اسئلة النسائية 2016 (1)
Obstetrics and gynecology 72016
1) Most common cause of postmenopausal bleeding ?
A . Cervical cancer
B . Endometrial cancer
C . Cervical polyps
D . Atrophic vaginitis
E . Endometriosis
2) 20 years old pregnant lady , 21 week gestational age , was done for her ultrasound . Found to have low lying placenta , what must you do ?
A . Do weekly ultrasound .
B . Do at 28 weeks ultrasound .
C . Do pelvic MRI not at 21 week .
D . Do at 25 week ultrasound .
E . No need for follow up .
3) Most significant serious complication for PET and eclampsia is ?
A . HELLP syndrome
B . Acute renal failure
C . Cerebral hemorrhage
D . Blindness
E . Pulmonary edema
4) All are true about HCG except ?
A . Primarily produced by syncytiotrophoblasts .
B . Detected in serum from 10 days after fertilization .
C . Reach the peak at 10 weeks .
D . It is glycoprotein hormone .
E . It has very high level in Choriocarcinoma .
5) All are component of posterior pelvis except ?
A . Sacrum
B . Coccyx
C . Urethral orifice
D . Rectum
E . Sigmoid
6) All of the following are causes of candidiasis except ?
A . Pregnancy
B . Antibiotics
C . OCPs
D . Hypoglycemia
E . Steroids
7) Treatment for mild cases of PID is ?
A . Ofloxacin and metronidazole
B . Penicillin and metronidazole
C . Rifampin and Streptomycin
D . Clindamycin and Ampicillin
E . Ofloxacin and vancomycin
8 ) All are true about treatment of cervical cancer except ?
A . Management depends on stage and age .
B . Stage 1a treated by combination chemo_radio
C . Stage 2a treated mainly chemo_radio .
D . Proceed with Wertheims hysterectomy if lymph nodes negative .
E . Stage 0 treated by LEEP
9) Pregnant women gestational age 18 week and in physical exam fundus of uterus above the umbilicus , all are causes except ?
A . Gestational diabetes mellitus .
B . Duodenal atresia .
C . STORH infection .
D . Fetal hydrops .
E . NTD like Anencephaly .
10) All are true about epilepsy management in pregnancy except ?
A . Valproate can cause NTD 10 folds .
B . Phenytoin can cause cardiac anomalies .
C . Lamotrigine can cause cleft lip and palate .
D . There is an increased risk of major congenital anomalies 5_10%
E . Folic acid 5 mg reduces the risk of some anomalies .
11) All are effect of diabetes in pregnancy except ?
A . Abortion
B . Macrocephaly fetal
C . Macrosomia fetal
D . Neonatal cardiomegaly
E . Neonatal Hyaline membrane disease
12) The LH surge occurs before ovulation by ?
A . 6 hours
B . 8 hours
C . 12_36 hours
D . 72 hours
E . 36_72 hours
13) Cause of Gonadectomy after puberty in management of Androgen insensitivity syndrome is ?
A . Risk of gynecomastia
B . Risk of breast cancer
C . Risk of testicular cancer
D . Risk of liver cancer
E . Risk of ovarian cancer
14) About infertility , all are true except ?
A . PCOS is the most common endocrine cause in women .
B . Adenomyosis is recognized cause .
C . Unexplained cause about 15_30%
D . Semen analysis must be done early .
E . Kallmans syndrome is one of the causes .
15) All are true criteria for vacuum extraction vaginal delivery except ?
A . Experience operator
B . Fully dilated cervix
C . More than 30 weeks gestation
D . Head presentation and vertex attitude
E . Rupture of membranes
16) The type of presentation when the baby's buttocks lie over the maternal pelvis , and flexed hip and extended knee is called ?
A . Footling breech
B . Frank breech
C . Flexed breech
D . Combined breech
E . Cephalic
17) The type of presentation when the baby's buttocks lie over the maternal pelvis and flexed both hips and knees is called ?
A . Footling breech
B . Frank breech
C . Complete breech
D . Compined breech
E . Cephalic
18) All are causes of breech presentation except ?
