اسئلة النسائية 2017 (2)
1 ) The most common pelvic shape in the females is ?
A . The Gynecoid .
B . The android .
C . The anthropoid .
D . The platypelloid .
2 ) During fetal monitoring in labor if there is cord compression this is usually represented as ?
A . Recurrent variable deceleration .
B . Absent baseline variability .
C . Recurrent late decelerations .
D . Prolonged Bradycardia .
E . Sinusoidal patterns .
3 ) All of the following are different causes of preterm labor except ?
A . Multiple gestations .
B . PROM .
C . Pregnancy associated HTN .
D . Cervical incompetence .
E . Second pregnancy .
4 ) All of the following are prerequisites for the application of instrumental delivery except ?
A . The cervix is dilated 9 cm .
B . Maternal bladder is empty .
C . The fetal head is engaged .
D . The fetal position is known .
E . The mother has adequate analgesia .
5 ) The commonest type of uterovaginal prolapse ?
A . Cytocele .
B . Rectocele .
C . Enterocele .
D . Uterine prolapse .
E . Urethrocele .
6 ) The best independent predictor of induction of labor success at the time ?
A . Cervical position .
B . Cervical effacement .
C . Cervical consistency .
D . Station of the head .
E . Cervical dilation .
7 ) Endometriosis is associated with all of the following except ?
A . Chocolate cyst .
B . Infertility .
C . Ectopic pregnancy .
D . Dysmenorrhea .
E . Late menopause .
8 ) All of the following are indications for induction of labor except ?
A . Prolonged pregnancy .
B . IUGR .
C . Abnormal lie .
D . Gestational HTN .
E . Term decreased fetal movement .
9 ) All of the following may be found in ovarian hyperstimulation syndrome except ?
A . Large ovaries bilateral .
B . Hydrothorax may develop .
C . Ascites may develop .
D . Hypovolemia develop .
E . Hyperproteinemia may develop .
10 ) The best contraceptive method in 40 years old woman is ?
A . COCP .
B . IUD .
C . POP .
D . Hysterectomy .
E . The contraceptive implant .
11 ) All of the following are early symptom of estrogen deficiency at the menopausal years except ?
A . Irritability .
B . Insomnia .
C . Hot flushes .
D . Osteoporosis .
E . Mood distrubances .
12 ) The first logic initial diagnostic test for acute excessive bleeding in women of reproductive age ?
A . Pregnancy test .
B . Pelvic Ultrasonography .
C . Endometrial biopsy .
D . Complete blood count .
E . Coagulation test .
13 ) The most distressing symptom during the menopause years among the following is ?
A . Hot flushes
B . Insomnia
C . Irritability
D . Mood disturbances
E . Osteoporosis
14 ) The detailed fetal anomaly scan is best performed between which gestational age ?
A . 15 _ 18 weeks
B . 18 _ 23 weeks
C . 23 _ 26 weeks
D. 26 _ 28 weeks
E . 28 _ 30 weeks
15 ) Leukemia can be caused by one of the following ?
A . Toluene
B . Tetrachloromethane
C . Acetone
D . Benzene
E . Ethyl lead
16 ) Which of the following vaccine is not given to pregnant women ?
A . Pertussis .
B. Hepatitis B .
C . Diphtheria .
D . Rubella .
E . Influenza .
17 ) All of the following can cause secondary dysmenorrhea except ?
A . Fibroids .
B . Adenomyosis .
C . Endometrial polyps .
D . Cytocele .
E . The presence of IUCD .
18 ) Total abdominal hysterectomy is accepted the procedure of choice in all of the following condition except ?
A . Chronic pelvic inflammatory disease .
B . Uterine myomas .
C . Stage 1 endometrial cancer .
D . Stage 1 cervical cancer .
E . Endometriosis .
19 ) One of the following is false ?
A . Early deceleration and fetal scalp compression .
B . Variable deceleration and umbilical cord compression .
C . Late deceleration and placental insufficiency .
D . Sinusoidal fetal heart tracing pattern and fetal anemia .
E . Normal beat to beat and fetal hypoxia .
20 ) The elevation of basal body temperature just before ovulation is related mainly to ?
A . Central effect of progesterone .
B . The luteinizing hormone surge .
C . Effect of specific sex hormone binding globulin .
D . Immunologic reaction effect of the pituitary hormones .
E . Transformation of follicular endometrium into secretory endometrium .
21 ) All of the following can cause Polyhydramnios except ?
