اسئلة النسائية 2017 (3)
1/ 50 A 30 year old lady, G1P0, 7wks pregnant presented to the emergency room wth persistent nausea and vomiting, al of the following could be the differential diagnosis for her clinical situation except
1- Gastritis.
2-Missed abortion.
3-Emesis gravidarum,
4- Hyperthyroidism
5-cholecystitis
2/ 50 Al the following findings could be part of sever PET except:
1-Polyhydramnios.
2- Persistent headache
3-Thrombocytopenia.
4- Epigastric pain
5-Pulmonary edema.
3/50 The most common presenting symptom in cases of vulvar carcinoma is:
1-Vulvar bleeding
2-Dysuria
3-Vulvar discharge
4-Dysparunia
5-pruritus
4/ 50 One is true about the uterus after delivery of the fast baby:
1-firm
2-Irregular surface
3- Not painful.
4-Deviated to left
5-above the umbilicus
5/50 Uterine fibroids can be presented by all of the folowngs except:
1-Accidental finding on ultrasound
2- They cause hypomenorrhea
3- Pelvic pain
4- infertility
5-Dysmenorrhea.
6/ 50 The most important reservoir of infection for most of the diseases of humans is
1- Birds
2- Humans
3-Dogs
4-Fishes
5- Mosquito
7/ 50 Brow presentation associated with one of the one of the following:
1-Previous 2 cesarean section
2- Hydrocephaly.
3- Intrauterine growth restriction (IUGR)
4- polyhydramnios.
5- Large baby
8/ 50 Pelvic floor support is provided mainly by
1- uterosacral ligament
2- Round ligament
3-Levator ani muscle.
4- Cervical ligament
5- The bones of the pelvis.
9/ 50 Which of the following would suggest placental abruption?
1-Mal lie
2-Abdominal Tenderness
3- Post date
4-Low placenta
5- Painless bleeding
10/50 Regardind placenta previa, all the following are true except:
1- usually painless recurrent vaginal bleeding
2- Usually diagnosed by vaginal examination.
3-May cause maternal death
4- Its incidence is increased with increase panty
5- The delivery is by cesarean section
11/50 The optimal frequency of uterine contractions during the 1st stage of labor is
1- 1-2 contraction/ 10 minutes,
2- 3-4 contractions/ 10 minutes.
3- 6-8 contraction / 10 minutes
4- 10-12 contractions/ 10 minutes,
5- 15-20 contractions/ 10 minutes
12/50 AIl the folowings are parameters in Ovarian Cancer Symptom Index Except:
1-Pelvic or abdominal pain
2- Abnormal vaginal bleeding.
3-urinary frequency or urgency.
4- bloating
5- Increased abdominal contour
13/ 50 The use of oxytocin for the induction and augmentation of labor, could be associated with al of the folowings except:
1- Hyper stimulation,
2- Fetal distress,
3- Tetanic contraction.
4-Mal position.
5- Uterine muscle fatigue which will lead to increase the risk of a postpartum hemorrhage.
14/50 Which of the folowing statements about polyvalent anti- snake venom serum is true?
1- It is to be given subcutaneously
2-It is an example of passive immunization
3- is usually obtained from human donors
4- should be stored at 0
5- it gives lifelong immunity
15/50 The most commonly encountered anomaly resulting from abnormalites in the development or canalization of the Mulerian ducts.
1- Vaginal septurm.
2- Uni-cornuate uterus.
3-imperforated hymen
4-Hermaphroditism.
5-vaginal agenesis.
16/50 As normal pregnancy progresses one of the folowing hematological changes occur:
1- Plasma volume increases and red cell volume remains constant
2- Plasma volume increase proportionately less than the increase
3-red Red cell volume decreases and plasma volume remains constant
4- Neither plasma volume nor red cell volume change
5- Plasma volume increases and red blood cell mass increases
17/50 AI of the folowings could happen with injectable progestine contraceptives include al the folowing Except:
1- Amenorrhoea.
2-Heavier menstrual bleeding during the first few weeks after device insertion.
