اسئلة النسائية 2017 (5)
1) Regarding high grade squamous intraepithelial lesion all are true except ?
A . Patient should be referred to colposcopy .
B . Endometrial sampling must be done .
C . If the colposcopy shows invasive disease cone biopsy must be taken .
D . If the entire SCJ cannot be seen or visualized cone biopsy must be taken .
E . Cone biopsy can be therapeutic .
2) Regarding Trichomonas vaginalis all are true except ?
A. Yellow frothy vaginal discharge .
B . No vulvovaginal irritation .
C . Vaginal PH > 4.5 .
D . Wet mount shows motile flagellated microorganism .
E . Male partner should be treated .
3) Regarding primary spasmodic Dysmenorrhea all of the following are true except ?
A . Can be treated by mefenamic acid .
B . Occurs in ovulatory cycle only .
C . Caused by increased progesterone in second half of cycle .
D . Occurs in first and second day of menses .
E . Commonly associated with vomiting and diarrhea .
4) All can be used in treatment of Menorrhagia except ?
A . COCP .
B . Mefenamic acid .
C . Progesterone only pills .
D . Tranexamic acid .
E . Endometrial ablation
5) Hormone responsible for thickening of uterine lining in first half of menstrual cycle is ?
A . Prolactin
B . Estrogen
C . FSH
D . LH
E . Progesterone
6) Regarding endometrial cancer all are true except ?
A . Usually present as post menopausal bleeding .
B . Most common histological type is endometrioid carcinoma 80% .
C . It's estrogen dependant tumor .
D . Main treatment is surgery .
E . Usually advanced stage at presentation .
7) A primigravida admitted with rhythmic uterine contractions every 5 min and passage of show , cervix was 2 cm dilated and 1 cm long , she is in ?
A . Latent phase of labour .
B . Active phase of labour .
C . Second stage of labour .
D . Late first stage .
E . Not in Labour .
8 ) Complete hydatiform moles are more likely than partial mole to demonstrate all except ?
A . May require chemotherapy after evacuation .
B . Present with large for date uterus .
C . Present with thica lutein cyst .
D . Have focal rather than diffuse Trophoblastic progression .
E . Present with hyperthyroidism .
9) Regarding Trophoblastic disease only one is true ?
A . Most common chromosomal pattern of complete type 46 XY .
B . Lungs are most common site of metastasis .
C . Embryonic tissue is often present in complete type .
D . The chromosomal pattern of partial mole 46 XX .
E . Partial mole is diagnosed by ultrasound .
10) Regarding coagulation disorders in pregnancy only one is correct ?
A . Superficial Thrombophlebitis needs anticoagulants .
B . DVT is more common during pregnancy .
C . Treatment of DVT should be started with warfarin .
D . Half of cases of DVT are asymptomatic .
E . Warfarin is excreted in breast milk .
11) Regarding Antepartum hemorrhage all are true except ?
A . It is vaginal bleeding after age of viability .
B . Passage of show is possible cause .
C . Associated with increase perinatal morbidity and mortality .
D . Patient with Antepartum hemorrhage should be delivered by cesarean section .
E . May due to fetal bleeding .
12) All are true about cervical incompetence except ?
A . Can be diagnosed by ultrasound .
B . Can be caused by multiple pregnancy .
C . Best be treated in second trimester of pregnancy .
D . Can be caused by cone biopsy of cervix .
13) Regarding cervical intraepithelial neoplasia , one of the following is true ?
A . This is cytologic term .
B . The standart treatment of CIN 3 is hysterectomy .
C . If CIN is treated with cone biopsy , there is no need for follow up .
D . In CIN 3 there is full thickness dysplasia ,spread to more than 1/3 of epithelium .
E . In patient with persistent CIN 1 , LEEP can be done .
14) The next step in management of patient with severe Dysmenorrhea , infertility and normal pelvic ultrasound is ?
A . Laparoscopy
B . Laparotomy
C . HSG
D . MRI
E . CT scan
15) Contraindications of induction of labour include all except ?
A . Breech presentation .
B . Cervical cancer .
C . Vaginal prolapse .
D . Placenta previa .
E . Abnormal antenatal CTG .
16) Combined OCP reduce all except ?
A . Benign breast disease .
B . Colorectal cancer .
C . Salpingitis .
D . Premenstrual syndrome .
E . Cervical cancer .
17) PET is associated with increased risk of all except ?
A . Post partum hemorrhage .
B . IUGR .
C . Antepartum hemorrhage .
D . Venous thromboembolism .
E . Polyhydramnios .
18) Which of the following should always be suspended during pregnancy ?
A . Metoclopramide
B . Benzodiazepine
C . Tricyclic antidepressants
D . L thyroxine
E . Isotertinoin
19) Regarding genital prolapse all are true except ?
A . Procidentia means third degree uterine prolapse .
B . Is more common in Asians compared to black .
C . Is main cause of stress incontinence .
D . It occur in about 20% of multiparous .
E. High parity is major risk factor .
20) Regarding chlamydia all are true except ?
A . Multiple partners is a risk factor .
B . Chlamydia trachomatis is an intracellular gram negative microorganism .
C . Known to cause severe symptoms .
