اسئلة النسائية 2016 (2)
1 ) Causes of gynecomastia include all of the following except ?
A . Liver cirrhosis .
B . Bronchogenic carcinoma .
C . Testicular atrophy .
D . Chronic digitalis therapy .
E . Hyperparathyroidism .
2 ) All of the following conditions are associated with Polyhydramnios except ?
A . Postmaturity .
B . Gestational DM .
C . TTTS .
D . NTD .
E . Tracheosesophageal fistula .
3 ) All of the following can cause decreased the amniotic fluid around the fetus except ?
A . Premature ROM .
B . Chronic conditions as HTN , SLE .
C . Drugs as ACE _ i .
D . Gestational DM .
E . Conditions in the baby as a kidney or urinary tract problems .
4 ) Hydatidiform mole is characterized by all , except ?
A . Theca lutein cyst on the ovaries .
B . Severe hyperemesis .
C . Large for date uterus .
D . Hypothyroidism .
E . Early Onest preeclampsia .
5 ) A 23 year old woman , married for the last 4 months , asking for pregnancy . She had irregular cycle , obese , hirsute . All of the following are part of the management except ?
A . Asking for androgens levels .
B . Measuring her blood sugar .
C . Measuring her FSH , LH , PRL levels .
D . Scanning her ovaries .
E . Asking for hysterosalpingogram .
6 ) In multiple gestation , all of the following can occur except ?
A . TTTS .
B . Gestational DM .
C . Gestational HTN .
D . Post date .
E . Malposition .
7 ) The biologic action of oral contraceptive pills include all except ?
A . Suppression of FSH .
B . Suppression of LH .
C . Alteration of cervical mucus , making it less penetrable by spermatozoa .
D . Induction of sterile inflammatory reaction that interferes with the sperm movement .
E . Induction of Atrophic changes in the endometrium .
8 ) The pathologic retraction ring of bandl is most commonly associated with ?
A . Preterm labor .
B . Obstructed labour .
C . Precipitated labor .
D . Multiple gestation .
E . Uterine fibroids .
9 ) Regarding gestational DM , only one is correct ?
A . Almost all case's require insulin therapy .
B . There is positive family history in a 90 % of the case's .
C . There is increased risk of fetal anomalies even when adequately treated .
D . ACE _ i are recognized as drug of choice for HTN .
E . There is increased risk of maternal diabetes later in life .
10 ) Which of the following is a contraindication to use of oxytocin for stimulating labor ?
A . Fetal demise .
B . Hypotonic uterine dysfunction .
C . Hypertonic uterine dysfunction .
D . Twin gestation .
E . Estimated fetal weight less than 2.5 kg .
11 ) The commonest cause of death in eclampsia is ?
A . DIC
B . Acute heart failure
C . Renal failure
D . Cerebral hemorrhage
E . Liver failure
12 ) Factors increased risk of genital prolapse include all of the following except ?
A . Caucasian race .
B . Forceps delivery .
C . Exercise .
D . Hysterectomy .
E . Menopause .
13 ) The following are usually considered normal finding during pregnancy except ?
A . Constipation .
B . Ankle edema .
C . Palms and soles itching .
D . Leg cramps .
E . Heartburn .
14 ) Contraindications for induction of labor include all except ?
A . Postdate pregnancy .
B . Cervical carcinoma .
C . Previous classical cesarean section .
D . Triplets .
E . Abnormal antenatal CTG .
15 ) Regarding Stein leventhal syndrome , all true except ?
A . Hirsutism and acne .
B . Amenorrhea .
C . High androgen .
D . Raised FSH /LH ratio .
E . Infertility .
16 ) Regarding normal pubertal development , the last feature to appear is ?
A . Breast development .
B . Pubic hair .
C . Axillary hair .
D . Growth spurt .
E . Menstruation .
17 ) Complications of Postterm include all of the following except ?
A . Fetal death .
B . Shoulder dystocia .
C . Oligohydramnios .
D . Meconium aspiration syndrome .
E . Respiratory distress syndrome .
18 ) Regarding cervical incompetence , all are correct except ?
A . Can be caused by cone biopsy of the cervix .
B . Is best treated with cervical suture at the end of first trimester of pregnancy .
C . Is a recognized cause of first trimester miscarriage .
D . Is a cause of preterm labor .
E . Can be diagnosed by ultrasound .
19 ) The earliest gestation in pregnancy that a woman starts to perceive fetal movements is ?
A . 6 weeks .
B . 10 weeks .
C . 24 weeks .
D . 16 weeks .
E . 30 weeks .
20 ) Regarding abortion , all are true except ?