3- Headache and nervousness
4- Abdominal bloating.
5-Secondary dysmenorrhae
18/ 50 When a lady developed post partum haemorrhage. al the following measurements could be part of the management protocol except:
1-Misoprostol (Cytotic) rectally or intravaginally
2- Magneesium Sulfate intravenous infusion
3- Oxytocin infusion
4- Methergine Methergine
5-uterine massage.
19/50 In ovarian hyper-stimulation syndrome al the following develop except :
1-Large ovarian size
2-Hydrothorax many develop
3-Ascites may develop
4-thromboembolism
5-hyperproteinemia
20/ 50 The tertiary prevention consists of
1- crisis preparation
2- Elimination of specific disease
3-Early diagnosis and treatment
4- Rehabilitation after disability
5-Environmental sanitation
21/ 50 The diagnosis of menopause is made:
1-4 months after final menstrual period
2- 6 months after final menstrual period
3-8 months after final menstrual period
4- 10 months after final menstrual period
5- 12 months after final menstrual period
22/50 A pregnant lady at the delvery room, the gestational age s 32 weeks, with mid labour pains, you better give her one of the folowings
1- Clindamycin.
2-Dexamethasone.
3-Oxytocin
4-Vit K
5- Regular pethidine
23/ 50 In reviewing the risk factors for endometrial carcinoma, the following list is true except:
1- increased risk in women who have never married before
2- Increased risk in women with increasing parity
3-Increased risk in women with late menopause
4-Decreased risk with smoking
5-There is weak evidence of familial tendency
24/50 Investigations for recurrent miscarriages, include al the following
1- TORCH screening.
2-Thrombophilia screening
3-Thyroid antebodies.
4-Karyotyping of both parents Screening
5-screening for anti-phospholipids.
25/ 50 The total iron requirements during pregnancy is
1-250 mg.
2-80 mg
3- 1000 mg.
4-1500 mg
5-2000 mg.
26/ 50 One of these drugs is a teratogenic:
1-Bromocriptine.
2-Methyldopa
3-Metronidazole
4- Misoprostol.
5-Ferrous gluconate.
27/50 AI of the folowing may cause oligohydramnios except:
1-Premature rupture of the amniotic sac
2- Certain chronic high blood pressure and lupus.
3- Placental insuffiency
4-Fetal polycystic kidney disease
4-fetal esophageal atresia
28/ 50 When using magnesium sulfate in edampsia, the early manifestation of magnesium sulfate toxicty is:
1- Warmth and flushing
2- Slurred speech
3- Loss of patellar reflex.
4-Somnolence
5-Paralysis and respiratory difficulty.
29/50 The differential diagnoses for first trimester bleeding includes al of the folowing except:
1-Threatened miscarriage
2- Missed miscarriage.
3- Incomplete miscarriage.
4-ectopic miscarriages
5- Cervical incompetence
30/ 50 The natural defense mechanism of the lower genital tract includes al of the folowing except:
1-Bacteriostatic effect of the cervical mucus.
2-the night pH of cervical secretion
3-Apposition of the labia and vaginal walls.
4- Natural resistance of stratified squamous epithelium
5- Regular menstruation
31/ 50 AI are tests done for Down's syndrome except:
1- Maternal serum fetal cells.
2- Serum inhibin
3-Serum B -hCG
4-CA 125.
5-Serum estriol
32/50
20 year old single female, with no menstrual cycle at the clinic, when she was examined clinically, al secondary sexual characteristics were present, the next step is
1- Brain computed axial tomography (CAT)
2- progesterone with drawl test
3-Intravenous pyelogram (vP)
4- Tomography of the adrenal gland
5-Karyotyping
33/ 50 Al of the followings are signs of severe preeclampsia toxemia except:
1- Blood pressure of 140/90 mmHg,
2- sever right upper quadrant pain
3- Blurring of vision.
4-Thrombocytopenia
5- severe headache.
34/50 AI of the followings are physiological changes of pregnancy
1-Increases in the cardiac output
2- increase in the glomerular filtration rate.
