اسئلة النسائية 2015
1) About molar pregnancy , all are true except ?
A . Incomplete mole mostly have 69 xxy karyotype .
B . Complete mole associated with ovarian theca cysts .
C . Women must be advised not to conceive until HCG levels have return to normal .
D . Medical evacuation using PGE2 and oxytocin is the treatment of choice .
E . It's benign tumor , but there is malignant potential
2) All are risk factors for placental Abruption except ?
A .Polyhydramnios
B .External cephalic version
C .Preeclampsia
D .Smoking
E .Oligohydramnios
3) About ectopic pregnancy all are true except ?
A . Clomephene citrate is risk factor .
B . Associated with uterine enlargement .
C . It's located in the ovary in 50% .
D . Ectopic pregnancy with serum B_HCG < 1000 ML U/ L can be . Treated conservative .
E . Diagnostic laparoscopy has a great value in management .
4) 30 years old woman is known to have Antiphospholipid syndrome , all are true except ?
A . Her risk of DVT is increased .
B . Her risk of abortion is reduced by steroids .
C . 50% associated with SLE .
D . OCP is absolute contraindicated .
E . Prolonged PTT .
5) The best most sensitive screening test for gestational diabetes mellitus ?
A . Glucose in urine .
B . Random glucose measurement .
C . Fasting glucose measurement .
D . HbA1c .
E . One hour glucose tolerance test .
6) All are true about anemia in pregnancy except ?
A . It's associated with multiparity .
B . MCV is increased in thalassemia .
C . Increased lobes of Nuclei of Neutrophils associated with folate deficiency .
D . Vitamin B12 deficiency is associated with Megaloblastic picture in bone marrow .
E . Fetal hydrops is a complication of fetus with alpha thalassemia
7) The following conditions are worsening during pregnancy except ?
A .Sickle cell disease
B .Eisenmenger syndrome
C .Marfan syndrome
D .Mitral stenosis
E .Irritable bowel syndrome
8) All are components of Meigs syndrome except ?
A .Amenorrhea
B .Pelvic mass
C .Ascites
D .Pleural effusion
9) Estrogen secreting ovarian tumor include ?
A. Choriocarcinoma
B .Yolk sac tumor
C .Dysgerminoma
D .Serous cystadenoma
E .Granulosa cell tumor
10) All are absolute contraindications to COCPs except ?
Migraine with aura
History of DVT
Severe DM
Lactation
Active liver disease
11) About gestational diabetes mellitus , all are true except ?
A . Congenital anomalies are less common .
B . Neonatal hyperglycemia is uncommon .
C . It's secondary to insulin resistance .
D . Maternal insulin requirements increase after delivery .
12) HCG is useful in monitoring one of the following tumors ?
Yolk sac tumors
Ovarian trratoma
Persistent invasive mole
Granulosa cell tumors
Struma ovarii
13) All are true about chlamydia infection in pregnancy except ?
A . It's gram positive intracellular organism .
B . It's sensitive to tetracycline .
C . Commonest bacterial sexual infection .
D . Best treatment during pregnancy is Macrolides .
E . Causes pelvic inflammatory disease and lymphogranuloma venereum .
14) All are indications for delivary in PET except ?
Eclampsia
HELLP syndrome
HTN uncontrollable
Acute renal failure
Protein in urine 3 g/day
15) Fetal acidosis in Labour is associated with all of the following except ?
A . Prolong uterine hypertonus .
B . Prolong pregnancy .
C . Late deceleration .
D . Fetal Intraventricular hemorrhage .
E . Decreased variability on CTG .
16) All are true about oxytocin except ?
A . It's Glycoprotein hormone .
B. It's secreted from posterior pituitary .
C . It has an antidiuretic effect .
D . Produces uterine spasms in usually doses .
E . Most common side effect is hypotension and tachycardia
17) All of the following drugs have a tocolytic effect except ?
Aspirin
Ethanol
Nimesulide
Atosiban
Terbutalin
18) All are side effects of Mgso4 except ?
Tachypnoea
Flushing of skin
Wide QRS complex
Nausea and vomiting
Atonic baby syndrome
19) All are true about endometriosis except ?