A . IUGR .
B . Gestational diabetes .
C . Spina bifida .
D . Skeletal dysplasia .
E . Tracheosesophageal atresia
22 ) Regarding dysfunctional uterine bleeding , all of the following are true except ?
A . Is common after menarch .
B . Commonly occurs with polycystic ovarian syndrome .
C . Can be treated with copper releasing IUCD .
D . Is commonly managed with hormonal therapy .
E . Is common in the perimenopausal period
23 ) When using oxytocin for induction or augmentation of labor , we stop increasing it when the contractions duration is ?
A . 22 _ 35 sec
B . 35 _ 45 sec
C . 45 _ 65 sec
D . 56 _ 68 sec
E . 85 _ 95 sec
24 ) All of the followings are risk factor for epithelial ovarian cancer except ?
A . Family history of breast cancer .
B . Prolonged intervals of ovulation not interrupted by pregnancy .
C . Infertile females .
D . Early age of menopause .
E . White race ladies .
25 ) The major risk of External cephalic version if done at the proper time is ?
A . Preterm labor .
B . Abruptio placentae .
C . Preterm ROM .
D . Cord compression .
E . Change the type of Breech
26 ) Oligohydramnios can be found in all of the following except ?
A . Fetal renal agenesis .
B . Postdate pregnancy .
C . Rupture of membranes .
D . Anencephaly .
E . Fetal posterior urethral valve
27 ) After multifetal pregnancy has been first diagnosed early in gestation , the most important next step is ?
A . Determination of Chorionicity .
B . Check the gender of the twin .
C . Diagnosis of possible anomalies .
D . Localization of the placenta .
E . Rule out Twin Twin Transfusion Syndrome
28 ) A 32 year old , gravida 3 , para 2 , presented at 36 weeks gestation vaginal bleeding . On examination the uterus is rigid and the fetus is dead . Pelvic examination reveals the cervix to be effaced and 4 cm dilated . The next appropriate action is ?
A . Artificial rupture of membranes .
B . Proceed immediately to cesarean section .
C . Start Clexane therapy to break the cycle of DIC .
D . Stabilization , full workup , and manage accordingly .
E . Induce labor by prostaglandin suppositories then syntocinon drip
29 ) Signet ring cell are seen in the cancer ovarian stroma of ?
A . Dysgerminoma
B . Immature teratoma
C . Endometroid sinus tumor
D . Brenner tumors
E . Krukenberg tumor
30 ) The commonest cause of protraction disorders during labor is ?
A . Postterm pregnancy .
B . Inadequate uterine activity .
C . Multiparity .
D . Large sized fetus .
E . Assisted reproductive technique pregnancy
31 ) Toxoplasmosis is transmitted mostly from ?
A . Cat's
B . Dogs
C . Birds
D . Cow's
E . Monkeys
32 ) The most common symptom of vulvar cancer is ?
A . Abnormal bleeding .
B . Itching .
C . Palpable lesion on the vulva .
D . Dyspareunia .
E . Visible abnormality of the vulva .
33 ) The most degenerative changes that occur to an intramural fibroid in pregnant lady is ?
A . Hyaline acellularity .
B . Red degeneration .
C . Calcification .
D . Fatty degeneration .
E . Cystic degenerative .
34 ) Among the followings list of autoimmune diseases in pregnancy , one of these disease has no antibodies that cross the placenta ?
A . SLE .
B . ITP .
C . Myasthenia gravis .
D . Graves disease .
E . Rheumatoid arthritis .
35 ) When a 45 years old lady , gravida 6 , para 6 , presented with typically complaint of severe secondary dysmenorrhea and heavy menstrual bleeding together with Dyspareunia . The logic first diagnosis must be jump in mind will be ?
A . Adenomyosis .
B . Endometrial cancer .
C . Endometriosis .
D . Uterine fibroids .
E . Ectopic pregnancy .
36 ) The most common massive prenatal diagnostic procedure performed during pregnancy is ?
A . Chorionic villus sampling .
B . Percutaneous umbilical blood sampling .
C . Doppler sonography .
D . Three dimensional Ultrasonography .
E . Amniocentesis .
37 ) In reviewing the characters of normal labor there will be no difference in one of the following parameters between primipara and multipara ?
A . The time of cervical effacement .
B . Duration of the first stage .
C . Duration of second stage .
D . Duration of third stage .
E . Rate of cervical dilation during active phase .