D . Causes mucopurulent cervical discharge .
E . Complications include infertility and ectopic pregnancy
21) A 32 weeks pregnant had Hb 9 g/dl , your best initial action ?
A . Treat with oral iron and vitamins .
B . Give blood transfusion .
C . Start IM iron
D . Start IV iron
E . No action needed
22) The main adverse outcome associated with UTI in pregnancy is ?
A . Preterm labor
B . Septicemia
C . IUFD
D . IUGR
E . Anemia
23) The treatment of choice to induce ovulation in patient with hypogonadotropic hypogonadism is ?
A . Low dose estrogen therapy
B . FSH and LH therapy
C . Bromocriptine
D . Progesterone
E . Clomephene citrate
24) The treatment of choice to induce ovulation in patient with Normogonadotropic normogonadism ?
A . Estrogen therapy
B . FSH and LH therapy
C . Bromocriptine
D . Progesterone
E . Clomephene citrate
25) The treatment of choice to induce ovulation in patient with hyperprolactinemia ?
A . Estrogen therapy
B . FSH and LH therapy
C . Bromocriptine
D . Progesterone
E . Clomephene citrate
26) All of the following are normal physiological changes in pregnancy except ?
A . Increased heart rate .
B . Increased red cell mass .
C . Decreased platelet count .
D . Increased GFR .
E . Increased gastric emptying time .
27) All increase the risk of PPH except ?
A . Multiparity
B . Instrumental delivery .
C . Meconium in amniotic fluid .
D . Antepartum hemorrhage .
E . Previous PPH .
28) Regarding eclampsia one is true ?
A . Cesarean section must be done in all cases .
B . Always occur Antepartum .
C . Urine output is increased .
D . Antidote drugs are essential in all cases .
E . Ergometrine must be avoided in third stage of labour
29) All are indications for immediate delivery in hypertensive pregnant except ?
A . Pulmonary edema
B . Renal failure
C . Reduced liquor
D . HELLP syndrome
E . Headache and blurred vision
30) Recommended uterotonic in the active management of third stage of labour is ?
A . 5_10 I.u oxytocin I.m after delivery of anterior shoulder .
B . 5_10 I.u oxytocin IV after delivery of the baby .
C . Oxytocin infusion at crowning till delivery .
D . 0.2 mg Ergometrine IV with delivery anterior shoulder .
E . 5_10 I.u oxytocin IV after delivery of the placenta .
31) A 35 weeks pregnant known with placenta previa complaining of vaginal spotting . She is hemodynamic stable , fetal heart good , your plan for delivery is ?
A . Immediate cesarean section .
B . Plan for elective cesarean section at 37 weeks .
C . Plan for elective cesarean section at 39_40 weeks .
D . Cesarean section only if develops heavy bleeding .
E . Cesarean section at onest of labour .
32) Para 1 just had forceps delivery of 3 kg baby and complete delivery of placenta , started to have excess vaginal bleeding , the uterus was felt 2 cm below the umbilicus and firm , the most likely diagnosis ?
A. Uterine atony
B . DIC
C . Infection
D . Genital tract trauma
E . Retained placental tissue
33) Regarding dysfunctional uterine bleeding all are true except ?
A . Is common after menarche .
B . Can be ovulatory .
C . Can be treated with copper releasing IUCD .
D . May be treated with hysterectomy .
E . Is commonly managed with hormonal therapy .
34) Regarding breast feeding all are true except ?
A . Colostrum contains more protein than breast milk ( mature ) .
B . Suckling stimulates the release of oxytocin .
C . Breast engorgment causes fever within 24 hours .
D . Reduces the risk of breast cancer .
E . The predominant immunoglobulin is IgA .
35) Normal duration of menses in day's ?
A . 1_3
B . 1_4
C . 2_7
D . 7_10
E . 1_2
36) All are common symptoms associated with urinary incontinence except ?
A . Stress incontinence
B . Overflow incontinence
C . Urge incontinence
D . Frequency
E . Straining to void
37) Regarding endometrial cancer , one is true ?
A . Serous papillary type carries a better prognosis .
B . HPV is a risk factor .
C . Radiotherapy is very effective primary .
D . Lymph nodes involvement is related to depth of the myometrial invasion .
E . Clinical exam is usually very suggestive of the diagnosis
38) All indication for Anti_D prophylaxis in non sensitized Rh negative mother with Rh positive father except ?
A . Threatened miscarriage at 8 weeks pregnant .
B . Abdomen trauma in third trimester pregnancy .
C . Placental Abruption .
D . ECV .
E . Amniocentesis .
39) Regarding postnatal contraception one is true ?
A . Lactation alone is adequate .
B . Usually started 4_6 weeks postnatal .
C . COCP is a good choice during breast feeding .
D . Progesterone only pills is contraindicated during breast feeding .
E . IUCD is contraindicated .
40) A known hypertensive pregnant was admitted at 36 weeks , gestation complaining of severe persistent abdominal pain with mild vaginal bleeding , very tense and tender uterus , and absent fetal heart sound , the most likely diagnosis ?
A . Placental Abruption
B . Ruptured uterus
C . Labour
D . Placenta previa
E . Acute Polyhydramnios
41) Regarding infertility , all are correct except ?