A . Most common presentation is Menorrhagia .
B . It's recognized cause of infertility .
C . Commonest site in ovaries .
D . Dysmenorrhea is common symptom .
E . Definitive treatment is hysterectomy .
20) All are true about Rubella infection in pregnancy except ?
A . Occurring 8 weeks gestation results in high rate of fetal infection .
B . It's associated with congenital heart disease .
C . Detection of rubella IgG in cord blood confirm fetal infection .
D . It's associated with IUGR .
E . Detection of rubella IgM in maternal blood confirm maternal infection .
21) All are risk factors for osteoporosis except ?
Alcohol abuse
Smoking
Corticosteroids
Hyperthyroidism
High BMI
22) All are true about Tamoxifen except ?
A . It's used for treatment and prophylaxis breast cancer .
B . It has estrogenic effect on endometrium .
C . Is associated with Amenorrhea .
D . Decreasing the risk of DVT and PE .
23) 16 year old female with primary Amenorrhea and raised LH and FSH level , diagnosis is ?
A .Turner syndrome
B .Kallmans syndrome
C .Rokitanski syndrome
D .Stein_Leventhal syndrome
E .Sheehan syndrome
24) All are true about polycystic ovary syndrome except ?
A . Associated with LH Hypersecretion and FSH Hypersecretion .
B . Typical cause of secondary Amenorrhea .
C . Hypersecretion of DHEAS from adrenal gland .
D . It is a uncommon cause of anovulation .
E . It is a recognized cause of infertility .
25) About brachial plexus injury , all are true except ?
A . Erbs palsy is associated with C5_C6 injury .
B . Klumpkes palsy is associated with C7_C8 injury .
C . Erbs palsy is associated with absent moro reflex .
D . Klumpkes palsy is associated with Horner syndrome .
E . Physiotherapy is the main mode of treatment .
26) All are true about congenital adrenal hyperplasia except ?
A . Only female fetus are affected .
B . 21 _ ( OH ) case deficiency is the commonest .
C . It's associated with clitormegaly and ambiguous genitalia .
D . Uterus , fallop tubes , vagina are present .
E . Raised ACTH , 17 ( OH ) progesterone .
27) Development dysplasia of the hip , all are true except ?
A . It's more common in first born female .
B . More common in Oligohydramnios .
C . It screened using Barlow and Ortolani tests .
D . Affect the right hip more than left hip .
E . More common in breech presentation .
28) 30 years old female with secondary Amenorrhea and low gonadotropines level , all are true except ?
Premature ovarian failure
Sheehan syndrome
Prolactinoma
Pituitary failure
29) All are true clinical presentation of PCOS except ?
Irregular uterine bleeding
Low BMI
Hirsutism
Acanthosis nigricans
Hyperandrogenism
30) In a pregnant woman over the age of 35 years there is a risk of all except ?
Ectopic pregnancy
Monozygotic twins
Trophoblastic disease
Preterm delivery
Down syndrome
31) The following are complications of babies for diabetic mothers except ?
A .Brachial plexus injury
B .Neonatal hyperglycemia
C .RDS for newborn
D .Jaundice
E .Neonatal Hypocalcemia
32) All are risk factors for endometrial cancer except ?
A . Polycystic ovary syndrome .
B . DM .
C . HTN .
D . Ovarian Dysgerminoma .
E .Family history of breast or colon cancer .
33) BRCA1 and BRCA2 mutations associated with all of the following malignancy except ?
A .Lung cancer
B .Breast cancer
C .Colorectal cancer
D .Prostatic cancer
E .Ovarian cancer
34) Oligohydramnios is associated with all except ?
A . Twin _ Twin Transfusion syndrome .
B . Antenatal use of NSAIDs .
C . Neural tube defect .
D . Post _ maturity
E . Potter syndrome
35) All are risk factors for IUFD except ?
A .External cephalic version
B .Chromosomal anomalies
C .TORCH infection
D.Twin Twin Transfusion syndrome
E .Bacterial vaginosis
36) A 30 years old woman is found to have a hydrops fetalis 25 weeks gestation , the following are possible causes except ?
A . Parvovirus B19 infection .