A . Fibroids
B . Multiple pregnancy
C . Post_term
D . Polyhydramnios
E . Fetal abnormalities
19) All are risk factors for osteoporosis except ?
A . Smoking
B . Rheumatoid arthritis
C . Hypogonadism
D . Hypoparathyroidism
E . Low BMI
20) Most common cause of Abruption placenta is ?
A . Trauma
B . Previous scar
C . Preeclampsia
D . Idiopathic
E . Multiple pregnancy
21) All are true about placenta previa except ?
A . Vaginal exam is contraindicated .
B . Lower uterine segment placenta implantation .
C . About 0.5% of pregnancies at term
D . Painful third trimester vaginal bleeding
E . Delivery is likely to be by cesarean section
22) All are side effects of COCP except ?
A . Breakthrough bleeding
B . Headache
C . Increased risk of stroke
D . Increased risk of ovarian cancer
E . HTN and hyperglycemia
23) All are contraindications for IUCD except ?
A . Vaginal bleeding
B . Active pelvic inflammatory disease
C . Copper allergy
D . Uterine anomalies
E . >35 years old smoker
24) Menopause is ?
A . Permanent 12 consecutive months of Amenorrhea that result from loss of hypophysis activity .
B . Permanent 12 consecutive months of Amenorrhea that result from loss of uterine activity .
C . Permanent 6 consecutive months of Amenorrhea that result from loss of ovaries activity .
D . Permanent 12 consecutive months of Amenorrhea that result from loss of ovaries activity
25) Average age of menopause in Jordan is ?
A . 45 years old
B . 51 years old
C . 55 years old
D . 60 years old
E . 61 years old
26) All are long term consequences of PCOS except ?
A . Endometrial hyperplasia
B . Insulin resistance
C . Obesity
D . Endometrial cancer
E . Ovarian cancer
27) Menstrual disorder in Asherman syndrome is ?
A . Hypomenorrhea
B . Menorrhagia
C . Metrorrhagia
D . Oligomenorrhea
E . Dysmenorrhea
28) All are causes of Oligohydramnios except ?
A . Tracheo_esophageal fistula fetal
B . IUGR
C . Renal agenesis
D . Post date pregnancy
E . Posterior urethral valve
29) Variable deceleration on CTG means ?
A . Utero_placental insufficiency
B . IUGR
C . Head compression
D . Umbilical cord compression
E . Fetal movement
30) All are present in Bishop score to assessment the favorability for induction of labour except ?
A . Cervical dilation
B . Cervical consistency
C . Cervical length
D . Cervical position
E . Cervical station
31) All are true about first stage of labour except ?
A . It is divided into two phases .
B . Progressive cervical dilation .
C . Fetal heart rate must be monitored every 15 min .
D . Vaginal exam must be offered every 4 hours to assess progress of labour .
E . IUGR causes poor progress in the first stage .
32) Active management of the third stage of labour include all of the following except ?
A . Use of oxytocin
B . Use of Methylergonovine
C . Controlled cord traction
D . Use of progesterone
E . Early clamping and cutting of the cord .
33) All are increased during normal pregnancy except ?
A . Cardiac output
B . Heart rate
C . Red blood cell mass
D . Systemic vascular resistance
E . Plasma volume
34) All of the following are increased in normal pregnancy except ?
A . Factor 1
B . Factor 7
C . Factor 8
D . VWF
E . Fibrinolysis
35) All are true about normal finding in urine analysis in normal pregnancy except ?
A . Proteinuria
B . Glucosuria
C . Hematuria
D . Alkaline urine
E . Ketonuria
36) About molar pregnancy . One is false ?
A . Complete mole consists of diffuse hydropic villi with Trophoblastic hyperplasia .
B . Partial mole associated with no fetal tissue .
C . Most common symptom is irregular first trimester vaginal bleeding .
D . Associated with hyperemesis and hyperthyroidism .
E . Snow storm appearance on ultrasound for complete mole .
37) Choriocarcinoma spread mainly by ?