A . Increase with increasing age of female .
B . Affect 15% of any couples .
C . It's inability to conceive after 24 months of normal sexual intercourse .
D . Semen analysis should be performed after 3 days of abstinence .
E . History of regular monthly menses is an indication for normal ovulation .
42) All are contraindications for tocolytics except ?
A . Placental Abruption
B . Fetal distress
C . Transverse lie
D . Chorioamnionitis
E . Labour with 7 cm dilated Cx
43) Congestive Dysmenorrhea can be caused all except ?
A . Fibroid
B . Adenomyosis
C . Pelvic congestion
D . Genital prolapse
E . PID
44) Endometriosis associated with all except ?
A . Infrequent coitus due to dysparunia .
B . Tubal distortion
C . Ectopic pregnancy
D . Early pregnancy loss
E . Late menopause
45) Regarding menopause all are true except ?
A. Smoking induce early menopause before 40 years .
B . Average age is 55 years.
C . Increased risk of osteoporosis .
D . Hot flashes is an early symptom .
E . Delayed menopause is a high risk for endometrial and breast and ovarian cancer .
46) Regarding uterine fibroids all are true except ?
A . HRT can be used in menopause women with fibroids .
B . Hysteroscopy can be used for diagnosis .
C . More common in obese women .
D . More commonly present as Dysmenorrhea .
E . Red degeneration is the commonest in pregnancy .
47) Medical treatment of missed miscarriage at 8 weeks pregnancy is commonly by ?
A . Misoprostol vaginally ( PGE1) .
B . Oxytocin IV infusion .
C . Prostaglandin E2 vaginally .
D . Ergometrine I.m
E . Prostaglandin F2 alpha IV
48) 40 weeks pregnant in Labour , 2 hour after admission . CTG showed recurrent late deceleration . Her PV was filling dilated Cx , +1 station , ROA position , best management ?
A . Fetal scalp PH .
B . Emergency cesarean section .
C . Allow spontaneous vaginal delivery .
D . Instrumental vaginal delivery .
E . Start oxytocin infusion .
49) Regarding epidural analgesia one is true ?
A . Contraindicated in suspected IUGR .
B . Should not be administered during second stage of labour .
C . Resulting hypotension , can cause fetal heart changes .
D . Contraindicated with past history of DVT in pregnancy .
E . Associated with increase in rate of cesarean section .
50) Regarding bacterial vaginosis all are true except ?
A . It presents with bad odor discharge .
B . It is a STD .
C . Can cause preterm labor .
D . It causes homogeneous gray , thin vaginal discharge .
E . Metronidazole is the treatment of choice .
51) Uterine corpus is mainly composed of ?
A . Estrogen receptor
B . Smooth muscle
C . Elastic tissue
D . Endometrium
E . Fibrious tissue
52) Regarding epithelial ovarian cancer , one is true ?
A . Borderline type is best treated by surgery and chemotherapy .
B . Carrie's good prognosis if diagnosed at early stage .
C . COCP is a well known risk factor .
D . Familial in about 50% of cases .
E . Staging of the disease is based on CA 125 level .
53) G4 P3 ,all were by NVD , presented at 38 weeks with abdominal pain and vaginal bleeding , obstetric ultrasound was normal , the cervix was 5 cm dilated , vertex membranes intact with mild contraction , CTG was normal , the best management ?
A . Emergency cesarean section .
B . Expectant management .
C . Vaccum delivery .
D . ARM and oxytocin .
E . Prostaglandin E2 .
54) A 21 year old woman is found to have a largely solid ovarian neoplasm . Tumor markers demonstrated a markedly elevated Alpha_fetoprotein . Which of the following is the most likely histology for this neoplasm ?
A . Dysgerminoma
B . Choriocarcinoma
C . Gonadoblastoma
D . Immature teratoma
E . Endometrioid carcinoma
55) All of the following are signs of Chorioamnionitis except ?
A . Abnormal CTG
B . Fever
C . Tachycardia
D . Hyperreflexia
E . Abdominal tenderness
56) In case of a new treatment is developed that delays death's . But does not produce recovery from chronic disease . Which of the following will occur ?
A . Prevelance of the disease will decreased .
B . Incidence of the disease will increased .
C . Prevalence of the disease will increased .
D . Incidence of the disease will decreased .
E . Incidence and Prevelance of the disease will decreased .
57) A patient who had vaginal delivery 10 days ago presented complaining of mild vaginal bleeding and foul smelling discharge , she was febrile and hemodynamically stable ultrasound was suggestive of retained products . Your recommended action is ?
A . IV antibiotics followed by evacuation .
B . Immediate evacuation followed by antibiotics .
C . Antibiotics for 5 days and review later .
D . Wait result of culture to start antibiotics .
E . Immediate evacuation and send products for culture and sensitivity .
58) Antihypertensive drug for HTN in pregnancy is to decrease which of the following ?
A . Incidence of IUGR .
B . Incidence of Oligohydramnios .
C . Incidence of fetal death .
D . Incidence of placental failure .
E . Risk of maternal complications such as stroke .
59) Regarding drug in pregnancy only one of the following is correct ?