B . B thalassemia .
C . RH_isoimmunization .
D . STORH infection .
E . Chromosomal anomalies .
37) All are true about Turner syndrome except ?
A . Impaired intellectual function .
B . Streak gonads with primary Amenorrhea .
C . Associated with fetal hydrops and cystic hygroma .
D . No increase risk of ovarian cancer .
E . Coarctation of the aorta is common .
38) Long term sequelae of PCOS include all of the following except ?
A .DM type two
B. HTN
C .Cervical cancer
D. Infertility
E .High BMI
39) All of the following are side effects of Clomephene citrate except ?
A .Menorrhagia
B. Amenorrhea
C .Ovarian hyperstimulation syndrome
D .Breast tenderness
E .Hair loss and hot flushes
40) All are associated with worse prognosis in a woman with Choriocarcinoma except ?
A . Age > 40 years old .
B . Choriocarcinoma after a normal term pregnancy .
C . Multipara woman ( > 4 pregnancy ) .
D. Blood group O and A .
E . Long interval between pregnancy and chemotherapy > 4 months .
41) All of the following are causes of raised MSAFP except ?
A .Multiple pregnancy
B .Choriocarcinoma
C .Antipartum hemorrhage
D .Down syndrome
E .Sacro_coccygeal trratoma
42) All of the following are associated with high risk of maternal mortality except ?
A .Pulmonary HTN
B .ASD
C .Marfan syndrome
D . HOCM
E .Postpartum Sheehan syndrome
43) All of the following are causes of secondary Amenorrhea except ?
A .Cushing syndrome
B .Hypothyroidism
C .Congenital adrenal hyperplasia
D .Asherman syndrome
E .Kallmans syndrome
44) All of the following are associated with hyperprolactinemia except ?
A .Cushing syndrome
B .Cushing disease
C .Acromegaly
D .Primary hypothyroidism
E .PCOS
45) All are true about Hematocolpos except ?
A . Associated with secondary Amenorrhea .
B . Presents with cyclic lower abdominal pain .
C . Presents with acute urine retention .
D . On PR exam _ mass in vagina .
E . Patient has normal vagina , uterus , tubes and ovaries
46) In Neonate with ambiguous genitalia , all of the following are true except ?
A . Karyotype is mandatory .
B . Turner syndrome is a cause .
C . Electrolytes are mandatory .
D . Congenital adrenal hyperplasia is a cause .
E . 5_alpha reductase deficiency is a cause .
47) All of the following are features of septic abortion except ?
A .DIC
B .Jaundice
C .HTN
D .Acute renal failure
E .Hyper or hypothermia
48) All are true regarding placenta previa except ?
A . Antepartum blood loss is fetal blood .
B . Associated with an increased risk of placenta accreta .
C . Associated with vaginal bleeding in the third trimester .
D . Painless massive vaginal bleeding without fetal distress .
49) A 34 years old female presents a 34 weeks gestation with vaginal bleeding and abdominal pain , her blood pressure 150/90 , fetal heart rate 170 bmp , all of the following are true except ?
A . Most likely diagnosis is Abruption placenta .
B . Emergency cesarean section must be done if fetal heart rate deceleration are present .
C . Thrombocytosis is a complication .
D . Acute renal failure is a complication .
E . Central venous pressure is indicated .
50) All of the following associated with an increased risk of first trimester abortion except ?
A .PCOS
B. Chromosomal anomalies
C .Luteal phase defect
D .Methotrexate usage
E .Well controlled DM type two
51) All are risk factors for placental previa except ?
A .Teenage pregnancy
B .Previous uterine infection
C .Previous scar
D .Multiparity
E .Smoking
52) About gestational diabetes mellitus all are true except?
A . Neonatal jaundice is more common .
B . Neonatal Hypocalcemia is complication .
C . Insulin requirement increased during pregnancy and fall after delivery .
D . Induction of labour in well controlled GDM at 37 weeks gestation .
E . Obesity , old age , family history are the major risk factors .
53) About hyperemesis gravidarum all are true except ?
A . Associated with metabolic alkalosis .
B . Associated with HTN .
C . Associated with Hypokalemia , Hypochloremia .