A . Lymphatic
B . Blood
C . Direct
D . Transcoelomic
E . Peritoneal
38) Side effects injectable progesterone are all of the following except ?
A . Menstrual disturbance
B . Delayed conception for 6_12 months
C . Failure rate 2% which is high
D . Weight gain
E . Bone loss with long use
39) 25 year old female , pregnant first time with twins , no past history of abortion , one is correct regarding this pregnant ?
A . G2 P2
B . G1 P1
C . G2 P1
D . G1 P0
E . G0 P1
40) All are true about premature ovarian failure except ?
A . Chromosomal abnormalities are causes .
B . Most common presentation is secondary Amenorrhea .
C . Women need progesterone therapy until 52 years old .
D . At increased risk of osteoporosis .
E . At lower risk of breast cancer .
41) All are sexual transmitted diseases except ?
A . Bacterial vaginosis
B . Chlamydia infection
C . Trachomatis infection
D . Gonococcus infection
E . HPV
42) Most important ligament that give support to uterus is ?
A . Uterosacral ligament
B . Cardinal ligament
C . Broad ligament
D . Ovarian ligament
E . Pubocervical ligament
43) Where we can hear fetal heart sound in breech presentation ?
A . At or above the level of the maternal umbilicus .
B . At or below the level of the maternal umbilicus .
C . At or above the level of the pubic bone of mother .
D . At or above the level of the anterior shoulder of the fetu
44) All are side effects of MIRENA IUD except ?
A . Menorrhagia
B . Irregular P.V bleeding
C . Nausea
D . Breast tenderness
E . Bloating
45) Drug of choice in HTN in pregnancy is ?
A . Methyldopa
B . Sulfate magnesium
C . Thiazide
D . Hydralazine
E . Labetalol
46) Screening tool for Down syndrome in 17 weeks gestation is ?
A . Level 1 ultrasound
B . Level 2 ultrasound
C . Double screening test
D . Triple screening test
E . No screening at 17 weeks
47) Diagnosis of choice for ectopic pregnancy is ?
A . HSG
B . Hysteroscopy
C . Laparoscopy
D . CT scan
E . MRI
48) Most important symptom of ectopic pregnancy ?
A . Vaginal bleeding
B . Abdominal pain
C . Amenorrhea
D . Increased size of abdomen
E . Shoulder tip pain
49) All of the following are causes of DVT except ?
A . SLE
B . Nulliparity
C . SCA
D . PRV
E . Antiphospholipid syndrome
50) Absolute contraindication for OCP is ?
A . Gallbladder stones
B . Lactating mother
C . Migraine without aura
D . Controlled DM or HTN
E . Age >35 , smoking mother
51) Treatment of choice for Gonococcal PID is ?
A . Ceftriaxone
B . Metronidazole
C . Fluconazole
D . Amoxicillin
E . Ofloxacin
52) The gold standard for diagnosis PID is ?
A . Ultrasound
B . Laparoscopy
C . HSG
D . Hysteroscopy
E . Cervical and vaginal swab culture
53) All are true about physiology of pregnancy except ?
A . Decreased in Hb and hematocrit
B . Anemia is diagnosed if Hb <9.5 g/dl
C . No change in MCV , MCH , MCHC in normal pregnancy .
D . Normally 2_3 fold increase iron requirement
E . Normally 10_20 fold increase folate requirement
54) The largest diameter of fetal head is ?
A . Mento_vertical
B . Submento_bregmatic
C . Occipitofrontal
D . Suboccipito_frontal
E . Suboccipito_bregmatic
55) In full term fetus the blood flow in the cord ?
A . 150 ml/min
B . 200 ml/min
C . 250 ml/min
D . 350 ml/min
E . 450 ml/min
56) All of the following are decreased during normal pregnancy except ?
A . Hb and hematocrit
B . Platelet count
C . SVR
D . Respiratory rate
E . Serum uric acid
57) All are early symptom of pregnancy except ?
A . Morning sickness
B . Amenorrhea
C . Pica
D . Breast tenderness
E . Quickening
58) All are risk factors for vasa previa except ?