A . Rubella vaccine can be given during pregnancy .
B . Heparin can cause fetal thrombocytopenia .
C . Warfarin is contraindicated during lactation .
D . Tetanus vaccine is safe in the third trimester .
E . Cephalosporins are not safe in the first trimester
60) Regarding vulvovaginal candidiasis all are true except ?
A . The most common cause of vaginal discharge in pregnant women .
B . IUCD is risk factor .
C . 80 % of cases are caused by candida albicans .
D . The predominant symptom is intense vulva pruritus .
E . It causes vulvar burning and dysparunia .
61) A 27 years old multipara . Found to have breech presentation at 35 weeks gestation during routine visit . Otherwise her antenatal course was normal , the most appropriate action is ?
A . Perform ECV .
B . Clinic visit in 2 weeks .
C . X_Ray pelvimetry to determine mode of delivery .
D . Admit for delivery by cesarean section .
E . Abdominal X_Ray to rule out fetal head extension .
62) A primigravida with 7 weeks Amenorrhea and positive pregnancy test . Complaining of vaginal spotting and LLQ pain . She has BP 120/80 , HR 90 , SPo2 95 , RR 18 . Abdominal ultrasound no intrauterine gestational sac , your next step in management ?
A . Do vaginal ultrasound .
B . Do serum B_HCG
C . Do serum progesterone
D . Give methotrexate
E . Laparoscopy
63) Regarding Antiphospholipid syndrome , all are true except ?
A . Treated with LMW heparins during pregnancy .
B . Associated with thrombocytopenia .
C . Epidural anesthesia is relatively contraindicated .
D . Chloroquine can be continue during pregnancy .
E . Associated with prolonged PTT .
64) All of the following are common surgical technique for female tubual ligation except ?
A . Salpingotomy
B . Diathermy in the fallopian tubes .
C . Fallope rings
D . Clips
E . Hysterectomy
65) A 6 months pregnant lady comes for antenatal checkup for the first time . On screening she was found to have HbsAg , the best management for ?
A . Active and passive immunization .
B . Passive immunization .
C . Active immunization .
D . Antiviral therapy .
E . Advise for active and passive immunization of the baby at birth and the lady to be followed by I.O clinic .
66) All of the following may be used in the management of acute pelvic inflammatory disease except ?
A . D + C
B . Laparoscopy
C . Clindamycin
D . Removal of IUCD
E . Oral doxycycline
67) Regarding chronic HTN in pregnancy all are true except ?
A . Methyldopa is the drug of choice .
B . Can be complicated by PET .
C . Should be delivered by cesarean section .
D . Associated with risk of IUGR .
E . Increased risk of placenta Abruption .
68) Regarding miscarriage , all of the following statement are true except ?
A . A Sherman's syndrome is a recognized cause .
B . In incomplete one , the cervical os dilated .
C . Ovulation can occur 2 weeks after miscarriage .
D . In missed miscarriage , medical treatment is the best .
E . In inevitable miscarriage , the uterus is usually small for date
69) An asymptomatic pregnant urine culture shows 100.000 colonies / ml . Your best action ?
A . Oral antibiotic for 5 days .
B . Single dose oral antibiotics .
C . IV antibiotics for 2 weeks .
D . No treatment necessary .
E . Do renal ultrasound .
70) All of the following are considered as mild PET except ?
A . BP 140/90 with +1 Proteinuria . Dipstick
B . BP 150/90 with 2 gram Proteinuria and urine output 600 ml/day .
C . BP 150/100 with +2 Proteinuria dipstick , and nausea and vomiting .
D . BP 140/90 with +1 Proteinuria dipstick and headache .
E . BP 140/95 with trace Proteinuria .
71) All of the following are indications of delivery in preterm premature ROM except ?
A . Fetal distress
B . Post term pregnancy
C . Malpresentation
D . Chorioamnionitis
E . Antepartum hemorrhage
72) A woman in the 7th month of pregnancy , reports to you in the antenatal clinic . For the first time . The recommended immunization is ?
A . Yellow fever
B . Rubella vaccine
C . Varicella vaccine
D . Tetanus vaccine
E . BCG vaccine
73) All of the following are absolute contraindications for COCP usage except ?
A . History of CVA .
B . Migraine headache with aura .
C . DM .
D . Severe liver cirrhosis .
E . History of DVT .
74) All of the following are side effects of the progesterone only pills except ?
A . Reduce milk production .
B . Acne .
C . Breast tenderness .
D . Luteal ovarian cyst .
E . Absent menstrual cycle .
75) A patient had normal vaginal delivery 1 week ago . Presented with fever , chills . All of the following are possible causes except ?
A ) Mastitis
B )Pyelonephritis
C )Breast abscess
D ) Endometriosis
D ) Breast engorgement
76) All of the following are risk factors for developing stress incontinence except ?
A . Congenital connective tissue weakness .
B . Chronic cough .
C . Obesity .
D . Nulliparity .
E . Normal vaginal delivery .
77) All of the following can be used in treatment of DUB in patient with age 42 years old smokers except ?
A . COCP .
B . Endometrial ablation .