D . It's uncommon after 16 weeks .
E . Urine is acidic .
54) One of the following is skin manifestation of normal pregnancy ?
A .Spider nevi
B .Pemphigoid
C .Vitiligo
D .Erythema herpetiforms
E .Pyoderma gangrenosum
55) About ovarian Dysgerminoma . One is true ?
A . Associated with Hirsutism .
B . Typically bilateral .
C . Typically radioresistant .
D . Sex cords derived tumor .
E . Peak age > 40 years old
56) All are absolute contraindications for IUCD except ?
A . Recent STDs or PID .
B . Undiagnosed vaginal bleeding .
C . Wilson disease .
D . Past history of ectopic pregnancy .
E . Pregnancy .
57) All are risk factors for vaginal Candida except ?
A . DM
B . Pregnancy
C . COCP
D . IUCD
E . Broad spectrum antibiotics therapy .
58) Strawberry cervix is a classical sign of ?
A .Bacterial vaginosis
B .Trichomonas vaginalis
C .Chlamydia trachomatis
D .Vaginal Candidiasis
E .Troponema pallidum
59) About MIRENA , all are true except ?
A . It's contraindicated in Wilson disease .
B . Used as an IUCD for 5 years .
C . Used for treatment Menorrhagia .
D . Contains 52 mg levonorgestrel , which released at the rate 20 mcg / day .
E . It's very effective for contraception and has very low failure rate .
60) All of the following are side effects of Nifedipine in treatment preeclampsia except ?
A .Gum hyperplasia
B .Gynecomastia
C .Bradycardia
D .Ankle edema
E .Face flushing
61) With regards to the anatomy and mechanism of labour , all are true except ?
A . The sacral promontory is the posterior landmark of the pelvic inlet .
B . Ischial spines are the lateral landmarks of the mid pelvis .
C . Symphysis pubis and body of pubic bone are . The anterior landmarks of the pelvic inlet .
D . The transverse diameter of the pelvic inlet is the widest diameter and equal 13 cm .
E . The anterior _ posterior diameter of the pelvic outlet is the narrowest diameter and equal 11 cm .
62) All are true about late deceleration except ?
A . Reach their minimum after the peak of the contraction .
B . Associated with uteroplacental failure .
C . It's indicate fetal distress .
D . It's always associated with cord PH < 7.2
E . Seen in severe preeclampsia .
63) All are risk factors for PPH except ?
A . Multiparity
B . Active management of third stage of labour .
C . Rapid and prolonged labour .
D . General anaesthesia
E . Coagulopathy
64) There is increased risk of all of the following in the post partum compared with Antepartum except ?
A . Blues , depression , psychosis .
B . Thromboembolism , DVT , PE .
C . Milk stasis and mastitis .
D . Insulin resistance and hyperglycemia .
E . High cardiac output heart failure .
65) Fetal Hydrocephalus associated with ?
A. Arnold Chiari malformation
B .Fragile x syndrome
C .Achondroplasia
D .Turner syndrome
E .VWD
66) Amniocentesis is useful in diagnosis all of the following except ?
A .Fragile x syndrome
B .CAH
C .Spina bifida
D .Lung maturity
E .Esophageal atresia
67) All are true matching about head and presentation except ?
A. Vertex : suboccipito _ bregmatic 9.5 cm .
B . Military : occipitofrontal 11 cm .
C . Brow : occipitomental 12 cm .
D . Face : submento_bregmatic 9.5 cm .
68) Polyhydramnios is associated with all ,except ?
A . Imperforate anus
B . Congenital Diaphragmatic hernia .
C . Chromosomal anomalies .
D . Twin Twin Transfusion syndrome .
E . Post maturity
69) Regarding twin pregnancy , all are true except ?
A . Monozygotic twins have the same incidence worldwide .
B . Dizygotic twins are more common .
C . Monozygotic twins are always identical .
D . Cesarean section is recommended if the first twin is breech presentation .
E . Cesarean section is recommended if the second twin is breech presentation .
70) All are relative contraindication to use antenatal corticosteroids except ?
