اسئلة النسائية 2017 (4)
1 ) A 30 year old Methamphetamine user presents with active labor . She has had no prenatal care . You check fetal position and feel nose , eyes , mouth . Most common associated condition with this presentation is ?
A . Anencephaly .
B . Hydrocephaly .
C . Prematurity .
D . Placenta previa .
E . Oligohydramnios .
2 ) All of the following are true about Cytocele except ?
A . Associated with weakness in the broad ligament .
B . Protrusion of bladder into the anterior vaginal wall .
C . Associated with frequency , uregency , nocturia .
D . Common risk factor is multiple vaginal .
E . First step in treatment is Kegel exercises , and if failed so anterior Colporrhaphy is the best
3 ) Most common indication for primary cesarean section is ?
A . Cord prolapse .
B . Diabetes .
C . Previous scar .
D . Dystocia .
E . Malpresentation .
4 ) Which of the following is associated with small infants ?
A . Mother with untreated gestational Dm .
B . Multiparity .
C . Large parents .
D . Maternal smoking .
E . Postdate pregnancy .
5 ) Most common presentation in case of Abruptio placentae ?
A . Breech .
B . Cephalic .
C . Shoulder .
D . Arm .
E . Mixed .
6 ) A 23 year old patient , amenorrheic for 16 weeks , had vaginal spotting . She was found to have a uterus rise into the umbilicus and fetal heart tone audible by Fetoscope . HCG serum levels were approximately 200 IU . Which of the following tests is the most appropriate ?
A . HCS .
B. Pelvic ultrasound .
C . Serial HCG .
D . Serial clotting function studies .
E . APT test on vaginal blood
7 ) What is the maximum normal time for the second stage of labor in a primigravida with epidural anesthesia ?
A . 60 minutes .
B . 120 minutes .
C . 150 minutes .
D . 180 minutes .
E . 240 minutes .
8 ) The most commonly encountered anomaly resulting from abnormalities in the development or canalization of the paramesonephric duct is ?
A . Vaginal septum .
B . Unicornuate uterus .
C . Imperforated hymen .
D . Hermaphroditism .
E . Vaginal agenesis .
9 ) All of the following are teratogenic drug except ?
A . Thalidomide .
B . Misoprostol .
C . Carbimazole .
D . Fluconazole .
E . Streptomycin .
10 ) The muscle that provide the best support to pelvic floor is ?
A . Levator ani .
B . Rectovaginal .
C . Coccygeus .
D . Piriformis .
E . Obturator internus .
11 ) Most common reservoir of infection for human ?
A . Mosquito .
B . Cat's .
C . Dog's .
D . Bacteria .
E . Human .
12) During an evaluation for infertility , a woman may have an endometrial biopsy to evaluate the quality of her ovulation . The optimal development of the corpus luteum is most closely associated with ?
A . Fertilization of an ovum .
B . Follicular phase of the endometrium .
C . Luteal phase of the endometrium .
D . Secretory phase of the endometrium .
E . Shedding phase of the endometrium
13 ) In the fetus, the most well oxygenated blood is allowed into the systemic circulation by ?
A. Ductus arteriosus.
B. Foramen ovale.
C. Rt. Ventricle.
D. Ligamentum teres.
E. Ligamentum venosum
14 ) All are associations with Polyhydramnios except ?
A . Tracheosesophageal fistula .
B . Anencephaly .
C . TTT syndrome .
D . IUGR .
E . Rh isoimmunization .
15 ) All of the following are contraindications for tocolysis in preterm labor except ?
A . Severe preeclampsia .
B . Chorioamnionitis .
C . Cervical dilation 1 cm .
D . Severe IUGR .
E . IUFD .
16 ) During the menstrual cycle , the histological appearance of the endometrium will change significantly , During the first half of the cycle . The endometrium becomes thicker and rebuilds largely in response to ?
A . Progesterone .
B . Estrogen .