A . Multiple pregnancy
B . High lying placenta
C . Bilobed placenta
D . Succenturiate placenta
E . IVF pregnancy
59) All are risk factors for PET except ?
A . Past history
B . Extreme of ages
C . Obesity
D . Multiparity
E . Hydatiform mole
60) All are increased in PET except ?
A . Hb and hematocrit
B . Platelet
C . PT and PTT
D . Uric acid
E . ALT and AST
61) Most common symptom of HELLP syndrome ?
A . Nausea
B . Vomiting
C . HTN and headache
D . Epigastric or RUQ pain
E . Purpura
62) Most common typical timing of division in Monozygotic twins is ?
A . < 3 days
B . 4_7 days
C . 8_12 days
D . 12_21 days
E . > 21 days
63) Normal CTG include all except ?
A . Baseline fetal heart rate 110_160 BPM .
B . No variability
C . Two acceleration in 20 minutes
D . Absent deceleration
E . Absent sinusoidal fetal heart rate rhythm
64) Most common cause of pneumonia in pregnancy ?
A . Haemophilus influenza
B . Staphylococcus aureus
C . Klebsiella
D . Streptococcus pneumonia
E . Mycoplasma pneumonia
65) Causes of hyperprolactinemia all , except ?
A . Pregnancy
B . Empty sella syndrome
C . Hyperthyroidism
D . Chronic renal failure
E . Methyldopa
66) Long term effect of recurrent cesarean section are all of the following except ?
A . Uterine rupture
B . Placenta previa
C . Placenta Abruption
D . Placenta accreta
E . Placenta inccreta
67) All are true about management of ovarian cyst in pregnancy except ?
A . Asymptomatic , non_enlarge cyst must be managed surgically .
B . Cystectomy is performed in symptomatic acute complication , malignancy , large in size > 8 cm
C. Elective surgery at 16_20 weeks .
D . If cyst causes obstruction of labour , delivery must be cesarean section
E . Increase risk of miscarriage or preterm delivery
1) Most common cause of postmenopausal bleeding ?
A . Cervical cancer
B . Endometrial cancer
C . Cervical polyps
D . Atrophic vaginitis
E . Endometriosis
2) 20 years old pregnant lady , 21 week gestational age , was done for her ultrasound . Found to have low lying placenta , what must you do ?
A . Do weekly ultrasound .
B . Do at 28 weeks ultrasound .
C . Do pelvic MRI not at 21 week .
D . Do at 25 week ultrasound .
E . No need for follow up .
3) Most significant serious complication for PET and eclampsia is ?
A . HELLP syndrome
B . Acute renal failure
C . Cerebral hemorrhage
D . Blindness
E . Pulmonary edema
4) All are true about HCG except ?
A . Primarily produced by syncytiotrophoblasts .
B . Detected in serum from 10 days after fertilization .
C . Reach the peak at 10 weeks .
D . It is glycoprotein hormone .
E . It has very high level in Choriocarcinoma .
5) All are component of posterior pelvis except ?
A . Sacrum
B . Coccyx
C . Urethral orifice
D . Rectum
E . Sigmoid
6) All of the following are causes of candidiasis except ?
A . Pregnancy
B . Antibiotics
C . OCPs
D . Hypoglycemia
E . Steroids
7) Treatment for mild cases of PID is ?
A . Ofloxacin and metronidazole
B . Penicillin and metronidazole
C . Rifampin and Streptomycin
D . Clindamycin and Ampicillin
E . Ofloxacin and vancomycin
8 ) All are true about treatment of cervical cancer except ?
A . Management depends on stage and age .
B . Stage 1a treated by combination chemo_radio
C . Stage 2a treated mainly chemo_radio .
D . Proceed with Wertheims hysterectomy if lymph nodes negative .
E . Stage 0 treated by LEEP
9) Pregnant women gestational age 18 week and in physical exam fundus of uterus above the umbilicus , all are causes except ?
A . Gestational diabetes mellitus .