A .Multiple pregnancy
B .Maternal DM
C .Chorioamnionitis
D .Term pregnancy
A . Incomplete mole mostly have 69 xxy karyotype .
B . Complete mole associated with ovarian theca cysts .
C . Women must be advised not to conceive until HCG levels have return to normal .
D . Medical evacuation using PGE2 and oxytocin is the treatment of choice .
E . It's benign tumor , but there is malignant potential
2) All are risk factors for placental Abruption except ?
A .Polyhydramnios
B .External cephalic version
C .Preeclampsia
D .Smoking
E .Oligohydramnios
3) About ectopic pregnancy all are true except ?
A . Clomephene citrate is risk factor .
B . Associated with uterine enlargement .
C . It's located in the ovary in 50% .
D . Ectopic pregnancy with serum B_HCG < 1000 ML U/ L can be . Treated conservative .
E . Diagnostic laparoscopy has a great value in management .
4) 30 years old woman is known to have Antiphospholipid syndrome , all are true except ?
A . Her risk of DVT is increased .
B . Her risk of abortion is reduced by steroids .
C . 50% associated with SLE .
D . OCP is absolute contraindicated .
E . Prolonged PTT .
5) The best most sensitive screening test for gestational diabetes mellitus ?
A . Glucose in urine .
B . Random glucose measurement .
C . Fasting glucose measurement .
D . HbA1c .
E . One hour glucose tolerance test .
6) All are true about anemia in pregnancy except ?
A . It's associated with multiparity .
B . MCV is increased in thalassemia .
C . Increased lobes of Nuclei of Neutrophils associated with folate deficiency .
D . Vitamin B12 deficiency is associated with Megaloblastic picture in bone marrow .
E . Fetal hydrops is a complication of fetus with alpha thalassemia
7) The following conditions are worsening during pregnancy except ?
A .Sickle cell disease
B .Eisenmenger syndrome
C .Marfan syndrome
D .Mitral stenosis
E .Irritable bowel syndrome
8) All are components of Meigs syndrome except ?
A .Amenorrhea
B .Pelvic mass
C .Ascites
D .Pleural effusion
9) Estrogen secreting ovarian tumor include ?
A. Choriocarcinoma
B .Yolk sac tumor
C .Dysgerminoma
D .Serous cystadenoma
E .Granulosa cell tumor
10) All are absolute contraindications to COCPs except ?
Migraine with aura
History of DVT
Severe DM
Lactation
Active liver disease
11) About gestational diabetes mellitus , all are true except ?
A . Congenital anomalies are less common .
B . Neonatal hyperglycemia is uncommon .
C . It's secondary to insulin resistance .
D . Maternal insulin requirements increase after delivery .
12) HCG is useful in monitoring one of the following tumors ?
Yolk sac tumors
Ovarian trratoma
Persistent invasive mole
Granulosa cell tumors
Struma ovarii
13) All are true about chlamydia infection in pregnancy except ?
A . It's gram positive intracellular organism .
B . It's sensitive to tetracycline .
C . Commonest bacterial sexual infection .
D . Best treatment during pregnancy is Macrolides .
E . Causes pelvic inflammatory disease and lymphogranuloma venereum .
14) All are indications for delivary in PET except ?
Eclampsia
HELLP syndrome
HTN uncontrollable
Acute renal failure
Protein in urine 3 g/day
15) Fetal acidosis in Labour is associated with all of the following except ?
A . Prolong uterine hypertonus .
B . Prolong pregnancy .
C . Late deceleration .
D . Fetal Intraventricular hemorrhage .
E . Decreased variability on CTG .
16) All are true about oxytocin except ?
A . It's Glycoprotein hormone .
B. It's secreted from posterior pituitary .
C . It has an antidiuretic effect .
D . Produces uterine spasms in usually doses .
E . Most common side effect is hypotension and tachycardia
17) All of the following drugs have a tocolytic effect except ?
Aspirin
Ethanol
Nimesulide
Atosiban
Terbutalin
18) All are side effects of Mgso4 except ?
Tachypnoea
Flushing of skin
Wide QRS complex
Nausea and vomiting
Atonic baby syndrome
19) All are true about endometriosis except ?
A . Most common presentation is Menorrhagia .