38 ) Among the invasive obstetric procedure performed during the antenatal period of pregnancy , the ideal time to perform Chorionic villus sampling is ?
A . Between 8 to 10 weeks of gestation .
B . Between 11 to 14 weeks of gestation .
C . Between 14 to 16 weeks of gestation .
D . At 16 _ 20 weeks of gestation .
E . After 20 weeks of gestation .
39 ) Each female reproductive cycle ( menstrual cycle ) represent a complex interaction between the following structures except ?
A . Hypothalamus .
B . Pituitary gland .
C . Ovaries .
D . Endometrium .
E . Thyroid gland .
39 ) Each female reproductive cycle ( menstrual cycle ) represent a complex interaction between the following structures except ?
A . Hypothalamus .
B . Pituitary gland .
C . Ovaries .
D . Endometrium .
E . Thyroid gland .
40 ) Amenorrhea in a 28 year old with a high LH and high FSH is a most recognized feature of ?
A . Asherman syndrome .
B . Sheehan syndrome .
C . Hypothyroidism .
D . Ovarian failure .
E . Hyperprolactinemia .
41 ) All of the following are absolute contraindications for COCP except ?
A . History of cerebrovascular accident .
B . Atrial fibrillation .
C . Diabetes insipidus .
D . Severe liver cirrhosis .
E . Migraine headache with focal neurological symptoms .
42 ) All of the following are normal physiological changes in the respiratory system in pregnancy except ?
A . Increase inspiratory capacity .
B . Decrease functional residual capacity .
C . Decrease minute ventilation .
D . Almost no changes in the vital capacity .
E . Decrease residual volume .
43 ) When 5 cm , simple cystic adnexal mass is noted by Ultrasonography regresses over the course of next cycles . The most likely diagnosis is ?
A . Mucinous cyst .
B . Dermoid cyst mature type .
C . Ovarian fibroma .
D . Endometrioma .
E . Functional ovarian cyst .
44 ) When a lady presented with malodorous non irritating discharge and examination reveal homogeneous gray white secretion . Mostly this lady having ?
A . Gardnerella vaginalis infection .
B . Vulvovaginal candidiasis .
C . Trichomonas .
D . Chlamydia trachomatis .
E . Neisseria gonorrhoeae infection .
45 ) The female fetus has the highest lifetime number of oocyte at ?
A . At 20 weeks of gestation .
B . Fertilization / Zygote formation .
C . Time delivery .
D . Age of menarche .
E . Reproductive years .
46 ) Regarding primary dysmenorrhea , one is true ?
A . It usually seen in the third and fourth decay of females life .
B . It occurs few days before the cycle and is relieved by the onset of the cycle .
C . It is dull aching pain in nature .
D . Can be relieved by contraceptive pills .
E . It is relieved after marriage .
47 ) Menorrhagia means ?
A . Heavy bleeding .
B . Abnormal vaginal bleeding .
C . Vaginal bleeding with clot .
D . Heavy regular vaginal bleeding .
E . Infrequent heavy bleeding .
48 ) The most common cause of postmenopausal bleeding is ?
A . Exogenous estrogens .
B . Endometrial cancer .
C . Endometrial hyperplasia .
D . Endometrial or cervical polyps .
E . Atrophic vaginitis .
49 ) The leading diameter in occiputo_anterior presentation is ?
A . Submento vertical .
B . Suboccipitobregmatic .
C . Occiputofrontal .
D . Biparietal diameter .
E . Submentobregmatic .
50 ) Laparoscopy is an important tool in the diagnosis / management of all of the following conditions except ?
A . Tubal sterilization .
B . Ectopic pregnancy .
C . Endometriosis .
D . Ovarian neoplasms .
E . Pelvic pain .
51 ) Regarding drugs in pregnancy , only one of the following is safe ?
A . Methotrexate .
B . Isotretinoin .
C . Misoprostol .
D . Progesterone .
E . Ribavirin .
52 ) One of the following conditions is not associated with the development of endometrial hyperplasia ?
A . Prolonged use of Combined oral contraceptive pills .
B . Polycystic ovarian syndrome .
C . Obesity .
D . Tamoxifen .
E . Granulosa theca cell tumor .
53 ) Regarding the different pathways that thought to cause preterm birth , the least important one among of the following is ?
A . Vitamin B12 deficiency .
B . Infection .
C . Placental _ vascular .
D . Psychosocial stress and work strain .
E . Uterine stretch .