A . In inevitable abortion , the cervix is closed .
B . Ovulation can occur 2 weeks after abortion .
C . In missed abortion , after 12 weeks , the best method for treatment is medical termination .
D . Asherman syndrome is a recognized cause of recurrent abortion .
E . In incomplete abortion the cervix is open .
21 ) A 27 years old lady G3P1 at 35 weeks gestation come to emergency room , with mild painless vaginal bleeding , her blood pressure 110/60 with +1 protein in urine . Dipstick , the most likely diagnosis ?
A . PROM .
B . Placenta previa .
C . Abruptio placentae .
D . Polyhydramnios .
E . Preterm labor .
22 ) Regarding cervical ectropion , all are true except ?
A . Is associated with increased vaginal discharge .
B . Is increased in mini pills user's .
C . Is a cause of postcoital bleeding .
D . Is more common during pregnancy .
E . Is pathological in postmenopausal women .
23 ) What is the mechanism by which the biparietal diameter passes through the pelvic inlet ?
A . Flexion .
B . Engagement .
C . Extension .
D . Internal rotation .
E . Descent .
24 ) Which type of deceleration is due to cord compression during labor ?
A . Early deceleration .
B . Variable deceleration .
C . Prolonged deceleration .
D . Late deceleration .
E . Fetal tachycardia .
25 ) In the interpretation of cardiotocography during fetal evaluation , the normal result include all except ?
A . At least two fetal movement , with fetal heart rate acceleration in 20 minutes .
B . No deceleration .
C . No evidence of sinusoidal FHR rhythm .
D . Beat to beat variability present .
E . Basal FHR between 100 _ 170 BPM .
26 ) Maternal mortality rate in Jordan is ?
A . 19 / 100.000
B . 41 / 100.000
C . 19 / 1000
D . 22 / 10.000
E . 62 / 100.000
27 ) If the last menstrual cycle was on 15/7/2016 , then the expected day of delivery is ?
A . 15 / 3 / 2017 .
B . 22 / 9 / 2017 .
C . 22 / 4 / 2017 .
D . 15 / 4 / 2017 .
E . 20 / 6 / 2017 .
28 ) All of the following are from the antenatal tests except ?
A . TSH .
B . Sugar serum .
C . LFT .
D . RH grouping .
E . CBC .
29 ) A 32 years lady presented with non bloody vaginal discharge , gray in color , frothy with no pruritus and bad smell . Most likely the causative organism for this infection ?
A . Trichomonas vaginalis .
B . Candida albicans .
C . Gardnerella vaginalis .
D . Candida tropicalis .
E . Chlamydia trachomatis .
30 ) Vulvovaginal candidiasis occurs more frequently in the following except ?
A . Pregnants .
B . Thyrotoxicosis .
C . Long term antibiotic therapy .
D . Diabetes .
E . Oral contraceptive pills .
31 ) Syphilis , gonorrhea , Chancroid are linked together because of similar ?
A . Tissue reaction .
B . Causative agent .
C . Symptoms .
D . Mode of transmission .
E . Same treatment .
32 ) Most common etilogic agent in postpartum mastitis ?
A . Aerobic Streptococcus .
B . Anaerobic Streptococcus .
C . E Coli .
D . Staphylococcus aureus .
E . Neisseria .
33 ) The median age of menopause is ?
A . 51 year .
B . 41 year .
C . 57 year .
D . 47 year .
E . 45 year .
34 ) Risk factors for endometrial cancer include all except ?
A . Late menopause .
B . Obesity .
C . Nulliparity .
D . Family history .
E . Combined oral contraceptive pills .
35 ) The main presenting symptom of endometriosis is ?
A . Weight loss .
B . Dysuria .
C . Chronic pelvic pain .
D . Infertility .
E . Menorrhagia .
36 ) HPV ( human papillomavirus ) vaccine used for ?
A . Breast cancer .
B . Uterine fibroids .
C . Ovarian cancer .
D . Cervical cancer .
E . Endometrial cancer .
37 ) The most common uterine tumors in reproductive age is ?
A . Sarcoma .
B . Adenocarcinoma .
C . Adenomyosis .
D . Choriocarcinoma .
E . Leiomyoma .
38 ) Predisposing factors for transverse lies include all except ?
A . Polyhydramnios .
B . Multiparity .
C . Abruptio placentae .
D . Uterine fibroids .
E . Abruptio placentae .
39 ) In Abruptio placentae , all are true except ?
A . May be associated with proteinuria .
B . The main fetal risk is hypoxia .
C . DIC is the most serious complication .