C . Hysterectomy
D . MIRENA
E . Anti _ prostaglandins
A . Patient should be referred to colposcopy .
B . Endometrial sampling must be done .
C . If the colposcopy shows invasive disease cone biopsy must be taken .
D . If the entire SCJ cannot be seen or visualized cone biopsy must be taken .
E . Cone biopsy can be therapeutic .
2) Regarding Trichomonas vaginalis all are true except ?
A. Yellow frothy vaginal discharge .
B . No vulvovaginal irritation .
C . Vaginal PH > 4.5 .
D . Wet mount shows motile flagellated microorganism .
E . Male partner should be treated .
3) Regarding primary spasmodic Dysmenorrhea all of the following are true except ?
A . Can be treated by mefenamic acid .
B . Occurs in ovulatory cycle only .
C . Caused by increased progesterone in second half of cycle .
D . Occurs in first and second day of menses .
E . Commonly associated with vomiting and diarrhea .
4) All can be used in treatment of Menorrhagia except ?
A . COCP .
B . Mefenamic acid .
C . Progesterone only pills .
D . Tranexamic acid .
E . Endometrial ablation
5) Hormone responsible for thickening of uterine lining in first half of menstrual cycle is ?
A . Prolactin
B . Estrogen
C . FSH
D . LH
E . Progesterone
6) Regarding endometrial cancer all are true except ?
A . Usually present as post menopausal bleeding .
B . Most common histological type is endometrioid carcinoma 80% .
C . It's estrogen dependant tumor .
D . Main treatment is surgery .
E . Usually advanced stage at presentation .
7) A primigravida admitted with rhythmic uterine contractions every 5 min and passage of show , cervix was 2 cm dilated and 1 cm long , she is in ?
A . Latent phase of labour .
B . Active phase of labour .
C . Second stage of labour .
D . Late first stage .
E . Not in Labour .
8 ) Complete hydatiform moles are more likely than partial mole to demonstrate all except ?
A . May require chemotherapy after evacuation .
B . Present with large for date uterus .
C . Present with thica lutein cyst .
D . Have focal rather than diffuse Trophoblastic progression .
E . Present with hyperthyroidism .
9) Regarding Trophoblastic disease only one is true ?
A . Most common chromosomal pattern of complete type 46 XY .
B . Lungs are most common site of metastasis .
C . Embryonic tissue is often present in complete type .
D . The chromosomal pattern of partial mole 46 XX .
E . Partial mole is diagnosed by ultrasound .
10) Regarding coagulation disorders in pregnancy only one is correct ?
A . Superficial Thrombophlebitis needs anticoagulants .
B . DVT is more common during pregnancy .
C . Treatment of DVT should be started with warfarin .
D . Half of cases of DVT are asymptomatic .
E . Warfarin is excreted in breast milk .
11) Regarding Antepartum hemorrhage all are true except ?
A . It is vaginal bleeding after age of viability .
B . Passage of show is possible cause .
C . Associated with increase perinatal morbidity and mortality .
D . Patient with Antepartum hemorrhage should be delivered by cesarean section .
E . May due to fetal bleeding .
12) All are true about cervical incompetence except ?
A . Can be diagnosed by ultrasound .
B . Can be caused by multiple pregnancy .
C . Best be treated in second trimester of pregnancy .
D . Can be caused by cone biopsy of cervix .
13) Regarding cervical intraepithelial neoplasia , one of the following is true ?
A . This is cytologic term .
B . The standart treatment of CIN 3 is hysterectomy .
C . If CIN is treated with cone biopsy , there is no need for follow up .
D . In CIN 3 there is full thickness dysplasia ,spread to more than 1/3 of epithelium .
E . In patient with persistent CIN 1 , LEEP can be done .
14) The next step in management of patient with severe Dysmenorrhea , infertility and normal pelvic ultrasound is ?
A . Laparoscopy
B . Laparotomy
C . HSG
D . MRI
E . CT scan
15) Contraindications of induction of labour include all except ?
A . Breech presentation .
B . Cervical cancer .
C . Vaginal prolapse .
D . Placenta previa .
E . Abnormal antenatal CTG .
16) Combined OCP reduce all except ?
A . Benign breast disease .
B . Colorectal cancer .
C . Salpingitis .
D . Premenstrual syndrome .
E . Cervical cancer .
17) PET is associated with increased risk of all except ?
A . Post partum hemorrhage .
B . IUGR .
C . Antepartum hemorrhage .
D . Venous thromboembolism .
E . Polyhydramnios .
18) Which of the following should always be suspended during pregnancy ?
A . Metoclopramide
B . Benzodiazepine
C . Tricyclic antidepressants
D . L thyroxine
E . Isotertinoin
19) Regarding genital prolapse all are true except ?
A . Procidentia means third degree uterine prolapse .
B . Is more common in Asians compared to black .
C . Is main cause of stress incontinence .
D . It occur in about 20% of multiparous .
E. High parity is major risk factor .
20) Regarding chlamydia all are true except ?
A . Multiple partners is a risk factor .
B . Chlamydia trachomatis is an intracellular gram negative microorganism .
C . Known to cause severe symptoms .
D . Causes mucopurulent cervical discharge .