54 ) The early manifestation of Magnesium sulfate toxicity during management of preeclampsia ?
A . Warmth and flushing .
B . Somnolence .
C . Slurred speech .
D . Loss of patellar reflex .
E . Paralysis and respiratory difficulty .
55 ) Regarding eclampsia , only one of the following is correct ?
A . Always occur postpartum .
B . Urinary output is increase .
C . Antidiuretic drugs are essential in all case's .
D . Cesarean section is treatment of choice .
E . Magnesium sulfate should be used postpartum .
56 ) A 27 years old lady G3P1 at 35 weeks gestation come to emergency room with mild painless vaginal bleeding , BP 110/60 with 1 urine dipstick . The most likely diagnosis is ?
A . PROM .
B . Placenta previa .
C . Abruptio placentae .
D . Polyhydramnios .
E . Preterm labor .
57 ) All of the following indication of delivery in preterm premature rupture of membranes except ?
A . Meconium liquor .
B . Vaginal bleeding .
C . Elevated WBCs with increase neutrophils .
D . Fetal distress .
E . Oblique lie .
58 ) Complications of Abruptio placentae include all of the following except ?
A . Hemorrhage .
B . PET .
C . Oliguria .
D . Placental Coagulopathy .
E . Fetal death .
59 ) The initial step in the management of overactive bladder starts with ?
A . Anticholinergics drugs .
B . Antimuscarinics drugs .
C . Functional electrical stimulation .
D . Botulinum toxin A injection .
E . Behavior modification .
60 ) All of the followings will cause fetal tachycardia except ?
A . Maternal sedation .
B . Maternal hyperthyroidism .
C . Maternal fever .
D . Maternal anxiety .
E . Fetal hypoxia .
61 ) All of the following increase risk of postpartum hemorrhage except ?
A . Antepartum hemorrhage .
B . Previous postpartum hemorrhage .
C . Calcified placenta .
D . Prolonged labour .
E . Multiple gestation .
62 ) In severe preeclampsia , one is true ?
A . BP 140/90 with +1 protein in urine .
B . BP 150/90 with +2 gram protein in urine .
C . BP 150/90 with +2 protein in urine .
D . BP 160/110 with headache blurred vision .
E . BP 140/95 with trace protein in urine .
63 ) For universal screening and diagnosis of gestational diabetes mellitus in pregnancy among normal population whom have no risk factors , the first step involve screening test at ?
A . Gestational age 10 _ 12 weeks .
B . Gestational age 8 _ 10 weeks .
C . Gestational age 14 _ 16 weeks .
D . Gestational age 24 _ 28 weeks .
E . Gestational age 18 _ 22 weeks
64 ) All of the following benign vulva condition are known to be a white colored lesion except ?
A . Lichen simplex chronicus .
B . Lichen planus .
C . Lichen sclerosus .
D . Vitiligo .
E . Acanthosis nigricans .
65 ) Regarding Antepartum hemorrhage all of the following are correct except ?
A . Is vaginal bleeding after 24 weeks .
B . Is vaginal bleeding before delivery of the fetus .
C . Passage of show is possible cause .
D . Associated with increased perinatal morbidity .
E . All of pregnancies should be delivered by cesarean section
66) All of the following are normal physiological changes in pregnancy except ?
A . Almost no significant changes in respiratory rate .
B . Increase in Red blood cell mass .
C . Increase in WBCs count .
D . Increase in glomerular filtration rate .
E . Increase gastric emptying time .
67) Anti D immunoglobulin is given to all pregnant women in the following list who are Rh D negative and who are not sensitized ( Anti D negative ) except ?
A . Ectopic pregnancy .
B . Spontaneous or induced abortion .
C . Complete molar pregnancy .
D . If patient underwent Amniocentesis .
E . If the lady exposed to abdominal trauma .
68 ) When problems with bladder control associated with a strong desire to urine with decrease ability to control flow this is the best description for ?
A . Overflow urinary incontinence .
B . Stress urinary incontinence .
C . True urinary incontinence .
D . Urge urinary incontinence .
E . Normal habits of urination .
69 ) In the interpretation of the CTG during fetal evaluation , the normal result documented include all of the following parameters except ?
A . At least 2 fetal movement .
B . Small deceleration ( less than 20 beats ) could be normal .
C . There should be no evidence of sinusoidal fetal heart rate rhythm .
D . Beat _ beat variability less than 5 bpm .