C . Luteinizing hormone .
D . Gonadotropin releasing hormone .
E . Follicle stimulating hormone .
17 ) Implantation in the uterus occurs at which stage of development ?
A . Eight cell embryo .
B . Zygote .
C . Morula .
D . Blastocyst .
E . Embryonic disc .
18 ) During pregnancy , what is the safest analgesic with the least fetal effect ?
A . Aspirin .
B . Acetaminophen .
C . Ibuprofen .
D . Gabapentin .
E . Diclofenac sodium .
19 ) A 28 year old woman , gravida 2 para 1 . Presented in labor at 38 weeks gestation developed fetal distress after rupturing the membranes , her vaginal exam showed _ 2 station , Cephalic presentation , dilated cervix , the next appropriate step is ?
A . Apply fundal pressure .
B . Application of forceps .
C . Application of vacuum .
D . Immediate cesarean section .
E . Oxytocin augmentation of uterine activity and encouragement of pushing .
20 ) Denominator in vertex , breech , and face presentation respectively are ?
A . Occiput , Sacrum , mentum .
B . Occiput , mentum , Sacrum .
C . Mentum , Sacrum , occiput .
D . Mentum , occiput , Sacrum .
E . Sacrum , mentum , occiput .
21) In the normal labor , the pressure produced by uterine contractions is greatest at which of the following time's ?
A . Latent phase .
B . Active phase .
C . Second stage .
D . Third stage .
E . Braxton Hicks sign .
22 ) Vaginal examination is contraindicated in which situation during pregnancy ?
A . Carcinoma of the cervix .
B . Prolapsed cord .
C . Gonorrhea .
D . Placenta previa .
E . Abruptio placentae
23 ) A 26 years old woman whose last menstrual period was 8 weeks ago develops bleeding , abdominal cramps , and passes tissue per vagina two hours later , she is still bleeding , bleeding heavily , the most likely diagnosis is ?
A . Twin pregnancy .
B . Threatened abortion .
C . Inevitable abortion .
D . Premature labor .
E . Incomplete abortion .
24 ) There is good evidence that a woman who gave birth to an infant with a neural tube defect can reduce the risk of recurrence by taking periconceptional folic acid supplementation, what is the recommended dose ?
A . 0.4 mg
B . 0.8 mg
C . 1 mg
D . 4 mg
E . 40 mg
25 ) Your patient has microcytic anemia with a hemoglobin of 9 g/dL and normal iron stores . What is the most likely diagnosis ?
A . Folate deficiency .
B . Vitamin B12 deficiency .
C . Thalassemia .
D . Vitamin B6 deficiency .
E . Acute blood loss .
26) A patient presents to you , she had a positive pregnancy test and wonders if you can tell her when she is likely due . The duration of cycle 35 , the LMP was June 30 . Her expected date of delivery is ?
A . March 23 .
B . April 7 .
C . April 14 .
D . March 14 .
E . March 7 .
27 ) A 35 year old G5 P4 pregnant is found to have finding on her pap smear . Which of the following cervical changes . May be found more frequently in the pregnant than in the nonpregnant ?
A . Atypical glandular hyperplasia .
B . Dysplasia .
C . Metaplasia .
D . Neoplasia .
E . Vaginal adenosis .
28 ) During a pelvic exam , on a patient that is approximately 8 weeks gestation by dates and pelvic examination . One adnexa is found to be slightly enlarged . Most likely diagnosis ?
A . Corpus luteum cyst .
B . Ectopic pregnancy .
C . Follicular cyst .
D . Ovarian neoplasm .
E . Chocolate cyst .
29 ) A 21 year old girl is seen for her first prenatal visit at 34 weeks gestation . On exam her BP is 148 / 96 mmhg and her fundus measures 31 cm . Her urine dipstick is +3 for protein . Which of the following is the most likely diagnosis ?
A . Hypertensive disease with superimposed preeclampsia .
B . Mild eclampsia .