B . Duodenal atresia .
C . STORH infection .
D . Fetal hydrops .
E . NTD like Anencephaly .
10) All are true about epilepsy management in pregnancy except ?
A . Valproate can cause NTD 10 folds .
B . Phenytoin can cause cardiac anomalies .
C . Lamotrigine can cause cleft lip and palate .
D . There is an increased risk of major congenital anomalies 5_10%
E . Folic acid 5 mg reduces the risk of some anomalies .
11) All are effect of diabetes in pregnancy except ?
A . Abortion
B . Macrocephaly fetal
C . Macrosomia fetal
D . Neonatal cardiomegaly
E . Neonatal Hyaline membrane disease
12) The LH surge occurs before ovulation by ?
A . 6 hours
B . 8 hours
C . 12_36 hours
D . 72 hours
E . 36_72 hours
13) Cause of Gonadectomy after puberty in management of Androgen insensitivity syndrome is ?
A . Risk of gynecomastia
B . Risk of breast cancer
C . Risk of testicular cancer
D . Risk of liver cancer
E . Risk of ovarian cancer
14) About infertility , all are true except ?
A . PCOS is the most common endocrine cause in women .
B . Adenomyosis is recognized cause .
C . Unexplained cause about 15_30%
D . Semen analysis must be done early .
E . Kallmans syndrome is one of the causes .
15) All are true criteria for vacuum extraction vaginal delivery except ?
A . Experience operator
B . Fully dilated cervix
C . More than 30 weeks gestation
D . Head presentation and vertex attitude
E . Rupture of membranes
16) The type of presentation when the baby's buttocks lie over the maternal pelvis , and flexed hip and extended knee is called ?
A . Footling breech
B . Frank breech
C . Flexed breech
D . Combined breech
E . Cephalic
17) The type of presentation when the baby's buttocks lie over the maternal pelvis and flexed both hips and knees is called ?
A . Footling breech
B . Frank breech
C . Complete breech
D . Compined breech
E . Cephalic
18) All are causes of breech presentation except ?
A . Fibroids
B . Multiple pregnancy
C . Post_term
D . Polyhydramnios
E . Fetal abnormalities
19) All are risk factors for osteoporosis except ?
A . Smoking
B . Rheumatoid arthritis
C . Hypogonadism
D . Hypoparathyroidism
E . Low BMI
20) Most common cause of Abruption placenta is ?
A . Trauma
B . Previous scar
C . Preeclampsia
D . Idiopathic
E . Multiple pregnancy
21) All are true about placenta previa except ?
A . Vaginal exam is contraindicated .
B . Lower uterine segment placenta implantation .
C . About 0.5% of pregnancies at term
D . Painful third trimester vaginal bleeding
E . Delivery is likely to be by cesarean section
22) All are side effects of COCP except ?
A . Breakthrough bleeding
B . Headache
C . Increased risk of stroke
D . Increased risk of ovarian cancer
E . HTN and hyperglycemia
23) All are contraindications for IUCD except ?
A . Vaginal bleeding
B . Active pelvic inflammatory disease
C . Copper allergy
D . Uterine anomalies
E . >35 years old smoker
24) Menopause is ?
A . Permanent 12 consecutive months of Amenorrhea that result from loss of hypophysis activity .
B . Permanent 12 consecutive months of Amenorrhea that result from loss of uterine activity .
C . Permanent 6 consecutive months of Amenorrhea that result from loss of ovaries activity .
D . Permanent 12 consecutive months of Amenorrhea that result from loss of ovaries activity
25) Average age of menopause in Jordan is ?
A . 45 years old
B . 51 years old
C . 55 years old
D . 60 years old
E . 61 years old
26) All are long term consequences of PCOS except ?
A . Endometrial hyperplasia
B . Insulin resistance
C . Obesity
D . Endometrial cancer
E . Ovarian cancer
27) Menstrual disorder in Asherman syndrome is ?
A . Hypomenorrhea
B . Menorrhagia
C . Metrorrhagia
D . Oligomenorrhea
E . Dysmenorrhea
28) All are causes of Oligohydramnios except ?