E . The basal heart rate should be between 110 _ 160 beats / minute .
A . The Gynecoid .
B . The android .
C . The anthropoid .
D . The platypelloid .
2 ) During fetal monitoring in labor if there is cord compression this is usually represented as ?
A . Recurrent variable deceleration .
B . Absent baseline variability .
C . Recurrent late decelerations .
D . Prolonged Bradycardia .
E . Sinusoidal patterns .
3 ) All of the following are different causes of preterm labor except ?
A . Multiple gestations .
B . PROM .
C . Pregnancy associated HTN .
D . Cervical incompetence .
E . Second pregnancy .
4 ) All of the following are prerequisites for the application of instrumental delivery except ?
A . The cervix is dilated 9 cm .
B . Maternal bladder is empty .
C . The fetal head is engaged .
D . The fetal position is known .
E . The mother has adequate analgesia .
5 ) The commonest type of uterovaginal prolapse ?
A . Cytocele .
B . Rectocele .
C . Enterocele .
D . Uterine prolapse .
E . Urethrocele .
6 ) The best independent predictor of induction of labor success at the time ?
A . Cervical position .
B . Cervical effacement .
C . Cervical consistency .
D . Station of the head .
E . Cervical dilation .
7 ) Endometriosis is associated with all of the following except ?
A . Chocolate cyst .
B . Infertility .
C . Ectopic pregnancy .
D . Dysmenorrhea .
E . Late menopause .
8 ) All of the following are indications for induction of labor except ?
A . Prolonged pregnancy .
B . IUGR .
C . Abnormal lie .
D . Gestational HTN .
E . Term decreased fetal movement .
9 ) All of the following may be found in ovarian hyperstimulation syndrome except ?
A . Large ovaries bilateral .
B . Hydrothorax may develop .
C . Ascites may develop .
D . Hypovolemia develop .
E . Hyperproteinemia may develop .
10 ) The best contraceptive method in 40 years old woman is ?
A . COCP .
B . IUD .
C . POP .
D . Hysterectomy .
E . The contraceptive implant .
11 ) All of the following are early symptom of estrogen deficiency at the menopausal years except ?
A . Irritability .
B . Insomnia .
C . Hot flushes .
D . Osteoporosis .
E . Mood distrubances .
12 ) The first logic initial diagnostic test for acute excessive bleeding in women of reproductive age ?
A . Pregnancy test .
B . Pelvic Ultrasonography .
C . Endometrial biopsy .
D . Complete blood count .
E . Coagulation test .
13 ) The most distressing symptom during the menopause years among the following is ?
A . Hot flushes
B . Insomnia
C . Irritability
D . Mood disturbances
E . Osteoporosis
14 ) The detailed fetal anomaly scan is best performed between which gestational age ?
A . 15 _ 18 weeks
B . 18 _ 23 weeks
C . 23 _ 26 weeks
D. 26 _ 28 weeks
E . 28 _ 30 weeks
15 ) Leukemia can be caused by one of the following ?
A . Toluene
B . Tetrachloromethane
C . Acetone
D . Benzene
E . Ethyl lead
16 ) Which of the following vaccine is not given to pregnant women ?
A . Pertussis .
B. Hepatitis B .
C . Diphtheria .
D . Rubella .
E . Influenza .
17 ) All of the following can cause secondary dysmenorrhea except ?
A . Fibroids .
B . Adenomyosis .
C . Endometrial polyps .
D . Cytocele .
E . The presence of IUCD .
18 ) Total abdominal hysterectomy is accepted the procedure of choice in all of the following condition except ?
A . Chronic pelvic inflammatory disease .
B . Uterine myomas .
C . Stage 1 endometrial cancer .
D . Stage 1 cervical cancer .
E . Endometriosis .
19 ) One of the following is false ?
A . Early deceleration and fetal scalp compression .
B . Variable deceleration and umbilical cord compression .
C . Late deceleration and placental insufficiency .
D . Sinusoidal fetal heart tracing pattern and fetal anemia .
E . Normal beat to beat and fetal hypoxia .
20 ) The elevation of basal body temperature just before ovulation is related mainly to ?
A . Central effect of progesterone .
B . The luteinizing hormone surge .
C . Effect of specific sex hormone binding globulin .
D . Immunologic reaction effect of the pituitary hormones .
E . Transformation of follicular endometrium into secretory endometrium .
21 ) All of the following can cause Polyhydramnios except ?
A . IUGR .