D . The patient commonly presents in labor .
E . Fetus is often in transverse presentation .
40 ) The most accurate time to date a pregnancy is ?
A . Scan at 11 _ 14 weeks .
B . Scan at the second trimester .
C . Scan at the third trimester .
D . Scan at 20 weeks .
E . Time of detection the fetal heart activity .
41 ) We say the fetus has Bradycardia , when the baseline is below ?
A . 115
B . 125
C . 110
D . 120
E . 130
42 ) All are causes of primary postpartum hemorrhage except ?
A . Uterine atony .
B . Infection .
C . Retained product of conception .
D . DIC .
E . Genital tract laceration .
43 ) Side effects of progesterone treatment , all of the following except ?
A . Functional ovarian cyst .
B . Endometrial hyperplasia .
C . Breakthrough bleeding .
D . Headache and depression .
E . Weight gain .
44 ) Regarding endometriosis , all are true except ?
A . Is benign .
B . Progressive disease .
C . Improves during pregnancy .
D . Usually no abnormal finding on physical exam .
E . Is best diagnosed by pelvic ultrasound .
45 ) The following procedure can assess both uterine cavity and tubal lumen is ?
A . Colposcopy .
B . Laparoscopy .
C . Hysteroscopy .
D . Hysterosalpingogram .
E . Ultrasound .
46 ) Uterine corpus is mainly composed of ?
A . Elastic tissue .
B . Fibrous tissue .
C . Smooth muscle .
D . Endometrium .
E . Estrogen receptors .
47 ) Regarding polycystic ovarian syndrome , all are true except ?
A . Usually self limiting condition .
B . Female have especial ovarian ultrasound findings .
C . Can be presented with Hirsutism .
D . Can be presented with infertility .
E . Galactorrhea associated symptom .
48 ) Factors increased risk of genital prolapse include all except ?
A . Forceps delivery .
B . Caucasian race .
C . Exercise .
D . Hysterectomy .
E . Menopause .
49 ) Regarding ovarian tumors , all are germ cell tumors except ?
A . Teratoma .
B . Choriocarcinoma .
C . Endometrioid tumor .
D . Yolk sac tumor .
E . Dysgerminoma .
50 ) All of the following are postnatal health problems except ?
A . Postnatal psychosis .
B . Pulmonary embolism .
C . Puerperal pyrexia .
D . Postpartum hemorrhage .
E . DM type one .
51 ) What is the most appropriate action to be taken when a clinically palpable ovarian mass is detected accidentally for the first time in a 58 years old postmenopausal woman ?
A . Nothing , conservative , review in 3 months time .
B . Take a pap smear and review in 6 months .
C . Admit to the hospital for proper evaluation and arrange for Laparotomy .
D . Tumor markers are not important .
E . Diagnostic laparoscopy , ovarian biopsy .
52 ) All of the following can be diagnosed by ultrasound examination at 10 weeks gestation except ?
A . Chorionicity .
B . Twins .
C . Missed miscarriage .
D . Placenta previa .
E . Corpus luteal cyst .
53 ) All of the following are indications for vacuum delivery except ?
A . Poor maternal effort .
B . Prolonged second stage of labor .
C . Macrosomia in gestational diabetes mellitus .
D . Fetal distress in second stage of labor .
E . Maternal cardiac disease .
54 ) All are most likely causes for abdominal pain at 24 weeks gestation except ?
A . Spontaneous miscarriage .
B . Acute appendicitis .
C . UTI .
D . Ectopic pregnancy .
E . Complicated ovarian cyst .
55 ) Regarding normal pubertal development , the last feature to appear is ?
A . Menstruation .
B . Growth spurt .
C . Axillary hair .
D . Pubic hair .
E . Breast development .
56 ) Features of threatened abortion include all of the following except ?
A . The commonest type of abortion .
B . Ultrasound is essential for diagnosis .
C . The fetal heart activity is absent .
D . The uterine size is usually corresponding with date .
E . The majority of case's continue to term .\
57 ) During testing the blood group of pregnant lady in her first pregnancy . If the lab reports the presence of A antigen in the red blood cell , and anti B antibodies in the plasma . The blood group for this lady will be ?
A . B
B . AB negative
C . AB positive
D . A
E . O negative
58 ) In a 12 weeks pregnant multipara with HTN , the following are possible causes except ?
A . Essential HTN .
B . Cushing syndrome .
C . Molar pregnancy .
D . Preeclampsia .
E . SLE .
59 ) Regarding labor , all are true except ?
A . The length of first stage of labor in primigravida is longer than that for multigravida .
B . The latent phase is part of the second stage .