C . Preeclampsia .
D . Chronic HTN .
E . Third trimester normal pregnancy .
30 ) During pregnancy blood test for diabetes are more abnormal than in nonpregnant . Also non diabetic women may be develop gestational diabetes during the last half of the pregnancy . This is because ?
A . Decreased insulin production .
B . Increased food absorption from GI .
C . Increased human placental lactogen .
D . Hemoconcentration .
E . Decreased hepatic secretion of insulin binding globulin .
31 ) A 34 year old woman at 38 weeks whose pregnancy is complicated by gestational diabetes . She is in labor , the head delivers but the shoulders do not follow . An effective method of delivery for shoulder dystocia includes McRoberts manoeuvre . McRoberts manoeuvre is described as which of the following ?
A . Fundal pressure .
B . Extreme flexion of the maternal thighs .
C . Rotation to an oblique position after delivery of posterior arm .
D . Strong traction on the head .
E . Rotation of the posterior shoulder to the anterior .
32) A previously healthy woman complains of crying , loss of appetite , difficulty in sleeping , feeling of low self worth , starting 3 day after a normal vaginal delivery and persisted for 2 weeks then progressively diminished , most likely diagnosis is ?
A . Blues .
B . Manic depression .
C . Neurosis .
D . Psychosis .
E . Schizophrenia .
33 ) The shortest line from the inside of the symphysis to the most prominent point on the front two segment of the sacrum is called ?
A . True conjugate .
B . Obstetric conjugate .
C . Diagonal conjugate .
D . Bi_ischial diameter .
E . Oblique diameter .
34 ) Which artery provides the blood supply to the vulva ?
A . Inferior hemorrhoidal artery .
B . Ilioinguinal artery .
C . Pudendal artery .
D . Femoral artery .
E . Inferior hypogastric artery .
35 ) Near the external os of the cervix , what is found as a normal transition from columnar epithelium ?
A . Keratinized epithelium .
B . Squamous epithelium .
C . Transitional epithelium .
D . Cuboidal epithelium .
E . Cervical erosion .
36 ) The area of the skull between the anterior and posterior fontanelles , and the parietal eminence top of the skull is called ?
A . Sagittal suture .
B . Lambdoid suture .
C . Coronal suture .
D . Vault suture .
E . Mastoid fontanelle .
37 ) Tertiary prevention is ?
A . Aiming at reducing incidence of non communicable disease .
B . Examples are screening programs of cancer , and dietary recommendation .
C . Directed at preventing disability in people who have symptomatic disease , aiming to improve quality of life .
D . Aiming at reducing prevalence of non communicable disease .
E . Aiming of early detection , management , reducing complications of non communicable disease .
38 ) most common mode of delivery in case pf placenta previa centralis ?
A.normal vaginal delivery .
B. assisted vaginal delivery .
C. LUS cesarean delivery .
D. vertical cesarean delivery .
E. cesarean hysterectomy .
39 ) psammoma bodies in histopathology indicate ?
A. endometrioid epithelial ovarian cancer .
B. serous cysadenoma of the ovaries .
C. ovarian dysgerminoma .
D. choriocarcinoma .
E. thecoma
40 ) The optimal time for screening of gestational diabetes at ?
A . 20 _ 22 weeks gestation .
B . 22 _ 24 weeks gestation .
C. 28 _ 30 weeks gestation .
D . 28 _ 30 weeks gestation .
E . 16 _ 20 weeks gestation .
41 ) The normal number of uterine contractions in 10 minutes , duration and intensity during second stage of labor ?
A . 2_3 / 10 min , 45 _ 60 sec , 75 mmhg .
B . 3_5 / 10 min , 75 _ 90 sec , 100 mmhg .
C . 5_7 /10 min , 45 _ 60 sec , 50 mmhg .
D . 1_3 /10 min , 75 _100 sec , 25 mmhg .