B . Gestational diabetes .
C . Spina bifida .
D . Skeletal dysplasia .
E . Tracheosesophageal atresia
22 ) Regarding dysfunctional uterine bleeding , all of the following are true except ?
A . Is common after menarch .
B . Commonly occurs with polycystic ovarian syndrome .
C . Can be treated with copper releasing IUCD .
D . Is commonly managed with hormonal therapy .
E . Is common in the perimenopausal period
23 ) When using oxytocin for induction or augmentation of labor , we stop increasing it when the contractions duration is ?
A . 22 _ 35 sec
B . 35 _ 45 sec
C . 45 _ 65 sec
D . 56 _ 68 sec
E . 85 _ 95 sec
24 ) All of the followings are risk factor for epithelial ovarian cancer except ?
A . Family history of breast cancer .
B . Prolonged intervals of ovulation not interrupted by pregnancy .
C . Infertile females .
D . Early age of menopause .
E . White race ladies .
25 ) The major risk of External cephalic version if done at the proper time is ?
A . Preterm labor .
B . Abruptio placentae .
C . Preterm ROM .
D . Cord compression .
E . Change the type of Breech
26 ) Oligohydramnios can be found in all of the following except ?
A . Fetal renal agenesis .
B . Postdate pregnancy .
C . Rupture of membranes .
D . Anencephaly .
E . Fetal posterior urethral valve
27 ) After multifetal pregnancy has been first diagnosed early in gestation , the most important next step is ?
A . Determination of Chorionicity .
B . Check the gender of the twin .
C . Diagnosis of possible anomalies .
D . Localization of the placenta .
E . Rule out Twin Twin Transfusion Syndrome
28 ) A 32 year old , gravida 3 , para 2 , presented at 36 weeks gestation vaginal bleeding . On examination the uterus is rigid and the fetus is dead . Pelvic examination reveals the cervix to be effaced and 4 cm dilated . The next appropriate action is ?
A . Artificial rupture of membranes .
B . Proceed immediately to cesarean section .
C . Start Clexane therapy to break the cycle of DIC .
D . Stabilization , full workup , and manage accordingly .
E . Induce labor by prostaglandin suppositories then syntocinon drip
29 ) Signet ring cell are seen in the cancer ovarian stroma of ?
A . Dysgerminoma
B . Immature teratoma
C . Endometroid sinus tumor
D . Brenner tumors
E . Krukenberg tumor
30 ) The commonest cause of protraction disorders during labor is ?
A . Postterm pregnancy .
B . Inadequate uterine activity .
C . Multiparity .
D . Large sized fetus .
E . Assisted reproductive technique pregnancy
31 ) Toxoplasmosis is transmitted mostly from ?
A . Cat's
B . Dogs
C . Birds
D . Cow's
E . Monkeys
32 ) The most common symptom of vulvar cancer is ?
A . Abnormal bleeding .
B . Itching .
C . Palpable lesion on the vulva .
D . Dyspareunia .
E . Visible abnormality of the vulva .
33 ) The most degenerative changes that occur to an intramural fibroid in pregnant lady is ?
A . Hyaline acellularity .
B . Red degeneration .
C . Calcification .
D . Fatty degeneration .
E . Cystic degenerative .
34 ) Among the followings list of autoimmune diseases in pregnancy , one of these disease has no antibodies that cross the placenta ?
A . SLE .
B . ITP .
C . Myasthenia gravis .
D . Graves disease .
E . Rheumatoid arthritis .
35 ) When a 45 years old lady , gravida 6 , para 6 , presented with typically complaint of severe secondary dysmenorrhea and heavy menstrual bleeding together with Dyspareunia . The logic first diagnosis must be jump in mind will be ?
A . Adenomyosis .
B . Endometrial cancer .
C . Endometriosis .
D . Uterine fibroids .
E . Ectopic pregnancy .
36 ) The most common massive prenatal diagnostic procedure performed during pregnancy is ?
A . Chorionic villus sampling .
B . Percutaneous umbilical blood sampling .
C . Doppler sonography .
D . Three dimensional Ultrasonography .
E . Amniocentesis .
37 ) In reviewing the characters of normal labor there will be no difference in one of the following parameters between primipara and multipara ?
A . The time of cervical effacement .
B . Duration of the first stage .
C . Duration of second stage .
D . Duration of third stage .
E . Rate of cervical dilation during active phase .