C . The normal duration of second stage may reach 3 hours in primigravida .
D . Oxytocin are commonly used in third stage of labor .
E . Second stage of labor indicates delivery of the baby .
60 ) A fasting blood sugar in a pregnant lady after 24 weeks gestation must be less than ?
A . 72 _ 75 gm / dL
B . 82 _ 85 gm / dL
C . 92 _ 95 gm / dL
D . 102 _ 105 gm / dL
E . 112 _ 115 gm / dL
61 ) Which of the following is not an indication for classical cesarean section ?
A . Post mortem mother with life fetus .
B . Lower uterine segment adhesions .
C . Premature breech .
D . Impacted shoulder .
E . Fundal uterine fibroid .
62 ) A 22 year old pregnant 34 weeks , presented with generalized edema , and blood pressure 150 / 100 mmhg , no proteinuria . The best most important next step in her management ?
A . Low salt diet .
B . Bed rest at home's .
C . Antihypertensive therapy .
D . Admission to the hospital and observe blood pressure .
E . Review in the clinic after one week .
63 ) Mrs Sonia is a 28 years , presented with symptom of painful heavy regular menstruation . That occurs all through the cycle , for the last 6 months , failure of conception for the last 3 years . The first differential diagnosis should be ?
A . Primary dysmenorrhea .
B . Dyspareunia .
C . Secondary dysmenorrhea .
D . Acute PID .
E . Endometriosis .
64 ) The normal lining of the fallopian tube is ?
A . Squamous epithelium .
B . Transitional epithelium .
C . Cuboidal epithelium .
D . Columnar epithelium with cilia .
E . Fibrous connective tissue .
65 ) A 28 year old patient complains of Amenorrhea after having dilation and curettage . The most likely diagnosis ?
A . Kallmann syndrome .
B. Turner syndrome .
C . Asherman syndrome .
D . PID .
E . Anorexia nervosa .
66 ) A 32 years old , gravida 3 , para 2 , presented at 36 weeks gestation in shock . On exam there is vaginal bleeding , the uterus is rigid and the fetus is dead . Pelvic exam reveals the cervix to be effaced and 6 cm dilated . Next appropriate action after resuscitation is ?
A . Admit to delivery room and perform forewater amniotomy .
B . Proceed immediately to cesarean section .
C . Start Clexane therapy to break the cycle of DIC .
D . Admit to the antenatal floor .
E . Induce labor by prostaglandin suppositories then syntocinon drip
67) A 20 years old lady G2P2 , she is HBV surface antigen positive , she delivered 16 hours ago , what is the proper management of her newborn ?
A . Check hepatitis B surface antigen .
B . Check bilirubin level .
C . Give hepatitis vaccine and immunoglobulins .
D . Check hepatitis C antibodies .
E . Do not lactate the newborn .
68 ) Regarding ectopic pregnancy , one is true ?
A . A negative urinary pregnancy test rules out early ectopic pregnancy .
B . The incidence is falling with usage assisted reproduction .
C . Presence of Amenorrhea is essential for diagnosis .
D . Most case's discovered on routine antenatal care .
E . May present as vaginal bleeding .
69 ) Regarding combined oral contraceptive pills , all are true except ?
A . Absolute contraindication is stroke .
B . Main mechanism action is suppression of ovulation .
C . They are safe in women with past of history of MI .
D . They are composed of estrogen and progesterone .
E . They are used in treatment Hirsutism .
70 ) All of the following are risk for placenta accreta except ?
A . Previous cesarean section .
B . Previous dilation and curettage .
C . Previous uterine perforation .
D . Previous myomectomy in which the endometrium was opened .
E . All of the above .
71 ) All of the following about rhesus disease are false except ?
A . Occurs when the Rh status for the both partners is negative .
B . Anti D immunoglobulin is IgM .
C . Is a cause of first trimester miscarriage .
D . Is associated with higher risk of fetal anomalies .
E . Is a cause of hydrops fetalis .
72 ) Which of the following would be the most common warning sign / symptom of eclampsia ?
A . Proteinuria 7 g / day .
B . Severe headache .
C . Facial edema .
D . Increased blood pressure to 170 / 100 .
E . Decreased urine output .
73 ) A 26 years old female is first seen at 28 weeks gestation her history and physical are normal except for the presence of a 2 cm posterior cervical Leiomyoma . The patient is relatively asymptomatic . Which of the following is the best management for this patient ?
A . Myomectomy at 36 weeks .
B . Myomectomy now with steroids and tocolysis .
C . Progesterone therapy to decrease the size .
D . Elective cesarean section at term .