3- decrease blood pressure in the 3 trimester
4-Increase white blood cells count
5- Delayed gastric emptying
35/ 50 The accuracy for dating a pregnancy in the second trimester
1- Plus, minus 2-3 days.
2- Plus, minus 3-5 days.
3- Plus minus 5-7 days
4- Plus, minus 7-10 days
5-Plus minus 14-21 days
36/ 50 The commonest cause of detrusor over activity is:
1-Low estrogen level.
2-incontinence surgery.
3-Upper motor neuron lesion
4- Idiopathic
5-Recurrent infections
37/50 Al the folowing are risk factors for primary postpartum hemorrhage Except:
1-Prolonged labor
2- History of a previous postpartum hemorrhage
3- Fibroid uterus
4- Premature labor.
5- Placental abruption.
38/50 A 28 year old woman, gravida 2 para 1, presented in labor at 38 weeks gestation developed fetal distress after rupturing the membranes, her vaginal examination showed -2 station, cephalo presentation 8-9 am dilated cervix. The next appropriate step is
1-Apply fundal presuure,
2- Application of forceps
3- Application of vacuum.
4-Immediate cesarean section.
5- oxytocin augmentation of uterine activity, and encouragement of pushing
39/ 50 The dominator in breech presentation is:
1- Symphysis pubis
2-Sacrum
3-Coccyx
4-iliac crest
5- Buttocks.
40/ 50 One of the folowings doesn't norease fungal vaginal infestation
1- diabetes mellitus
2-Intrauterine contraceptave device
3- Broad spectrum antibiotics.
4-Corticosteroids
5- oral contraceptive pills.
41/50 The universal soreening and diagnosis of Gestational Diabetes Mellitus in pregnancy, is at:
1- Gestational age 10-12 weeks
2- Gestational age 14-16 weeks
3-Gestational age 20- 24 weeks.
4-Gestational age 24-28 weeks
5-Gestational age 18- 22 weeks.
42/50 Concerning Cystocele, al are true except
1-is a prolapse of the bladder in upper part of anterior vaginal wall
2-is common after the menopause
3- Is the cause of stress incontinence of urine
4- May lead to urinary infection
5-ls not common in nulliparous women
43/50 AlI of the followings can cause polyhydramnios except:
1-Diabetes with pregnancy
2-Gestational diabetes.
3- Idiopathic. a
4-Esophageal atresia.
5-Intrauterine growth restriction
44/ 50 We say the fetus has bradycardia, when the base Iine is below
1-110 bpm.
2-130 bpm
3- 150 bpm.
4- 170 bpm.
5- 190 bpm,
44/ 50 We say the fetus has bradycardia, when the base Iine is below
1-110 bpm.
2-130 bpm
3- 150 bpm.
4- 170 bpm.
5- 190 bpm,
45/ 50 A 30 year old lady GSP4 , al were by cesarean delivery, she came to the emergency room with abdominal pain at 36 weeks gestation. Al of the following can the cause except:
1-Abruption
2-Uterine wall rupture.
3- Uterine wall dehiscence,
4- labour pains
5- Fetal distress
46/ 50 The menstrual cycle represents is an interaction between the following structures except:
1- Hypo-thalamus.
2-Pituitary gland a
3-Thyroid gland.
4-Ovaries.
5- Endometrium
47/50 Which of the following is most likely to be the cause of a in a 47 year old woman
1- Ovarian tumour.
2-Adenomyosis.
3-intrauterine contraceptive device (UCD)
4- vaginal prolapse.
5- Endometrial polyp.
48/ 50 Al of the followings are contraindications for vacuum delivery except
1- Pre-terms
2- Occipito posterior positions.
3-Brow presentation.
4-Face presentation.
5- Breech presentation,
49/50 All of the following are symptoms of ectopic pregnancy
1-Shoulder tip pain.
2-vaginal spotting
3- Abdominal pain.
4-Dizziness,
5- The presence of an Intrauterine contraceptive device (UCD).
50/ 50 If the first day of the last menstrual period of a pregnant lady is 2/7/2017. The patient's estimated date of delivery
1- 9/7/2017.