38 ) Among the invasive obstetric procedure performed during the antenatal period of pregnancy , the ideal time to perform Chorionic villus sampling is ?
A . Between 8 to 10 weeks of gestation .
B . Between 11 to 14 weeks of gestation .
C . Between 14 to 16 weeks of gestation .
D . At 16 _ 20 weeks of gestation .
E . After 20 weeks of gestation .
39 ) Each female reproductive cycle ( menstrual cycle ) represent a complex interaction between the following structures except ?
A . Hypothalamus .
B . Pituitary gland .
C . Ovaries .
D . Endometrium .
E . Thyroid gland .
39 ) Each female reproductive cycle ( menstrual cycle ) represent a complex interaction between the following structures except ?
A . Hypothalamus .
B . Pituitary gland .
C . Ovaries .
D . Endometrium .
E . Thyroid gland .
40 ) Amenorrhea in a 28 year old with a high LH and high FSH is a most recognized feature of ?
A . Asherman syndrome .
B . Sheehan syndrome .
C . Hypothyroidism .
D . Ovarian failure .
E . Hyperprolactinemia .
41 ) All of the following are absolute contraindications for COCP except ?
A . History of cerebrovascular accident .
B . Atrial fibrillation .
C . Diabetes insipidus .
D . Severe liver cirrhosis .
E . Migraine headache with focal neurological symptoms .
42 ) All of the following are normal physiological changes in the respiratory system in pregnancy except ?
A . Increase inspiratory capacity .
B . Decrease functional residual capacity .
C . Decrease minute ventilation .
D . Almost no changes in the vital capacity .
E . Decrease residual volume .
43 ) When 5 cm , simple cystic adnexal mass is noted by Ultrasonography regresses over the course of next cycles . The most likely diagnosis is ?
A . Mucinous cyst .
B . Dermoid cyst mature type .
C . Ovarian fibroma .
D . Endometrioma .
E . Functional ovarian cyst .
44 ) When a lady presented with malodorous non irritating discharge and examination reveal homogeneous gray white secretion . Mostly this lady having ?
A . Gardnerella vaginalis infection .
B . Vulvovaginal candidiasis .
C . Trichomonas .
D . Chlamydia trachomatis .
E . Neisseria gonorrhoeae infection .
45 ) The female fetus has the highest lifetime number of oocyte at ?
A . At 20 weeks of gestation .
B . Fertilization / Zygote formation .
C . Time delivery .
D . Age of menarche .
E . Reproductive years .
46 ) Regarding primary dysmenorrhea , one is true ?
A . It usually seen in the third and fourth decay of females life .
B . It occurs few days before the cycle and is relieved by the onset of the cycle .
C . It is dull aching pain in nature .
D . Can be relieved by contraceptive pills .
E . It is relieved after marriage .
47 ) Menorrhagia means ?
A . Heavy bleeding .
B . Abnormal vaginal bleeding .
C . Vaginal bleeding with clot .
D . Heavy regular vaginal bleeding .
E . Infrequent heavy bleeding .
48 ) The most common cause of postmenopausal bleeding is ?
A . Exogenous estrogens .
B . Endometrial cancer .
C . Endometrial hyperplasia .
D . Endometrial or cervical polyps .
E . Atrophic vaginitis .
49 ) The leading diameter in occiputo_anterior presentation is ?
A . Submento vertical .
B . Suboccipitobregmatic .
C . Occiputofrontal .
D . Biparietal diameter .
E . Submentobregmatic .
50 ) Laparoscopy is an important tool in the diagnosis / management of all of the following conditions except ?
A . Tubal sterilization .
B . Ectopic pregnancy .
C . Endometriosis .
D . Ovarian neoplasms .
E . Pelvic pain .
51 ) Regarding drugs in pregnancy , only one of the following is safe ?
A . Methotrexate .
B . Isotretinoin .
C . Misoprostol .
D . Progesterone .
E . Ribavirin .
52 ) One of the following conditions is not associated with the development of endometrial hyperplasia ?
A . Prolonged use of Combined oral contraceptive pills .
B . Polycystic ovarian syndrome .
C . Obesity .
D . Tamoxifen .
E . Granulosa theca cell tumor .
53 ) Regarding the different pathways that thought to cause preterm birth , the least important one among of the following is ?
A . Vitamin B12 deficiency .
B . Infection .
C . Placental _ vascular .
D . Psychosocial stress and work strain .
E . Uterine stretch .
54 ) The early manifestation of Magnesium sulfate toxicity during management of preeclampsia ?