E . Waiting and follow up closely .
A . Liver cirrhosis .
B . Bronchogenic carcinoma .
C . Testicular atrophy .
D . Chronic digitalis therapy .
E . Hyperparathyroidism .
2 ) All of the following conditions are associated with Polyhydramnios except ?
A . Postmaturity .
B . Gestational DM .
C . TTTS .
D . NTD .
E . Tracheosesophageal fistula .
3 ) All of the following can cause decreased the amniotic fluid around the fetus except ?
A . Premature ROM .
B . Chronic conditions as HTN , SLE .
C . Drugs as ACE _ i .
D . Gestational DM .
E . Conditions in the baby as a kidney or urinary tract problems .
4 ) Hydatidiform mole is characterized by all , except ?
A . Theca lutein cyst on the ovaries .
B . Severe hyperemesis .
C . Large for date uterus .
D . Hypothyroidism .
E . Early Onest preeclampsia .
5 ) A 23 year old woman , married for the last 4 months , asking for pregnancy . She had irregular cycle , obese , hirsute . All of the following are part of the management except ?
A . Asking for androgens levels .
B . Measuring her blood sugar .
C . Measuring her FSH , LH , PRL levels .
D . Scanning her ovaries .
E . Asking for hysterosalpingogram .
6 ) In multiple gestation , all of the following can occur except ?
A . TTTS .
B . Gestational DM .
C . Gestational HTN .
D . Post date .
E . Malposition .
7 ) The biologic action of oral contraceptive pills include all except ?
A . Suppression of FSH .
B . Suppression of LH .
C . Alteration of cervical mucus , making it less penetrable by spermatozoa .
D . Induction of sterile inflammatory reaction that interferes with the sperm movement .
E . Induction of Atrophic changes in the endometrium .
8 ) The pathologic retraction ring of bandl is most commonly associated with ?
A . Preterm labor .
B . Obstructed labour .
C . Precipitated labor .
D . Multiple gestation .
E . Uterine fibroids .
9 ) Regarding gestational DM , only one is correct ?
A . Almost all case's require insulin therapy .
B . There is positive family history in a 90 % of the case's .
C . There is increased risk of fetal anomalies even when adequately treated .
D . ACE _ i are recognized as drug of choice for HTN .
E . There is increased risk of maternal diabetes later in life .
10 ) Which of the following is a contraindication to use of oxytocin for stimulating labor ?
A . Fetal demise .
B . Hypotonic uterine dysfunction .
C . Hypertonic uterine dysfunction .
D . Twin gestation .
E . Estimated fetal weight less than 2.5 kg .
11 ) The commonest cause of death in eclampsia is ?
A . DIC
B . Acute heart failure
C . Renal failure
D . Cerebral hemorrhage
E . Liver failure
12 ) Factors increased risk of genital prolapse include all of the following except ?
A . Caucasian race .
B . Forceps delivery .
C . Exercise .
D . Hysterectomy .
E . Menopause .
13 ) The following are usually considered normal finding during pregnancy except ?
A . Constipation .
B . Ankle edema .
C . Palms and soles itching .
D . Leg cramps .
E . Heartburn .
14 ) Contraindications for induction of labor include all except ?
A . Postdate pregnancy .
B . Cervical carcinoma .
C . Previous classical cesarean section .
D . Triplets .
E . Abnormal antenatal CTG .
15 ) Regarding Stein leventhal syndrome , all true except ?
A . Hirsutism and acne .
B . Amenorrhea .
C . High androgen .
D . Raised FSH /LH ratio .
E . Infertility .
16 ) Regarding normal pubertal development , the last feature to appear is ?
A . Breast development .
B . Pubic hair .
C . Axillary hair .
D . Growth spurt .
E . Menstruation .
17 ) Complications of Postterm include all of the following except ?
A . Fetal death .
B . Shoulder dystocia .
C . Oligohydramnios .
D . Meconium aspiration syndrome .
E . Respiratory distress syndrome .
18 ) Regarding cervical incompetence , all are correct except ?
A . Can be caused by cone biopsy of the cervix .
B . Is best treated with cervical suture at the end of first trimester of pregnancy .
C . Is a recognized cause of first trimester miscarriage .
D . Is a cause of preterm labor .
E . Can be diagnosed by ultrasound .
19 ) The earliest gestation in pregnancy that a woman starts to perceive fetal movements is ?
A . 6 weeks .
B . 10 weeks .
C . 24 weeks .
D . 16 weeks .
E . 30 weeks .
20 ) Regarding abortion , all are true except ?
A . In inevitable abortion , the cervix is closed .