E . 2 _ 3 /10 min , 75 _ 100 sec , 50 mmhg .
42 ) All of the following are risk factors of premature rupture of membranes except ?
A . Bacterial vaginosis .
B . Smoking .
C . Multiple gestation .
D . Oligohydramnios .
E . Amniocentesis .
43 ) Classical clinical presentation of ectopic pregnancy include all of the following except ?
A . Positive pregnancy test .
B . Amenorrhea 10 _ 12 weeks .
C . Intermittent scanty vaginal bleeding .
D . Abdominal pain or shoulder pain .
E . Hemoperitoneum .
44 ) Common side effects of progesterone intrauterine device are all of the following except ?
A . Heavy menses .
B . Missed periods .
C . Weight gain .
D . Depression .
E . Acne .
45 ) Criteria of preterm labor include all of the following except ?
A . Onest before 37 weeks gestation .
B . Irregular uterine contractions .
C . At least 2 _ 3 contractions in 10 minutes .
D . Progressive cervical effacement > 80% .
E . Cervical dilation > 1 cm .
46 ) The indications for vacuum extraction are all of the following except ?
A . Engaged head and no Cephalopelvic disproportion .
B . Face presentation .
C . Known fetal head position .
D . Cervix 10 cm dilated .
E . Membranes rupture in term pregnancy
47 ) A patient presents for her routine prenatal visit . Presents for her routine prenatal visit at 32 weeks EGA . Her laboratory testing is normal including 1 hour OGTT . Her symphysis Fundal height is 37 cm today . A bedside ultrasound reveals an AFI 30 cm . Which of the following is the most likely etiology ?
A . Renal atresia .
B . Pulmonary hypoplasia .
C . Gestational diabetes .
D . Duodenal atresia .
E . Urethral stenosis .
48 ) A 49 year old parous woman comes complaining that over the last several years , it feels her organs are progressively falling out her vagina , she complains of losing urine with coughing , urgency . Most likely diagnosis is ?
A . Stress incontinence .
B . Urge incontinence .
C . Overflow incontinence .
D . Functional incontinence .
E . Mixed incontinence
A . Anencephaly .
B . Hydrocephaly .
C . Prematurity .
D . Placenta previa .
E . Oligohydramnios .
2 ) All of the following are true about Cytocele except ?
A . Associated with weakness in the broad ligament .
B . Protrusion of bladder into the anterior vaginal wall .
C . Associated with frequency , uregency , nocturia .
D . Common risk factor is multiple vaginal .
E . First step in treatment is Kegel exercises , and if failed so anterior Colporrhaphy is the best
3 ) Most common indication for primary cesarean section is ?
A . Cord prolapse .
B . Diabetes .
C . Previous scar .
D . Dystocia .
E . Malpresentation .
4 ) Which of the following is associated with small infants ?
A . Mother with untreated gestational Dm .
B . Multiparity .
C . Large parents .
D . Maternal smoking .
E . Postdate pregnancy .
5 ) Most common presentation in case of Abruptio placentae ?
A . Breech .
B . Cephalic .
C . Shoulder .
D . Arm .
E . Mixed .
6 ) A 23 year old patient , amenorrheic for 16 weeks , had vaginal spotting . She was found to have a uterus rise into the umbilicus and fetal heart tone audible by Fetoscope . HCG serum levels were approximately 200 IU . Which of the following tests is the most appropriate ?
A . HCS .
B. Pelvic ultrasound .
C . Serial HCG .
D . Serial clotting function studies .
E . APT test on vaginal blood
7 ) What is the maximum normal time for the second stage of labor in a primigravida with epidural anesthesia ?
A . 60 minutes .
B . 120 minutes .
C . 150 minutes .
D . 180 minutes .
E . 240 minutes .
8 ) The most commonly encountered anomaly resulting from abnormalities in the development or canalization of the paramesonephric duct is ?
A . Vaginal septum .
B . Unicornuate uterus .
C . Imperforated hymen .