2- 2/4/2017
3-9/4/2018
4-7/2/2018
5-10/5/2017
1- Gastritis.
2-Missed abortion.
3-Emesis gravidarum,
4- Hyperthyroidism
5-cholecystitis
2/ 50 Al the following findings could be part of sever PET except:
1-Polyhydramnios.
2- Persistent headache
3-Thrombocytopenia.
4- Epigastric pain
5-Pulmonary edema.
3/50 The most common presenting symptom in cases of vulvar carcinoma is:
1-Vulvar bleeding
2-Dysuria
3-Vulvar discharge
4-Dysparunia
5-pruritus
4/ 50 One is true about the uterus after delivery of the fast baby:
1-firm
2-Irregular surface
3- Not painful.
4-Deviated to left
5-above the umbilicus
5/50 Uterine fibroids can be presented by all of the folowngs except:
1-Accidental finding on ultrasound
2- They cause hypomenorrhea
3- Pelvic pain
4- infertility
5-Dysmenorrhea.
6/ 50 The most important reservoir of infection for most of the diseases of humans is
1- Birds
2- Humans
3-Dogs
4-Fishes
5- Mosquito
7/ 50 Brow presentation associated with one of the one of the following:
1-Previous 2 cesarean section
2- Hydrocephaly.
3- Intrauterine growth restriction (IUGR)
4- polyhydramnios.
5- Large baby
8/ 50 Pelvic floor support is provided mainly by
1- uterosacral ligament
2- Round ligament
3-Levator ani muscle.
4- Cervical ligament
5- The bones of the pelvis.
9/ 50 Which of the following would suggest placental abruption?
1-Mal lie
2-Abdominal Tenderness
3- Post date
4-Low placenta
5- Painless bleeding
10/50 Regardind placenta previa, all the following are true except:
1- usually painless recurrent vaginal bleeding
2- Usually diagnosed by vaginal examination.
3-May cause maternal death
4- Its incidence is increased with increase panty
5- The delivery is by cesarean section
11/50 The optimal frequency of uterine contractions during the 1st stage of labor is
1- 1-2 contraction/ 10 minutes,
2- 3-4 contractions/ 10 minutes.
3- 6-8 contraction / 10 minutes
4- 10-12 contractions/ 10 minutes,
5- 15-20 contractions/ 10 minutes
12/50 AIl the folowings are parameters in Ovarian Cancer Symptom Index Except:
1-Pelvic or abdominal pain
2- Abnormal vaginal bleeding.
3-urinary frequency or urgency.
4- bloating
5- Increased abdominal contour
13/ 50 The use of oxytocin for the induction and augmentation of labor, could be associated with al of the folowings except:
1- Hyper stimulation,
2- Fetal distress,
3- Tetanic contraction.
4-Mal position.
5- Uterine muscle fatigue which will lead to increase the risk of a postpartum hemorrhage.
14/50 Which of the folowing statements about polyvalent anti- snake venom serum is true?
1- It is to be given subcutaneously
2-It is an example of passive immunization
3- is usually obtained from human donors
4- should be stored at 0
5- it gives lifelong immunity
15/50 The most commonly encountered anomaly resulting from abnormalites in the development or canalization of the Mulerian ducts.
1- Vaginal septurm.
2- Uni-cornuate uterus.
3-imperforated hymen
4-Hermaphroditism.
5-vaginal agenesis.
16/50 As normal pregnancy progresses one of the folowing hematological changes occur:
1- Plasma volume increases and red cell volume remains constant
2- Plasma volume increase proportionately less than the increase
3-red Red cell volume decreases and plasma volume remains constant
4- Neither plasma volume nor red cell volume change
5- Plasma volume increases and red blood cell mass increases
17/50 AI of the folowings could happen with injectable progestine contraceptives include al the folowing Except:
1- Amenorrhoea.
2-Heavier menstrual bleeding during the first few weeks after device insertion.
3- Headache and nervousness
4- Abdominal bloating.