B . Ovulation can occur 2 weeks after abortion .
C . In missed abortion , after 12 weeks , the best method for treatment is medical termination .
D . Asherman syndrome is a recognized cause of recurrent abortion .
E . In incomplete abortion the cervix is open .
21 ) A 27 years old lady G3P1 at 35 weeks gestation come to emergency room , with mild painless vaginal bleeding , her blood pressure 110/60 with +1 protein in urine . Dipstick , the most likely diagnosis ?
A . PROM .
B . Placenta previa .
C . Abruptio placentae .
D . Polyhydramnios .
E . Preterm labor .
22 ) Regarding cervical ectropion , all are true except ?
A . Is associated with increased vaginal discharge .
B . Is increased in mini pills user's .
C . Is a cause of postcoital bleeding .
D . Is more common during pregnancy .
E . Is pathological in postmenopausal women .
23 ) What is the mechanism by which the biparietal diameter passes through the pelvic inlet ?
A . Flexion .
B . Engagement .
C . Extension .
D . Internal rotation .
E . Descent .
24 ) Which type of deceleration is due to cord compression during labor ?
A . Early deceleration .
B . Variable deceleration .
C . Prolonged deceleration .
D . Late deceleration .
E . Fetal tachycardia .
25 ) In the interpretation of cardiotocography during fetal evaluation , the normal result include all except ?
A . At least two fetal movement , with fetal heart rate acceleration in 20 minutes .
B . No deceleration .
C . No evidence of sinusoidal FHR rhythm .
D . Beat to beat variability present .
E . Basal FHR between 100 _ 170 BPM .
26 ) Maternal mortality rate in Jordan is ?
A . 19 / 100.000
B . 41 / 100.000
C . 19 / 1000
D . 22 / 10.000
E . 62 / 100.000
27 ) If the last menstrual cycle was on 15/7/2016 , then the expected day of delivery is ?
A . 15 / 3 / 2017 .
B . 22 / 9 / 2017 .
C . 22 / 4 / 2017 .
D . 15 / 4 / 2017 .
E . 20 / 6 / 2017 .
28 ) All of the following are from the antenatal tests except ?
A . TSH .
B . Sugar serum .
C . LFT .
D . RH grouping .
E . CBC .
29 ) A 32 years lady presented with non bloody vaginal discharge , gray in color , frothy with no pruritus and bad smell . Most likely the causative organism for this infection ?
A . Trichomonas vaginalis .
B . Candida albicans .
C . Gardnerella vaginalis .
D . Candida tropicalis .
E . Chlamydia trachomatis .
30 ) Vulvovaginal candidiasis occurs more frequently in the following except ?
A . Pregnants .
B . Thyrotoxicosis .
C . Long term antibiotic therapy .
D . Diabetes .
E . Oral contraceptive pills .
31 ) Syphilis , gonorrhea , Chancroid are linked together because of similar ?
A . Tissue reaction .
B . Causative agent .
C . Symptoms .
D . Mode of transmission .
E . Same treatment .
32 ) Most common etilogic agent in postpartum mastitis ?
A . Aerobic Streptococcus .
B . Anaerobic Streptococcus .
C . E Coli .
D . Staphylococcus aureus .
E . Neisseria .
33 ) The median age of menopause is ?
A . 51 year .
B . 41 year .
C . 57 year .
D . 47 year .
E . 45 year .
34 ) Risk factors for endometrial cancer include all except ?
A . Late menopause .
B . Obesity .
C . Nulliparity .
D . Family history .
E . Combined oral contraceptive pills .
35 ) The main presenting symptom of endometriosis is ?
A . Weight loss .
B . Dysuria .
C . Chronic pelvic pain .
D . Infertility .
E . Menorrhagia .
36 ) HPV ( human papillomavirus ) vaccine used for ?
A . Breast cancer .
B . Uterine fibroids .
C . Ovarian cancer .
D . Cervical cancer .
E . Endometrial cancer .
37 ) The most common uterine tumors in reproductive age is ?
A . Sarcoma .
B . Adenocarcinoma .
C . Adenomyosis .
D . Choriocarcinoma .
E . Leiomyoma .
38 ) Predisposing factors for transverse lies include all except ?
A . Polyhydramnios .
B . Multiparity .
C . Abruptio placentae .
D . Uterine fibroids .
E . Abruptio placentae .
39 ) In Abruptio placentae , all are true except ?
A . May be associated with proteinuria .
B . The main fetal risk is hypoxia .
C . DIC is the most serious complication .
D . The patient commonly presents in labor .
E . Fetus is often in transverse presentation .