B . It's recognized cause of infertility .
C . Commonest site in ovaries .
D . Dysmenorrhea is common symptom .
E . Definitive treatment is hysterectomy .
20) All are true about Rubella infection in pregnancy except ?
A . Occurring 8 weeks gestation results in high rate of fetal infection .
B . It's associated with congenital heart disease .
C . Detection of rubella IgG in cord blood confirm fetal infection .
D . It's associated with IUGR .
E . Detection of rubella IgM in maternal blood confirm maternal infection .
21) All are risk factors for osteoporosis except ?
Alcohol abuse
Smoking
Corticosteroids
Hyperthyroidism
High BMI
22) All are true about Tamoxifen except ?
A . It's used for treatment and prophylaxis breast cancer .
B . It has estrogenic effect on endometrium .
C . Is associated with Amenorrhea .
D . Decreasing the risk of DVT and PE .
23) 16 year old female with primary Amenorrhea and raised LH and FSH level , diagnosis is ?
A .Turner syndrome
B .Kallmans syndrome
C .Rokitanski syndrome
D .Stein_Leventhal syndrome
E .Sheehan syndrome
24) All are true about polycystic ovary syndrome except ?
A . Associated with LH Hypersecretion and FSH Hypersecretion .
B . Typical cause of secondary Amenorrhea .
C . Hypersecretion of DHEAS from adrenal gland .
D . It is a uncommon cause of anovulation .
E . It is a recognized cause of infertility .
25) About brachial plexus injury , all are true except ?
A . Erbs palsy is associated with C5_C6 injury .
B . Klumpkes palsy is associated with C7_C8 injury .
C . Erbs palsy is associated with absent moro reflex .
D . Klumpkes palsy is associated with Horner syndrome .
E . Physiotherapy is the main mode of treatment .
26) All are true about congenital adrenal hyperplasia except ?
A . Only female fetus are affected .
B . 21 _ ( OH ) case deficiency is the commonest .
C . It's associated with clitormegaly and ambiguous genitalia .
D . Uterus , fallop tubes , vagina are present .
E . Raised ACTH , 17 ( OH ) progesterone .
27) Development dysplasia of the hip , all are true except ?
A . It's more common in first born female .
B . More common in Oligohydramnios .
C . It screened using Barlow and Ortolani tests .
D . Affect the right hip more than left hip .
E . More common in breech presentation .
28) 30 years old female with secondary Amenorrhea and low gonadotropines level , all are true except ?
Premature ovarian failure
Sheehan syndrome
Prolactinoma
Pituitary failure
29) All are true clinical presentation of PCOS except ?
Irregular uterine bleeding
Low BMI
Hirsutism
Acanthosis nigricans
Hyperandrogenism
30) In a pregnant woman over the age of 35 years there is a risk of all except ?
Ectopic pregnancy
Monozygotic twins
Trophoblastic disease
Preterm delivery
Down syndrome
31) The following are complications of babies for diabetic mothers except ?
A .Brachial plexus injury
B .Neonatal hyperglycemia
C .RDS for newborn
D .Jaundice
E .Neonatal Hypocalcemia
32) All are risk factors for endometrial cancer except ?
A . Polycystic ovary syndrome .
B . DM .
C . HTN .
D . Ovarian Dysgerminoma .
E .Family history of breast or colon cancer .
33) BRCA1 and BRCA2 mutations associated with all of the following malignancy except ?
A .Lung cancer
B .Breast cancer
C .Colorectal cancer
D .Prostatic cancer
E .Ovarian cancer
34) Oligohydramnios is associated with all except ?
A . Twin _ Twin Transfusion syndrome .
B . Antenatal use of NSAIDs .
C . Neural tube defect .
D . Post _ maturity
E . Potter syndrome
35) All are risk factors for IUFD except ?
A .External cephalic version
B .Chromosomal anomalies
C .TORCH infection
D.Twin Twin Transfusion syndrome
E .Bacterial vaginosis
36) A 30 years old woman is found to have a hydrops fetalis 25 weeks gestation , the following are possible causes except ?
A . Parvovirus B19 infection .
B . B thalassemia .
C . RH_isoimmunization .