A . Tracheo_esophageal fistula fetal
B . IUGR
C . Renal agenesis
D . Post date pregnancy
E . Posterior urethral valve
29) Variable deceleration on CTG means ?
A . Utero_placental insufficiency
B . IUGR
C . Head compression
D . Umbilical cord compression
E . Fetal movement
30) All are present in Bishop score to assessment the favorability for induction of labour except ?
A . Cervical dilation
B . Cervical consistency
C . Cervical length
D . Cervical position
E . Cervical station
31) All are true about first stage of labour except ?
A . It is divided into two phases .
B . Progressive cervical dilation .
C . Fetal heart rate must be monitored every 15 min .
D . Vaginal exam must be offered every 4 hours to assess progress of labour .
E . IUGR causes poor progress in the first stage .
32) Active management of the third stage of labour include all of the following except ?
A . Use of oxytocin
B . Use of Methylergonovine
C . Controlled cord traction
D . Use of progesterone
E . Early clamping and cutting of the cord .
33) All are increased during normal pregnancy except ?
A . Cardiac output
B . Heart rate
C . Red blood cell mass
D . Systemic vascular resistance
E . Plasma volume
34) All of the following are increased in normal pregnancy except ?
A . Factor 1
B . Factor 7
C . Factor 8
D . VWF
E . Fibrinolysis
35) All are true about normal finding in urine analysis in normal pregnancy except ?
A . Proteinuria
B . Glucosuria
C . Hematuria
D . Alkaline urine
E . Ketonuria
36) About molar pregnancy . One is false ?
A . Complete mole consists of diffuse hydropic villi with Trophoblastic hyperplasia .
B . Partial mole associated with no fetal tissue .
C . Most common symptom is irregular first trimester vaginal bleeding .
D . Associated with hyperemesis and hyperthyroidism .
E . Snow storm appearance on ultrasound for complete mole .
37) Choriocarcinoma spread mainly by ?
A . Lymphatic
B . Blood
C . Direct
D . Transcoelomic
E . Peritoneal
38) Side effects injectable progesterone are all of the following except ?
A . Menstrual disturbance
B . Delayed conception for 6_12 months
C . Failure rate 2% which is high
D . Weight gain
E . Bone loss with long use
39) 25 year old female , pregnant first time with twins , no past history of abortion , one is correct regarding this pregnant ?
A . G2 P2
B . G1 P1
C . G2 P1
D . G1 P0
E . G0 P1
40) All are true about premature ovarian failure except ?
A . Chromosomal abnormalities are causes .
B . Most common presentation is secondary Amenorrhea .
C . Women need progesterone therapy until 52 years old .
D . At increased risk of osteoporosis .
E . At lower risk of breast cancer .
41) All are sexual transmitted diseases except ?
A . Bacterial vaginosis
B . Chlamydia infection
C . Trachomatis infection
D . Gonococcus infection
E . HPV
42) Most important ligament that give support to uterus is ?
A . Uterosacral ligament
B . Cardinal ligament
C . Broad ligament
D . Ovarian ligament
E . Pubocervical ligament
43) Where we can hear fetal heart sound in breech presentation ?
A . At or above the level of the maternal umbilicus .
B . At or below the level of the maternal umbilicus .
C . At or above the level of the pubic bone of mother .
D . At or above the level of the anterior shoulder of the fetu
44) All are side effects of MIRENA IUD except ?
A . Menorrhagia
B . Irregular P.V bleeding
C . Nausea
D . Breast tenderness
E . Bloating
45) Drug of choice in HTN in pregnancy is ?
A . Methyldopa
B . Sulfate magnesium
C . Thiazide
D . Hydralazine
E . Labetalol
46) Screening tool for Down syndrome in 17 weeks gestation is ?
A . Level 1 ultrasound
B . Level 2 ultrasound
C . Double screening test
D . Triple screening test
E . No screening at 17 weeks
47) Diagnosis of choice for ectopic pregnancy is ?