D . Hermaphroditism .
E . Vaginal agenesis .
9 ) All of the following are teratogenic drug except ?
A . Thalidomide .
B . Misoprostol .
C . Carbimazole .
D . Fluconazole .
E . Streptomycin .
10 ) The muscle that provide the best support to pelvic floor is ?
A . Levator ani .
B . Rectovaginal .
C . Coccygeus .
D . Piriformis .
E . Obturator internus .
11 ) Most common reservoir of infection for human ?
A . Mosquito .
B . Cat's .
C . Dog's .
D . Bacteria .
E . Human .
12) During an evaluation for infertility , a woman may have an endometrial biopsy to evaluate the quality of her ovulation . The optimal development of the corpus luteum is most closely associated with ?
A . Fertilization of an ovum .
B . Follicular phase of the endometrium .
C . Luteal phase of the endometrium .
D . Secretory phase of the endometrium .
E . Shedding phase of the endometrium
13 ) In the fetus, the most well oxygenated blood is allowed into the systemic circulation by ?
A. Ductus arteriosus.
B. Foramen ovale.
C. Rt. Ventricle.
D. Ligamentum teres.
E. Ligamentum venosum
14 ) All are associations with Polyhydramnios except ?
A . Tracheosesophageal fistula .
B . Anencephaly .
C . TTT syndrome .
D . IUGR .
E . Rh isoimmunization .
15 ) All of the following are contraindications for tocolysis in preterm labor except ?
A . Severe preeclampsia .
B . Chorioamnionitis .
C . Cervical dilation 1 cm .
D . Severe IUGR .
E . IUFD .
16 ) During the menstrual cycle , the histological appearance of the endometrium will change significantly , During the first half of the cycle . The endometrium becomes thicker and rebuilds largely in response to ?
A . Progesterone .
B . Estrogen .
C . Luteinizing hormone .
D . Gonadotropin releasing hormone .
E . Follicle stimulating hormone .
17 ) Implantation in the uterus occurs at which stage of development ?
A . Eight cell embryo .
B . Zygote .
C . Morula .
D . Blastocyst .
E . Embryonic disc .
18 ) During pregnancy , what is the safest analgesic with the least fetal effect ?
A . Aspirin .
B . Acetaminophen .
C . Ibuprofen .
D . Gabapentin .
E . Diclofenac sodium .
19 ) A 28 year old woman , gravida 2 para 1 . Presented in labor at 38 weeks gestation developed fetal distress after rupturing the membranes , her vaginal exam showed _ 2 station , Cephalic presentation , dilated cervix , the next appropriate step is ?
A . Apply fundal pressure .
B . Application of forceps .
C . Application of vacuum .
D . Immediate cesarean section .
E . Oxytocin augmentation of uterine activity and encouragement of pushing .
20 ) Denominator in vertex , breech , and face presentation respectively are ?
A . Occiput , Sacrum , mentum .
B . Occiput , mentum , Sacrum .
C . Mentum , Sacrum , occiput .
D . Mentum , occiput , Sacrum .
E . Sacrum , mentum , occiput .
21) In the normal labor , the pressure produced by uterine contractions is greatest at which of the following time's ?
A . Latent phase .
B . Active phase .
C . Second stage .
D . Third stage .
E . Braxton Hicks sign .
22 ) Vaginal examination is contraindicated in which situation during pregnancy ?
A . Carcinoma of the cervix .
B . Prolapsed cord .
C . Gonorrhea .
D . Placenta previa .
E . Abruptio placentae
23 ) A 26 years old woman whose last menstrual period was 8 weeks ago develops bleeding , abdominal cramps , and passes tissue per vagina two hours later , she is still bleeding , bleeding heavily , the most likely diagnosis is ?
A . Twin pregnancy .
B . Threatened abortion .
C . Inevitable abortion .
D . Premature labor .
E . Incomplete abortion .