E . Complications include infertility and ectopic pregnancy
21) A 32 weeks pregnant had Hb 9 g/dl , your best initial action ?
A . Treat with oral iron and vitamins .
B . Give blood transfusion .
C . Start IM iron
D . Start IV iron
E . No action needed
22) The main adverse outcome associated with UTI in pregnancy is ?
A . Preterm labor
B . Septicemia
C . IUFD
D . IUGR
E . Anemia
23) The treatment of choice to induce ovulation in patient with hypogonadotropic hypogonadism is ?
A . Low dose estrogen therapy
B . FSH and LH therapy
C . Bromocriptine
D . Progesterone
E . Clomephene citrate
24) The treatment of choice to induce ovulation in patient with Normogonadotropic normogonadism ?
A . Estrogen therapy
B . FSH and LH therapy
C . Bromocriptine
D . Progesterone
E . Clomephene citrate
25) The treatment of choice to induce ovulation in patient with hyperprolactinemia ?
A . Estrogen therapy
B . FSH and LH therapy
C . Bromocriptine
D . Progesterone
E . Clomephene citrate
26) All of the following are normal physiological changes in pregnancy except ?
A . Increased heart rate .
B . Increased red cell mass .
C . Decreased platelet count .
D . Increased GFR .
E . Increased gastric emptying time .
27) All increase the risk of PPH except ?
A . Multiparity
B . Instrumental delivery .
C . Meconium in amniotic fluid .
D . Antepartum hemorrhage .
E . Previous PPH .
28) Regarding eclampsia one is true ?
A . Cesarean section must be done in all cases .
B . Always occur Antepartum .
C . Urine output is increased .
D . Antidote drugs are essential in all cases .
E . Ergometrine must be avoided in third stage of labour
29) All are indications for immediate delivery in hypertensive pregnant except ?
A . Pulmonary edema
B . Renal failure
C . Reduced liquor
D . HELLP syndrome
E . Headache and blurred vision
30) Recommended uterotonic in the active management of third stage of labour is ?
A . 5_10 I.u oxytocin I.m after delivery of anterior shoulder .
B . 5_10 I.u oxytocin IV after delivery of the baby .
C . Oxytocin infusion at crowning till delivery .
D . 0.2 mg Ergometrine IV with delivery anterior shoulder .
E . 5_10 I.u oxytocin IV after delivery of the placenta .
31) A 35 weeks pregnant known with placenta previa complaining of vaginal spotting . She is hemodynamic stable , fetal heart good , your plan for delivery is ?
A . Immediate cesarean section .
B . Plan for elective cesarean section at 37 weeks .
C . Plan for elective cesarean section at 39_40 weeks .
D . Cesarean section only if develops heavy bleeding .
E . Cesarean section at onest of labour .
32) Para 1 just had forceps delivery of 3 kg baby and complete delivery of placenta , started to have excess vaginal bleeding , the uterus was felt 2 cm below the umbilicus and firm , the most likely diagnosis ?
A. Uterine atony
B . DIC
C . Infection
D . Genital tract trauma
E . Retained placental tissue
33) Regarding dysfunctional uterine bleeding all are true except ?
A . Is common after menarche .
B . Can be ovulatory .
C . Can be treated with copper releasing IUCD .
D . May be treated with hysterectomy .
E . Is commonly managed with hormonal therapy .
34) Regarding breast feeding all are true except ?
A . Colostrum contains more protein than breast milk ( mature ) .
B . Suckling stimulates the release of oxytocin .
C . Breast engorgment causes fever within 24 hours .
D . Reduces the risk of breast cancer .
E . The predominant immunoglobulin is IgA .
35) Normal duration of menses in day's ?
A . 1_3
B . 1_4
C . 2_7
D . 7_10
E . 1_2
36) All are common symptoms associated with urinary incontinence except ?
A . Stress incontinence
B . Overflow incontinence
C . Urge incontinence
D . Frequency
E . Straining to void
37) Regarding endometrial cancer , one is true ?
A . Serous papillary type carries a better prognosis .
B . HPV is a risk factor .
C . Radiotherapy is very effective primary .
D . Lymph nodes involvement is related to depth of the myometrial invasion .
E . Clinical exam is usually very suggestive of the diagnosis
38) All indication for Anti_D prophylaxis in non sensitized Rh negative mother with Rh positive father except ?
A . Threatened miscarriage at 8 weeks pregnant .
B . Abdomen trauma in third trimester pregnancy .
C . Placental Abruption .
D . ECV .
E . Amniocentesis .
39) Regarding postnatal contraception one is true ?
A . Lactation alone is adequate .
B . Usually started 4_6 weeks postnatal .
C . COCP is a good choice during breast feeding .
D . Progesterone only pills is contraindicated during breast feeding .
E . IUCD is contraindicated .
40) A known hypertensive pregnant was admitted at 36 weeks , gestation complaining of severe persistent abdominal pain with mild vaginal bleeding , very tense and tender uterus , and absent fetal heart sound , the most likely diagnosis ?
A . Placental Abruption
B . Ruptured uterus
C . Labour
D . Placenta previa
E . Acute Polyhydramnios
41) Regarding infertility , all are correct except ?