A . HSG
B . Hysteroscopy
C . Laparoscopy
D . CT scan
E . MRI
48) Most important symptom of ectopic pregnancy ?
A . Vaginal bleeding
B . Abdominal pain
C . Amenorrhea
D . Increased size of abdomen
E . Shoulder tip pain
49) All of the following are causes of DVT except ?
A . SLE
B . Nulliparity
C . SCA
D . PRV
E . Antiphospholipid syndrome
50) Absolute contraindication for OCP is ?
A . Gallbladder stones
B . Lactating mother
C . Migraine without aura
D . Controlled DM or HTN
E . Age >35 , smoking mother
51) Treatment of choice for Gonococcal PID is ?
A . Ceftriaxone
B . Metronidazole
C . Fluconazole
D . Amoxicillin
E . Ofloxacin
52) The gold standard for diagnosis PID is ?
A . Ultrasound
B . Laparoscopy
C . HSG
D . Hysteroscopy
E . Cervical and vaginal swab culture
53) All are true about physiology of pregnancy except ?
A . Decreased in Hb and hematocrit
B . Anemia is diagnosed if Hb <9.5 g/dl
C . No change in MCV , MCH , MCHC in normal pregnancy .
D . Normally 2_3 fold increase iron requirement
E . Normally 10_20 fold increase folate requirement
54) The largest diameter of fetal head is ?
A . Mento_vertical
B . Submento_bregmatic
C . Occipitofrontal
D . Suboccipito_frontal
E . Suboccipito_bregmatic
55) In full term fetus the blood flow in the cord ?
A . 150 ml/min
B . 200 ml/min
C . 250 ml/min
D . 350 ml/min
E . 450 ml/min
56) All of the following are decreased during normal pregnancy except ?
A . Hb and hematocrit
B . Platelet count
C . SVR
D . Respiratory rate
E . Serum uric acid
57) All are early symptom of pregnancy except ?
A . Morning sickness
B . Amenorrhea
C . Pica
D . Breast tenderness
E . Quickening
58) All are risk factors for vasa previa except ?
A . Multiple pregnancy
B . High lying placenta
C . Bilobed placenta
D . Succenturiate placenta
E . IVF pregnancy
59) All are risk factors for PET except ?
A . Past history
B . Extreme of ages
C . Obesity
D . Multiparity
E . Hydatiform mole
60) All are increased in PET except ?
A . Hb and hematocrit
B . Platelet
C . PT and PTT
D . Uric acid
E . ALT and AST
61) Most common symptom of HELLP syndrome ?
A . Nausea
B . Vomiting
C . HTN and headache
D . Epigastric or RUQ pain
E . Purpura
62) Most common typical timing of division in Monozygotic twins is ?
A . < 3 days
B . 4_7 days
C . 8_12 days
D . 12_21 days
E . > 21 days
63) Normal CTG include all except ?
A . Baseline fetal heart rate 110_160 BPM .
B . No variability
C . Two acceleration in 20 minutes
D . Absent deceleration
E . Absent sinusoidal fetal heart rate rhythm
64) Most common cause of pneumonia in pregnancy ?
A . Haemophilus influenza
B . Staphylococcus aureus
C . Klebsiella
D . Streptococcus pneumonia
E . Mycoplasma pneumonia
65) Causes of hyperprolactinemia all , except ?
A . Pregnancy
B . Empty sella syndrome
C . Hyperthyroidism
D . Chronic renal failure
E . Methyldopa
66) Long term effect of recurrent cesarean section are all of the following except ?
A . Uterine rupture
B . Placenta previa
C . Placenta Abruption
D . Placenta accreta
E . Placenta inccreta
67) All are true about management of ovarian cyst in pregnancy except ?
A . Asymptomatic , non_enlarge cyst must be managed surgically .
B . Cystectomy is performed in symptomatic acute complication , malignancy , large in size > 8 cm
C. Elective surgery at 16_20 weeks .
D . If cyst causes obstruction of labour , delivery must be cesarean section
E . Increase risk of miscarriage or preterm delivery
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