40 ) The most accurate time to date a pregnancy is ?
A . Scan at 11 _ 14 weeks .
B . Scan at the second trimester .
C . Scan at the third trimester .
D . Scan at 20 weeks .
E . Time of detection the fetal heart activity .
41 ) We say the fetus has Bradycardia , when the baseline is below ?
A . 115
B . 125
C . 110
D . 120
E . 130
42 ) All are causes of primary postpartum hemorrhage except ?
A . Uterine atony .
B . Infection .
C . Retained product of conception .
D . DIC .
E . Genital tract laceration .
43 ) Side effects of progesterone treatment , all of the following except ?
A . Functional ovarian cyst .
B . Endometrial hyperplasia .
C . Breakthrough bleeding .
D . Headache and depression .
E . Weight gain .
44 ) Regarding endometriosis , all are true except ?
A . Is benign .
B . Progressive disease .
C . Improves during pregnancy .
D . Usually no abnormal finding on physical exam .
E . Is best diagnosed by pelvic ultrasound .
45 ) The following procedure can assess both uterine cavity and tubal lumen is ?
A . Colposcopy .
B . Laparoscopy .
C . Hysteroscopy .
D . Hysterosalpingogram .
E . Ultrasound .
46 ) Uterine corpus is mainly composed of ?
A . Elastic tissue .
B . Fibrous tissue .
C . Smooth muscle .
D . Endometrium .
E . Estrogen receptors .
47 ) Regarding polycystic ovarian syndrome , all are true except ?
A . Usually self limiting condition .
B . Female have especial ovarian ultrasound findings .
C . Can be presented with Hirsutism .
D . Can be presented with infertility .
E . Galactorrhea associated symptom .
48 ) Factors increased risk of genital prolapse include all except ?
A . Forceps delivery .
B . Caucasian race .
C . Exercise .
D . Hysterectomy .
E . Menopause .
49 ) Regarding ovarian tumors , all are germ cell tumors except ?
A . Teratoma .
B . Choriocarcinoma .
C . Endometrioid tumor .
D . Yolk sac tumor .
E . Dysgerminoma .
50 ) All of the following are postnatal health problems except ?
A . Postnatal psychosis .
B . Pulmonary embolism .
C . Puerperal pyrexia .
D . Postpartum hemorrhage .
E . DM type one .
51 ) What is the most appropriate action to be taken when a clinically palpable ovarian mass is detected accidentally for the first time in a 58 years old postmenopausal woman ?
A . Nothing , conservative , review in 3 months time .
B . Take a pap smear and review in 6 months .
C . Admit to the hospital for proper evaluation and arrange for Laparotomy .
D . Tumor markers are not important .
E . Diagnostic laparoscopy , ovarian biopsy .
52 ) All of the following can be diagnosed by ultrasound examination at 10 weeks gestation except ?
A . Chorionicity .
B . Twins .
C . Missed miscarriage .
D . Placenta previa .
E . Corpus luteal cyst .
53 ) All of the following are indications for vacuum delivery except ?
A . Poor maternal effort .
B . Prolonged second stage of labor .
C . Macrosomia in gestational diabetes mellitus .
D . Fetal distress in second stage of labor .
E . Maternal cardiac disease .
54 ) All are most likely causes for abdominal pain at 24 weeks gestation except ?
A . Spontaneous miscarriage .
B . Acute appendicitis .
C . UTI .
D . Ectopic pregnancy .
E . Complicated ovarian cyst .
55 ) Regarding normal pubertal development , the last feature to appear is ?
A . Menstruation .
B . Growth spurt .
C . Axillary hair .
D . Pubic hair .
E . Breast development .
56 ) Features of threatened abortion include all of the following except ?
A . The commonest type of abortion .
B . Ultrasound is essential for diagnosis .
C . The fetal heart activity is absent .
D . The uterine size is usually corresponding with date .
E . The majority of case's continue to term .\
57 ) During testing the blood group of pregnant lady in her first pregnancy . If the lab reports the presence of A antigen in the red blood cell , and anti B antibodies in the plasma . The blood group for this lady will be ?
A . B
B . AB negative
C . AB positive
D . A
E . O negative
58 ) In a 12 weeks pregnant multipara with HTN , the following are possible causes except ?
A . Essential HTN .
B . Cushing syndrome .
C . Molar pregnancy .
D . Preeclampsia .
E . SLE .
59 ) Regarding labor , all are true except ?
A . The length of first stage of labor in primigravida is longer than that for multigravida .
B . The latent phase is part of the second stage .
C . The normal duration of second stage may reach 3 hours in primigravida .