A . Increase with increasing age of female .
B . Affect 15% of any couples .
C . It's inability to conceive after 24 months of normal sexual intercourse .
D . Semen analysis should be performed after 3 days of abstinence .
E . History of regular monthly menses is an indication for normal ovulation .
42) All are contraindications for tocolytics except ?
A . Placental Abruption
B . Fetal distress
C . Transverse lie
D . Chorioamnionitis
E . Labour with 7 cm dilated Cx
43) Congestive Dysmenorrhea can be caused all except ?
A . Fibroid
B . Adenomyosis
C . Pelvic congestion
D . Genital prolapse
E . PID
44) Endometriosis associated with all except ?
A . Infrequent coitus due to dysparunia .
B . Tubal distortion
C . Ectopic pregnancy
D . Early pregnancy loss
E . Late menopause
45) Regarding menopause all are true except ?
A. Smoking induce early menopause before 40 years .
B . Average age is 55 years.
C . Increased risk of osteoporosis .
D . Hot flashes is an early symptom .
E . Delayed menopause is a high risk for endometrial and breast and ovarian cancer .
46) Regarding uterine fibroids all are true except ?
A . HRT can be used in menopause women with fibroids .
B . Hysteroscopy can be used for diagnosis .
C . More common in obese women .
D . More commonly present as Dysmenorrhea .
E . Red degeneration is the commonest in pregnancy .
47) Medical treatment of missed miscarriage at 8 weeks pregnancy is commonly by ?
A . Misoprostol vaginally ( PGE1) .
B . Oxytocin IV infusion .
C . Prostaglandin E2 vaginally .
D . Ergometrine I.m
E . Prostaglandin F2 alpha IV
48) 40 weeks pregnant in Labour , 2 hour after admission . CTG showed recurrent late deceleration . Her PV was filling dilated Cx , +1 station , ROA position , best management ?
A . Fetal scalp PH .
B . Emergency cesarean section .
C . Allow spontaneous vaginal delivery .
D . Instrumental vaginal delivery .
E . Start oxytocin infusion .
49) Regarding epidural analgesia one is true ?
A . Contraindicated in suspected IUGR .
B . Should not be administered during second stage of labour .
C . Resulting hypotension , can cause fetal heart changes .
D . Contraindicated with past history of DVT in pregnancy .
E . Associated with increase in rate of cesarean section .
50) Regarding bacterial vaginosis all are true except ?
A . It presents with bad odor discharge .
B . It is a STD .
C . Can cause preterm labor .
D . It causes homogeneous gray , thin vaginal discharge .
E . Metronidazole is the treatment of choice .
51) Uterine corpus is mainly composed of ?
A . Estrogen receptor
B . Smooth muscle
C . Elastic tissue
D . Endometrium
E . Fibrious tissue
52) Regarding epithelial ovarian cancer , one is true ?
A . Borderline type is best treated by surgery and chemotherapy .
B . Carrie's good prognosis if diagnosed at early stage .
C . COCP is a well known risk factor .
D . Familial in about 50% of cases .
E . Staging of the disease is based on CA 125 level .
53) G4 P3 ,all were by NVD , presented at 38 weeks with abdominal pain and vaginal bleeding , obstetric ultrasound was normal , the cervix was 5 cm dilated , vertex membranes intact with mild contraction , CTG was normal , the best management ?
A . Emergency cesarean section .
B . Expectant management .
C . Vaccum delivery .
D . ARM and oxytocin .
E . Prostaglandin E2 .
54) A 21 year old woman is found to have a largely solid ovarian neoplasm . Tumor markers demonstrated a markedly elevated Alpha_fetoprotein . Which of the following is the most likely histology for this neoplasm ?
A . Dysgerminoma
B . Choriocarcinoma
C . Gonadoblastoma
D . Immature teratoma
E . Endometrioid carcinoma
55) All of the following are signs of Chorioamnionitis except ?
A . Abnormal CTG
B . Fever
C . Tachycardia
D . Hyperreflexia
E . Abdominal tenderness
56) In case of a new treatment is developed that delays death's . But does not produce recovery from chronic disease . Which of the following will occur ?
A . Prevelance of the disease will decreased .
B . Incidence of the disease will increased .
C . Prevalence of the disease will increased .
D . Incidence of the disease will decreased .
E . Incidence and Prevelance of the disease will decreased .
57) A patient who had vaginal delivery 10 days ago presented complaining of mild vaginal bleeding and foul smelling discharge , she was febrile and hemodynamically stable ultrasound was suggestive of retained products . Your recommended action is ?
A . IV antibiotics followed by evacuation .
B . Immediate evacuation followed by antibiotics .
C . Antibiotics for 5 days and review later .
D . Wait result of culture to start antibiotics .
E . Immediate evacuation and send products for culture and sensitivity .
58) Antihypertensive drug for HTN in pregnancy is to decrease which of the following ?
A . Incidence of IUGR .
B . Incidence of Oligohydramnios .
C . Incidence of fetal death .
D . Incidence of placental failure .
E . Risk of maternal complications such as stroke .
59) Regarding drug in pregnancy only one of the following is correct ?
A . Rubella vaccine can be given during pregnancy .