A . Warmth and flushing .
B . Somnolence .
C . Slurred speech .
D . Loss of patellar reflex .
E . Paralysis and respiratory difficulty .
55 ) Regarding eclampsia , only one of the following is correct ?
A . Always occur postpartum .
B . Urinary output is increase .
C . Antidiuretic drugs are essential in all case's .
D . Cesarean section is treatment of choice .
E . Magnesium sulfate should be used postpartum .
56 ) A 27 years old lady G3P1 at 35 weeks gestation come to emergency room with mild painless vaginal bleeding , BP 110/60 with 1 urine dipstick . The most likely diagnosis is ?
A . PROM .
B . Placenta previa .
C . Abruptio placentae .
D . Polyhydramnios .
E . Preterm labor .
57 ) All of the following indication of delivery in preterm premature rupture of membranes except ?
A . Meconium liquor .
B . Vaginal bleeding .
C . Elevated WBCs with increase neutrophils .
D . Fetal distress .
E . Oblique lie .
58 ) Complications of Abruptio placentae include all of the following except ?
A . Hemorrhage .
B . PET .
C . Oliguria .
D . Placental Coagulopathy .
E . Fetal death .
59 ) The initial step in the management of overactive bladder starts with ?
A . Anticholinergics drugs .
B . Antimuscarinics drugs .
C . Functional electrical stimulation .
D . Botulinum toxin A injection .
E . Behavior modification .
60 ) All of the followings will cause fetal tachycardia except ?
A . Maternal sedation .
B . Maternal hyperthyroidism .
C . Maternal fever .
D . Maternal anxiety .
E . Fetal hypoxia .
61 ) All of the following increase risk of postpartum hemorrhage except ?
A . Antepartum hemorrhage .
B . Previous postpartum hemorrhage .
C . Calcified placenta .
D . Prolonged labour .
E . Multiple gestation .
62 ) In severe preeclampsia , one is true ?
A . BP 140/90 with +1 protein in urine .
B . BP 150/90 with +2 gram protein in urine .
C . BP 150/90 with +2 protein in urine .
D . BP 160/110 with headache blurred vision .
E . BP 140/95 with trace protein in urine .
63 ) For universal screening and diagnosis of gestational diabetes mellitus in pregnancy among normal population whom have no risk factors , the first step involve screening test at ?
A . Gestational age 10 _ 12 weeks .
B . Gestational age 8 _ 10 weeks .
C . Gestational age 14 _ 16 weeks .
D . Gestational age 24 _ 28 weeks .
E . Gestational age 18 _ 22 weeks
64 ) All of the following benign vulva condition are known to be a white colored lesion except ?
A . Lichen simplex chronicus .
B . Lichen planus .
C . Lichen sclerosus .
D . Vitiligo .
E . Acanthosis nigricans .
65 ) Regarding Antepartum hemorrhage all of the following are correct except ?
A . Is vaginal bleeding after 24 weeks .
B . Is vaginal bleeding before delivery of the fetus .
C . Passage of show is possible cause .
D . Associated with increased perinatal morbidity .
E . All of pregnancies should be delivered by cesarean section
66) All of the following are normal physiological changes in pregnancy except ?
A . Almost no significant changes in respiratory rate .
B . Increase in Red blood cell mass .
C . Increase in WBCs count .
D . Increase in glomerular filtration rate .
E . Increase gastric emptying time .
67) Anti D immunoglobulin is given to all pregnant women in the following list who are Rh D negative and who are not sensitized ( Anti D negative ) except ?
A . Ectopic pregnancy .
B . Spontaneous or induced abortion .
C . Complete molar pregnancy .
D . If patient underwent Amniocentesis .
E . If the lady exposed to abdominal trauma .
68 ) When problems with bladder control associated with a strong desire to urine with decrease ability to control flow this is the best description for ?
A . Overflow urinary incontinence .
B . Stress urinary incontinence .
C . True urinary incontinence .
D . Urge urinary incontinence .
E . Normal habits of urination .
69 ) In the interpretation of the CTG during fetal evaluation , the normal result documented include all of the following parameters except ?
A . At least 2 fetal movement .
B . Small deceleration ( less than 20 beats ) could be normal .
C . There should be no evidence of sinusoidal fetal heart rate rhythm .
D . Beat _ beat variability less than 5 bpm .
E . The basal heart rate should be between 110 _ 160 beats / minute .
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