D . Oxytocin are commonly used in third stage of labor .
E . Second stage of labor indicates delivery of the baby .
60 ) A fasting blood sugar in a pregnant lady after 24 weeks gestation must be less than ?
A . 72 _ 75 gm / dL
B . 82 _ 85 gm / dL
C . 92 _ 95 gm / dL
D . 102 _ 105 gm / dL
E . 112 _ 115 gm / dL
61 ) Which of the following is not an indication for classical cesarean section ?
A . Post mortem mother with life fetus .
B . Lower uterine segment adhesions .
C . Premature breech .
D . Impacted shoulder .
E . Fundal uterine fibroid .
62 ) A 22 year old pregnant 34 weeks , presented with generalized edema , and blood pressure 150 / 100 mmhg , no proteinuria . The best most important next step in her management ?
A . Low salt diet .
B . Bed rest at home's .
C . Antihypertensive therapy .
D . Admission to the hospital and observe blood pressure .
E . Review in the clinic after one week .
63 ) Mrs Sonia is a 28 years , presented with symptom of painful heavy regular menstruation . That occurs all through the cycle , for the last 6 months , failure of conception for the last 3 years . The first differential diagnosis should be ?
A . Primary dysmenorrhea .
B . Dyspareunia .
C . Secondary dysmenorrhea .
D . Acute PID .
E . Endometriosis .
64 ) The normal lining of the fallopian tube is ?
A . Squamous epithelium .
B . Transitional epithelium .
C . Cuboidal epithelium .
D . Columnar epithelium with cilia .
E . Fibrous connective tissue .
65 ) A 28 year old patient complains of Amenorrhea after having dilation and curettage . The most likely diagnosis ?
A . Kallmann syndrome .
B. Turner syndrome .
C . Asherman syndrome .
D . PID .
E . Anorexia nervosa .
66 ) A 32 years old , gravida 3 , para 2 , presented at 36 weeks gestation in shock . On exam there is vaginal bleeding , the uterus is rigid and the fetus is dead . Pelvic exam reveals the cervix to be effaced and 6 cm dilated . Next appropriate action after resuscitation is ?
A . Admit to delivery room and perform forewater amniotomy .
B . Proceed immediately to cesarean section .
C . Start Clexane therapy to break the cycle of DIC .
D . Admit to the antenatal floor .
E . Induce labor by prostaglandin suppositories then syntocinon drip
67) A 20 years old lady G2P2 , she is HBV surface antigen positive , she delivered 16 hours ago , what is the proper management of her newborn ?
A . Check hepatitis B surface antigen .
B . Check bilirubin level .
C . Give hepatitis vaccine and immunoglobulins .
D . Check hepatitis C antibodies .
E . Do not lactate the newborn .
68 ) Regarding ectopic pregnancy , one is true ?
A . A negative urinary pregnancy test rules out early ectopic pregnancy .
B . The incidence is falling with usage assisted reproduction .
C . Presence of Amenorrhea is essential for diagnosis .
D . Most case's discovered on routine antenatal care .
E . May present as vaginal bleeding .
69 ) Regarding combined oral contraceptive pills , all are true except ?
A . Absolute contraindication is stroke .
B . Main mechanism action is suppression of ovulation .
C . They are safe in women with past of history of MI .
D . They are composed of estrogen and progesterone .
E . They are used in treatment Hirsutism .
70 ) All of the following are risk for placenta accreta except ?
A . Previous cesarean section .
B . Previous dilation and curettage .
C . Previous uterine perforation .
D . Previous myomectomy in which the endometrium was opened .
E . All of the above .
71 ) All of the following about rhesus disease are false except ?
A . Occurs when the Rh status for the both partners is negative .
B . Anti D immunoglobulin is IgM .
C . Is a cause of first trimester miscarriage .
D . Is associated with higher risk of fetal anomalies .
E . Is a cause of hydrops fetalis .
72 ) Which of the following would be the most common warning sign / symptom of eclampsia ?
A . Proteinuria 7 g / day .
B . Severe headache .
C . Facial edema .
D . Increased blood pressure to 170 / 100 .
E . Decreased urine output .
73 ) A 26 years old female is first seen at 28 weeks gestation her history and physical are normal except for the presence of a 2 cm posterior cervical Leiomyoma . The patient is relatively asymptomatic . Which of the following is the best management for this patient ?
A . Myomectomy at 36 weeks .
B . Myomectomy now with steroids and tocolysis .
C . Progesterone therapy to decrease the size .
D . Elective cesarean section at term .
E . Waiting and follow up closely .
Comments
Post a Comment