5-Secondary dysmenorrhae
18/ 50 When a lady developed post partum haemorrhage. al the following measurements could be part of the management protocol except:
1-Misoprostol (Cytotic) rectally or intravaginally
2- Magneesium Sulfate intravenous infusion
3- Oxytocin infusion
4- Methergine Methergine
5-uterine massage.
19/50 In ovarian hyper-stimulation syndrome al the following develop except :
1-Large ovarian size
2-Hydrothorax many develop
3-Ascites may develop
4-thromboembolism
5-hyperproteinemia
20/ 50 The tertiary prevention consists of
1- crisis preparation
2- Elimination of specific disease
3-Early diagnosis and treatment
4- Rehabilitation after disability
5-Environmental sanitation
21/ 50 The diagnosis of menopause is made:
1-4 months after final menstrual period
2- 6 months after final menstrual period
3-8 months after final menstrual period
4- 10 months after final menstrual period
5- 12 months after final menstrual period
22/50 A pregnant lady at the delvery room, the gestational age s 32 weeks, with mid labour pains, you better give her one of the folowings
1- Clindamycin.
2-Dexamethasone.
3-Oxytocin
4-Vit K
5- Regular pethidine
23/ 50 In reviewing the risk factors for endometrial carcinoma, the following list is true except:
1- increased risk in women who have never married before
2- Increased risk in women with increasing parity
3-Increased risk in women with late menopause
4-Decreased risk with smoking
5-There is weak evidence of familial tendency
24/50 Investigations for recurrent miscarriages, include al the following
1- TORCH screening.
2-Thrombophilia screening
3-Thyroid antebodies.
4-Karyotyping of both parents Screening
5-screening for anti-phospholipids.
25/ 50 The total iron requirements during pregnancy is
1-250 mg.
2-80 mg
3- 1000 mg.
4-1500 mg
5-2000 mg.
26/ 50 One of these drugs is a teratogenic:
1-Bromocriptine.
2-Methyldopa
3-Metronidazole
4- Misoprostol.
5-Ferrous gluconate.
27/50 AI of the folowing may cause oligohydramnios except:
1-Premature rupture of the amniotic sac
2- Certain chronic high blood pressure and lupus.
3- Placental insuffiency
4-Fetal polycystic kidney disease
4-fetal esophageal atresia
28/ 50 When using magnesium sulfate in edampsia, the early manifestation of magnesium sulfate toxicty is:
1- Warmth and flushing
2- Slurred speech
3- Loss of patellar reflex.
4-Somnolence
5-Paralysis and respiratory difficulty.
29/50 The differential diagnoses for first trimester bleeding includes al of the folowing except:
1-Threatened miscarriage
2- Missed miscarriage.
3- Incomplete miscarriage.
4-ectopic miscarriages
5- Cervical incompetence
30/ 50 The natural defense mechanism of the lower genital tract includes al of the folowing except:
1-Bacteriostatic effect of the cervical mucus.
2-the night pH of cervical secretion
3-Apposition of the labia and vaginal walls.
4- Natural resistance of stratified squamous epithelium
5- Regular menstruation
31/ 50 AI are tests done for Down's syndrome except:
1- Maternal serum fetal cells.
2- Serum inhibin
3-Serum B -hCG
4-CA 125.
5-Serum estriol
32/50
20 year old single female, with no menstrual cycle at the clinic, when she was examined clinically, al secondary sexual characteristics were present, the next step is
1- Brain computed axial tomography (CAT)
2- progesterone with drawl test
3-Intravenous pyelogram (vP)
4- Tomography of the adrenal gland
5-Karyotyping
33/ 50 Al of the followings are signs of severe preeclampsia toxemia except:
1- Blood pressure of 140/90 mmHg,
2- sever right upper quadrant pain
3- Blurring of vision.
4-Thrombocytopenia
5- severe headache.
34/50 AI of the followings are physiological changes of pregnancy
1-Increases in the cardiac output
2- increase in the glomerular filtration rate.
3- decrease blood pressure in the 3 trimester
4-Increase white blood cells count
5- Delayed gastric emptying
35/ 50 The accuracy for dating a pregnancy in the second trimester
1- Plus, minus 2-3 days.