24 ) There is good evidence that a woman who gave birth to an infant with a neural tube defect can reduce the risk of recurrence by taking periconceptional folic acid supplementation, what is the recommended dose ?
A . 0.4 mg
B . 0.8 mg
C . 1 mg
D . 4 mg
E . 40 mg
25 ) Your patient has microcytic anemia with a hemoglobin of 9 g/dL and normal iron stores . What is the most likely diagnosis ?
A . Folate deficiency .
B . Vitamin B12 deficiency .
C . Thalassemia .
D . Vitamin B6 deficiency .
E . Acute blood loss .
26) A patient presents to you , she had a positive pregnancy test and wonders if you can tell her when she is likely due . The duration of cycle 35 , the LMP was June 30 . Her expected date of delivery is ?
A . March 23 .
B . April 7 .
C . April 14 .
D . March 14 .
E . March 7 .
27 ) A 35 year old G5 P4 pregnant is found to have finding on her pap smear . Which of the following cervical changes . May be found more frequently in the pregnant than in the nonpregnant ?
A . Atypical glandular hyperplasia .
B . Dysplasia .
C . Metaplasia .
D . Neoplasia .
E . Vaginal adenosis .
28 ) During a pelvic exam , on a patient that is approximately 8 weeks gestation by dates and pelvic examination . One adnexa is found to be slightly enlarged . Most likely diagnosis ?
A . Corpus luteum cyst .
B . Ectopic pregnancy .
C . Follicular cyst .
D . Ovarian neoplasm .
E . Chocolate cyst .
29 ) A 21 year old girl is seen for her first prenatal visit at 34 weeks gestation . On exam her BP is 148 / 96 mmhg and her fundus measures 31 cm . Her urine dipstick is +3 for protein . Which of the following is the most likely diagnosis ?
A . Hypertensive disease with superimposed preeclampsia .
B . Mild eclampsia .
C . Preeclampsia .
D . Chronic HTN .
E . Third trimester normal pregnancy .
30 ) During pregnancy blood test for diabetes are more abnormal than in nonpregnant . Also non diabetic women may be develop gestational diabetes during the last half of the pregnancy . This is because ?
A . Decreased insulin production .
B . Increased food absorption from GI .
C . Increased human placental lactogen .
D . Hemoconcentration .
E . Decreased hepatic secretion of insulin binding globulin .
31 ) A 34 year old woman at 38 weeks whose pregnancy is complicated by gestational diabetes . She is in labor , the head delivers but the shoulders do not follow . An effective method of delivery for shoulder dystocia includes McRoberts manoeuvre . McRoberts manoeuvre is described as which of the following ?
A . Fundal pressure .
B . Extreme flexion of the maternal thighs .
C . Rotation to an oblique position after delivery of posterior arm .
D . Strong traction on the head .
E . Rotation of the posterior shoulder to the anterior .
32) A previously healthy woman complains of crying , loss of appetite , difficulty in sleeping , feeling of low self worth , starting 3 day after a normal vaginal delivery and persisted for 2 weeks then progressively diminished , most likely diagnosis is ?
A . Blues .
B . Manic depression .
C . Neurosis .
D . Psychosis .
E . Schizophrenia .
33 ) The shortest line from the inside of the symphysis to the most prominent point on the front two segment of the sacrum is called ?
A . True conjugate .
B . Obstetric conjugate .
C . Diagonal conjugate .
D . Bi_ischial diameter .
E . Oblique diameter .
34 ) Which artery provides the blood supply to the vulva ?
A . Inferior hemorrhoidal artery .
B . Ilioinguinal artery .
C . Pudendal artery .
D . Femoral artery .
E . Inferior hypogastric artery .
35 ) Near the external os of the cervix , what is found as a normal transition from columnar epithelium ?
A . Keratinized epithelium .
B . Squamous epithelium .
C . Transitional epithelium .
D . Cuboidal epithelium .
E . Cervical erosion .
