression .
E . It is always benign and reassuring sign .
57 ) The orientation of the long axis of the fetus to the long axis of the uterus is called ?
A . Fetal lie .
B . Fetal presentation .
C . Fetal position .
D . Fetal attitude .
E . Fetal station .
58 ) All are true about follicular phase of menstrual cycle except ?
A . It is variable duration .
B . It includes menstrual and proliferative changes in the endometrium .
C . It is progesterone dominant phase .
D . At the end of this phase ovulation will occur due to surge of LH .
E . Ovulation occur at end of this phase .
59 ) Disseminated intravascular coagulation is known complication of one of the following ?
A . Threatened abortion .
B . Missed abortion .
C . Incomplete abortion .
D . Complete abortion .
E . Inevitable abortion .
60 ) Most common site of endometriosis is ?
A . Ovaries .
B . Peritonium .
C . Fallopian tubes .
D . Broad ligament .
E . Colon .
61 ) All are indications for oxytocin except ?
A . Threatened abortion .
B . Inevitable abortion .
C . Incomplete abortion .
D . Missed abortion .
E . Septic abortion .
62 ) For diagnosis Polyhydramnios . The AFI must be more than ?
A . 5
B . 10
C . 15
D . 25
E . 30
63 ) The blood supply of uterus by uterine artery come from ?
A . Internal pudendal artery .
B . Internal iliac artery .
C . Common iliac artery .
D . Abdominal aorta .
E . Common femoral artery .
64 ) Extension of area's of endometrial glands into myometrium is called ?
A . Fibroids
B . Adenomyosis
C . Leiomyoma
D . Endometriosis
E . Endometrioma
65 ) The uterine ligament that pass from lateral side wall of pelvis to uterus , and contain fallopian tube , uterine and ovarian nerves , vessels , lymphatics is Called ?
A . Round ligament .
B . Uterosacral ligament .
C . Cardinal ligament .
D . Broad ligament .
E . Infundibulopelvic ligament .
66 ) All are causes of Oligohydramnios except ?
A . Potter syndrome .
B . Indomethacin .
C . Duodenal atresia .
D . Rupture of membrane .
E . Preeclampsia .
67 ) All are true about Threatened abortion except ?
A . First trimester vaginal bleeding .
B . Cervix is opened .
C . Viable fetus by ultrasound .
D . Give to mother progesterone and Rhogam if she RH negative .
E . Less than 50 % go to abortion .
68 ) All are true about Rubella infection during pregnancy except ?
A . It is RNA togavirus .
B . Transplacental transmission to fetus .
C . Greatest transmission to the fetus during second trimester .
D . All pregnant women are screened for rubella infection .
E . Do not administer vaccine during pregnancy .
69 ) The therapeutic level of magnesium sulfate for seizure prophylaxis in preeclampsia is ?
A . 2 _ 4 meq/L .
B . 4 _ 5 meq/L .
C . 4 _ 7 meq/L .
D . 7 _ 10 meq/L .
E . 10 _ 12 meq/L .
70 ) ALL are true about Combined OCPs except ?
A . Mechanism of action is inhibition of ovulation .
B . Increased risk of ovarian and endometrial cancer .
C . They causes fluid retention and Thromboembolism .
D . CVA and CAD are absolute contraindications .
E . Phenytoin can decrease efficacy of OCPs .
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