D . STORH infection .
E . Chromosomal anomalies .
37) All are true about Turner syndrome except ?
A . Impaired intellectual function .
B . Streak gonads with primary Amenorrhea .
C . Associated with fetal hydrops and cystic hygroma .
D . No increase risk of ovarian cancer .
E . Coarctation of the aorta is common .
38) Long term sequelae of PCOS include all of the following except ?
A .DM type two
B. HTN
C .Cervical cancer
D. Infertility
E .High BMI
39) All of the following are side effects of Clomephene citrate except ?
A .Menorrhagia
B. Amenorrhea
C .Ovarian hyperstimulation syndrome
D .Breast tenderness
E .Hair loss and hot flushes
40) All are associated with worse prognosis in a woman with Choriocarcinoma except ?
A . Age > 40 years old .
B . Choriocarcinoma after a normal term pregnancy .
C . Multipara woman ( > 4 pregnancy ) .
D. Blood group O and A .
E . Long interval between pregnancy and chemotherapy > 4 months .
41) All of the following are causes of raised MSAFP except ?
A .Multiple pregnancy
B .Choriocarcinoma
C .Antipartum hemorrhage
D .Down syndrome
E .Sacro_coccygeal trratoma
42) All of the following are associated with high risk of maternal mortality except ?
A .Pulmonary HTN
B .ASD
C .Marfan syndrome
D . HOCM
E .Postpartum Sheehan syndrome
43) All of the following are causes of secondary Amenorrhea except ?
A .Cushing syndrome
B .Hypothyroidism
C .Congenital adrenal hyperplasia
D .Asherman syndrome
E .Kallmans syndrome
44) All of the following are associated with hyperprolactinemia except ?
A .Cushing syndrome
B .Cushing disease
C .Acromegaly
D .Primary hypothyroidism
E .PCOS
45) All are true about Hematocolpos except ?
A . Associated with secondary Amenorrhea .
B . Presents with cyclic lower abdominal pain .
C . Presents with acute urine retention .
D . On PR exam _ mass in vagina .
E . Patient has normal vagina , uterus , tubes and ovaries
46) In Neonate with ambiguous genitalia , all of the following are true except ?
A . Karyotype is mandatory .
B . Turner syndrome is a cause .
C . Electrolytes are mandatory .
D . Congenital adrenal hyperplasia is a cause .
E . 5_alpha reductase deficiency is a cause .
47) All of the following are features of septic abortion except ?
A .DIC
B .Jaundice
C .HTN
D .Acute renal failure
E .Hyper or hypothermia
48) All are true regarding placenta previa except ?
A . Antepartum blood loss is fetal blood .
B . Associated with an increased risk of placenta accreta .
C . Associated with vaginal bleeding in the third trimester .
D . Painless massive vaginal bleeding without fetal distress .
49) A 34 years old female presents a 34 weeks gestation with vaginal bleeding and abdominal pain , her blood pressure 150/90 , fetal heart rate 170 bmp , all of the following are true except ?
A . Most likely diagnosis is Abruption placenta .
B . Emergency cesarean section must be done if fetal heart rate deceleration are present .
C . Thrombocytosis is a complication .
D . Acute renal failure is a complication .
E . Central venous pressure is indicated .
50) All of the following associated with an increased risk of first trimester abortion except ?
A .PCOS
B. Chromosomal anomalies
C .Luteal phase defect
D .Methotrexate usage
E .Well controlled DM type two
51) All are risk factors for placental previa except ?
A .Teenage pregnancy
B .Previous uterine infection
C .Previous scar
D .Multiparity
E .Smoking
52) About gestational diabetes mellitus all are true except?
A . Neonatal jaundice is more common .
B . Neonatal Hypocalcemia is complication .
C . Insulin requirement increased during pregnancy and fall after delivery .
D . Induction of labour in well controlled GDM at 37 weeks gestation .
E . Obesity , old age , family history are the major risk factors .
53) About hyperemesis gravidarum all are true except ?
A . Associated with metabolic alkalosis .
B . Associated with HTN .
C . Associated with Hypokalemia , Hypochloremia .
D . It's uncommon after 16 weeks .