B . Heparin can cause fetal thrombocytopenia .
C . Warfarin is contraindicated during lactation .
D . Tetanus vaccine is safe in the third trimester .
E . Cephalosporins are not safe in the first trimester
60) Regarding vulvovaginal candidiasis all are true except ?
A . The most common cause of vaginal discharge in pregnant women .
B . IUCD is risk factor .
C . 80 % of cases are caused by candida albicans .
D . The predominant symptom is intense vulva pruritus .
E . It causes vulvar burning and dysparunia .
61) A 27 years old multipara . Found to have breech presentation at 35 weeks gestation during routine visit . Otherwise her antenatal course was normal , the most appropriate action is ?
A . Perform ECV .
B . Clinic visit in 2 weeks .
C . X_Ray pelvimetry to determine mode of delivery .
D . Admit for delivery by cesarean section .
E . Abdominal X_Ray to rule out fetal head extension .
62) A primigravida with 7 weeks Amenorrhea and positive pregnancy test . Complaining of vaginal spotting and LLQ pain . She has BP 120/80 , HR 90 , SPo2 95 , RR 18 . Abdominal ultrasound no intrauterine gestational sac , your next step in management ?
A . Do vaginal ultrasound .
B . Do serum B_HCG
C . Do serum progesterone
D . Give methotrexate
E . Laparoscopy
63) Regarding Antiphospholipid syndrome , all are true except ?
A . Treated with LMW heparins during pregnancy .
B . Associated with thrombocytopenia .
C . Epidural anesthesia is relatively contraindicated .
D . Chloroquine can be continue during pregnancy .
E . Associated with prolonged PTT .
64) All of the following are common surgical technique for female tubual ligation except ?
A . Salpingotomy
B . Diathermy in the fallopian tubes .
C . Fallope rings
D . Clips
E . Hysterectomy
65) A 6 months pregnant lady comes for antenatal checkup for the first time . On screening she was found to have HbsAg , the best management for ?
A . Active and passive immunization .
B . Passive immunization .
C . Active immunization .
D . Antiviral therapy .
E . Advise for active and passive immunization of the baby at birth and the lady to be followed by I.O clinic .
66) All of the following may be used in the management of acute pelvic inflammatory disease except ?
A . D + C
B . Laparoscopy
C . Clindamycin
D . Removal of IUCD
E . Oral doxycycline
67) Regarding chronic HTN in pregnancy all are true except ?
A . Methyldopa is the drug of choice .
B . Can be complicated by PET .
C . Should be delivered by cesarean section .
D . Associated with risk of IUGR .
E . Increased risk of placenta Abruption .
68) Regarding miscarriage , all of the following statement are true except ?
A . A Sherman's syndrome is a recognized cause .
B . In incomplete one , the cervical os dilated .
C . Ovulation can occur 2 weeks after miscarriage .
D . In missed miscarriage , medical treatment is the best .
E . In inevitable miscarriage , the uterus is usually small for date
69) An asymptomatic pregnant urine culture shows 100.000 colonies / ml . Your best action ?
A . Oral antibiotic for 5 days .
B . Single dose oral antibiotics .
C . IV antibiotics for 2 weeks .
D . No treatment necessary .
E . Do renal ultrasound .
70) All of the following are considered as mild PET except ?
A . BP 140/90 with +1 Proteinuria . Dipstick
B . BP 150/90 with 2 gram Proteinuria and urine output 600 ml/day .
C . BP 150/100 with +2 Proteinuria dipstick , and nausea and vomiting .
D . BP 140/90 with +1 Proteinuria dipstick and headache .
E . BP 140/95 with trace Proteinuria .
71) All of the following are indications of delivery in preterm premature ROM except ?
A . Fetal distress
B . Post term pregnancy
C . Malpresentation
D . Chorioamnionitis
E . Antepartum hemorrhage
72) A woman in the 7th month of pregnancy , reports to you in the antenatal clinic . For the first time . The recommended immunization is ?
A . Yellow fever
B . Rubella vaccine
C . Varicella vaccine
D . Tetanus vaccine
E . BCG vaccine
73) All of the following are absolute contraindications for COCP usage except ?
A . History of CVA .
B . Migraine headache with aura .
C . DM .
D . Severe liver cirrhosis .
E . History of DVT .
74) All of the following are side effects of the progesterone only pills except ?
A . Reduce milk production .
B . Acne .
C . Breast tenderness .
D . Luteal ovarian cyst .
E . Absent menstrual cycle .
75) A patient had normal vaginal delivery 1 week ago . Presented with fever , chills . All of the following are possible causes except ?
A ) Mastitis
B )Pyelonephritis
C )Breast abscess
D ) Endometriosis
D ) Breast engorgement
76) All of the following are risk factors for developing stress incontinence except ?
A . Congenital connective tissue weakness .
B . Chronic cough .
C . Obesity .
D . Nulliparity .
E . Normal vaginal delivery .
77) All of the following can be used in treatment of DUB in patient with age 42 years old smokers except ?
A . COCP .
B . Endometrial ablation .
C . Hysterectomy
D . MIRENA
E . Anti _ prostaglandins
Comments
Post a Comment