2- Plus, minus 3-5 days.
3- Plus minus 5-7 days
4- Plus, minus 7-10 days
5-Plus minus 14-21 days
36/ 50 The commonest cause of detrusor over activity is:
1-Low estrogen level.
2-incontinence surgery.
3-Upper motor neuron lesion
4- Idiopathic
5-Recurrent infections
37/50 Al the folowing are risk factors for primary postpartum hemorrhage Except:
1-Prolonged labor
2- History of a previous postpartum hemorrhage
3- Fibroid uterus
4- Premature labor.
5- Placental abruption.
38/50 A 28 year old woman, gravida 2 para 1, presented in labor at 38 weeks gestation developed fetal distress after rupturing the membranes, her vaginal examination showed -2 station, cephalo presentation 8-9 am dilated cervix. The next appropriate step is
1-Apply fundal presuure,
2- Application of forceps
3- Application of vacuum.
4-Immediate cesarean section.
5- oxytocin augmentation of uterine activity, and encouragement of pushing
39/ 50 The dominator in breech presentation is:
1- Symphysis pubis
2-Sacrum
3-Coccyx
4-iliac crest
5- Buttocks.
40/ 50 One of the folowings doesn't norease fungal vaginal infestation
1- diabetes mellitus
2-Intrauterine contraceptave device
3- Broad spectrum antibiotics.
4-Corticosteroids
5- oral contraceptive pills.
41/50 The universal soreening and diagnosis of Gestational Diabetes Mellitus in pregnancy, is at:
1- Gestational age 10-12 weeks
2- Gestational age 14-16 weeks
3-Gestational age 20- 24 weeks.
4-Gestational age 24-28 weeks
5-Gestational age 18- 22 weeks.
42/50 Concerning Cystocele, al are true except
1-is a prolapse of the bladder in upper part of anterior vaginal wall
2-is common after the menopause
3- Is the cause of stress incontinence of urine
4- May lead to urinary infection
5-ls not common in nulliparous women
43/50 AlI of the followings can cause polyhydramnios except:
1-Diabetes with pregnancy
2-Gestational diabetes.
3- Idiopathic. a
4-Esophageal atresia.
5-Intrauterine growth restriction
44/ 50 We say the fetus has bradycardia, when the base Iine is below
1-110 bpm.
2-130 bpm
3- 150 bpm.
4- 170 bpm.
5- 190 bpm,
44/ 50 We say the fetus has bradycardia, when the base Iine is below
1-110 bpm.
2-130 bpm
3- 150 bpm.
4- 170 bpm.
5- 190 bpm,
45/ 50 A 30 year old lady GSP4 , al were by cesarean delivery, she came to the emergency room with abdominal pain at 36 weeks gestation. Al of the following can the cause except:
1-Abruption
2-Uterine wall rupture.
3- Uterine wall dehiscence,
4- labour pains
5- Fetal distress
46/ 50 The menstrual cycle represents is an interaction between the following structures except:
1- Hypo-thalamus.
2-Pituitary gland a
3-Thyroid gland.
4-Ovaries.
5- Endometrium
47/50 Which of the following is most likely to be the cause of a in a 47 year old woman
1- Ovarian tumour.
2-Adenomyosis.
3-intrauterine contraceptive device (UCD)
4- vaginal prolapse.
5- Endometrial polyp.
48/ 50 Al of the followings are contraindications for vacuum delivery except
1- Pre-terms
2- Occipito posterior positions.
3-Brow presentation.
4-Face presentation.
5- Breech presentation,
49/50 All of the following are symptoms of ectopic pregnancy
1-Shoulder tip pain.
2-vaginal spotting
3- Abdominal pain.
4-Dizziness,
5- The presence of an Intrauterine contraceptive device (UCD).
50/ 50 If the first day of the last menstrual period of a pregnant lady is 2/7/2017. The patient's estimated date of delivery
1- 9/7/2017.
2- 2/4/2017
3-9/4/2018
4-7/2/2018
5-10/5/2017
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