E . Urine is acidic .
54) One of the following is skin manifestation of normal pregnancy ?
A .Spider nevi
B .Pemphigoid
C .Vitiligo
D .Erythema herpetiforms
E .Pyoderma gangrenosum
55) About ovarian Dysgerminoma . One is true ?
A . Associated with Hirsutism .
B . Typically bilateral .
C . Typically radioresistant .
D . Sex cords derived tumor .
E . Peak age > 40 years old
56) All are absolute contraindications for IUCD except ?
A . Recent STDs or PID .
B . Undiagnosed vaginal bleeding .
C . Wilson disease .
D . Past history of ectopic pregnancy .
E . Pregnancy .
57) All are risk factors for vaginal Candida except ?
A . DM
B . Pregnancy
C . COCP
D . IUCD
E . Broad spectrum antibiotics therapy .
58) Strawberry cervix is a classical sign of ?
A .Bacterial vaginosis
B .Trichomonas vaginalis
C .Chlamydia trachomatis
D .Vaginal Candidiasis
E .Troponema pallidum
59) About MIRENA , all are true except ?
A . It's contraindicated in Wilson disease .
B . Used as an IUCD for 5 years .
C . Used for treatment Menorrhagia .
D . Contains 52 mg levonorgestrel , which released at the rate 20 mcg / day .
E . It's very effective for contraception and has very low failure rate .
60) All of the following are side effects of Nifedipine in treatment preeclampsia except ?
A .Gum hyperplasia
B .Gynecomastia
C .Bradycardia
D .Ankle edema
E .Face flushing
61) With regards to the anatomy and mechanism of labour , all are true except ?
A . The sacral promontory is the posterior landmark of the pelvic inlet .
B . Ischial spines are the lateral landmarks of the mid pelvis .
C . Symphysis pubis and body of pubic bone are . The anterior landmarks of the pelvic inlet .
D . The transverse diameter of the pelvic inlet is the widest diameter and equal 13 cm .
E . The anterior _ posterior diameter of the pelvic outlet is the narrowest diameter and equal 11 cm .
62) All are true about late deceleration except ?
A . Reach their minimum after the peak of the contraction .
B . Associated with uteroplacental failure .
C . It's indicate fetal distress .
D . It's always associated with cord PH < 7.2
E . Seen in severe preeclampsia .
63) All are risk factors for PPH except ?
A . Multiparity
B . Active management of third stage of labour .
C . Rapid and prolonged labour .
D . General anaesthesia
E . Coagulopathy
64) There is increased risk of all of the following in the post partum compared with Antepartum except ?
A . Blues , depression , psychosis .
B . Thromboembolism , DVT , PE .
C . Milk stasis and mastitis .
D . Insulin resistance and hyperglycemia .
E . High cardiac output heart failure .
65) Fetal Hydrocephalus associated with ?
A. Arnold Chiari malformation
B .Fragile x syndrome
C .Achondroplasia
D .Turner syndrome
E .VWD
66) Amniocentesis is useful in diagnosis all of the following except ?
A .Fragile x syndrome
B .CAH
C .Spina bifida
D .Lung maturity
E .Esophageal atresia
67) All are true matching about head and presentation except ?
A. Vertex : suboccipito _ bregmatic 9.5 cm .
B . Military : occipitofrontal 11 cm .
C . Brow : occipitomental 12 cm .
D . Face : submento_bregmatic 9.5 cm .
68) Polyhydramnios is associated with all ,except ?
A . Imperforate anus
B . Congenital Diaphragmatic hernia .
C . Chromosomal anomalies .
D . Twin Twin Transfusion syndrome .
E . Post maturity
69) Regarding twin pregnancy , all are true except ?
A . Monozygotic twins have the same incidence worldwide .
B . Dizygotic twins are more common .
C . Monozygotic twins are always identical .
D . Cesarean section is recommended if the first twin is breech presentation .
E . Cesarean section is recommended if the second twin is breech presentation .
70) All are relative contraindication to use antenatal corticosteroids except ?
A .Multiple pregnancy
B .Maternal DM
C .Chorioamnionitis
D .Term pregnancy
Comments
Post a Comment