36 ) The area of the skull between the anterior and posterior fontanelles , and the parietal eminence top of the skull is called ?
A . Sagittal suture .
B . Lambdoid suture .
C . Coronal suture .
D . Vault suture .
E . Mastoid fontanelle .
37 ) Tertiary prevention is ?
A . Aiming at reducing incidence of non communicable disease .
B . Examples are screening programs of cancer , and dietary recommendation .
C . Directed at preventing disability in people who have symptomatic disease , aiming to improve quality of life .
D . Aiming at reducing prevalence of non communicable disease .
E . Aiming of early detection , management , reducing complications of non communicable disease .
38 ) most common mode of delivery in case pf placenta previa centralis ?
A.normal vaginal delivery .
B. assisted vaginal delivery .
C. LUS cesarean delivery .
D. vertical cesarean delivery .
E. cesarean hysterectomy .
39 ) psammoma bodies in histopathology indicate ?
A. endometrioid epithelial ovarian cancer .
B. serous cysadenoma of the ovaries .
C. ovarian dysgerminoma .
D. choriocarcinoma .
E. thecoma
40 ) The optimal time for screening of gestational diabetes at ?
A . 20 _ 22 weeks gestation .
B . 22 _ 24 weeks gestation .
C. 28 _ 30 weeks gestation .
D . 28 _ 30 weeks gestation .
E . 16 _ 20 weeks gestation .
41 ) The normal number of uterine contractions in 10 minutes , duration and intensity during second stage of labor ?
A . 2_3 / 10 min , 45 _ 60 sec , 75 mmhg .
B . 3_5 / 10 min , 75 _ 90 sec , 100 mmhg .
C . 5_7 /10 min , 45 _ 60 sec , 50 mmhg .
D . 1_3 /10 min , 75 _100 sec , 25 mmhg .
E . 2 _ 3 /10 min , 75 _ 100 sec , 50 mmhg .
42 ) All of the following are risk factors of premature rupture of membranes except ?
A . Bacterial vaginosis .
B . Smoking .
C . Multiple gestation .
D . Oligohydramnios .
E . Amniocentesis .
43 ) Classical clinical presentation of ectopic pregnancy include all of the following except ?
A . Positive pregnancy test .
B . Amenorrhea 10 _ 12 weeks .
C . Intermittent scanty vaginal bleeding .
D . Abdominal pain or shoulder pain .
E . Hemoperitoneum .
44 ) Common side effects of progesterone intrauterine device are all of the following except ?
A . Heavy menses .
B . Missed periods .
C . Weight gain .
D . Depression .
E . Acne .
45 ) Criteria of preterm labor include all of the following except ?
A . Onest before 37 weeks gestation .
B . Irregular uterine contractions .
C . At least 2 _ 3 contractions in 10 minutes .
D . Progressive cervical effacement > 80% .
E . Cervical dilation > 1 cm .
46 ) The indications for vacuum extraction are all of the following except ?
A . Engaged head and no Cephalopelvic disproportion .
B . Face presentation .
C . Known fetal head position .
D . Cervix 10 cm dilated .
E . Membranes rupture in term pregnancy
47 ) A patient presents for her routine prenatal visit . Presents for her routine prenatal visit at 32 weeks EGA . Her laboratory testing is normal including 1 hour OGTT . Her symphysis Fundal height is 37 cm today . A bedside ultrasound reveals an AFI 30 cm . Which of the following is the most likely etiology ?
A . Renal atresia .
B . Pulmonary hypoplasia .
C . Gestational diabetes .
D . Duodenal atresia .
E . Urethral stenosis .
48 ) A 49 year old parous woman comes complaining that over the last several years , it feels her organs are progressively falling out her vagina , she complains of losing urine with coughing , urgency . Most likely diagnosis is ?
A . Stress incontinence .
B . Urge incontinence .
C . Overflow incontinence .
D . Functional incontinence .
E . Mixed incontinence
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