Medical intern examination

1 ) 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 .  2 ) The best method to diagnose endometriosis is ? A . Laparotomy . B . CT scan . C . MRI . D . Ultrasound scan . E . Laparoscopy .  3 ) The oxygenated blood is allowed into the fetal body by ? A . Foramen ovale . B . Ductus venosus . C . Right ventricle . D . Umbilical arteries . E . Fetal aorta .  4 ) Apgar score parameters include all of the following except ? A . Respiratory rate . B . Pulse rate . C . Response to stimuli . D . Colour . E . Tone .  5 ) All are causes of regular heavy periods except ? A . Endometrial polyp . B . Endometriosis . C . Hypothyroidism . D . Fibroids . E . OCPs .  6 ) The maximum number of oogonia are formed at what age female life ? A . One month intrauterine . B . Five months intrauterine . C . At birth . D . At puberty . E . At 21 ...

1) The smallest diameter of the true pelvis is ? A . True conjugate B . Obstetric conjugate C . Diagonal conjugate D . Transverse diameter E . Oblique diameter  2) Regarding gestational trophoblastic neoplasia ( GTN) all of the following are correct except ? A . Complete mole associated with presence of fetal and embryonic tissue . B . Incomplete mole associated with focal swelling of chorionic villi . C . Karyotype of partial mole usually triploidy . D . Theca lutein ovarian cysts develop in about half of patients with complete mole . E . Snow storm appearance on ultrasound is characteristic for complete mole .  3) A healthy woman complaining of crying , insomnia , feeling low , mood lability 3 day after normal delivery , the most likely cause is ? A . Postpartum depression B . Postpartum psychosis C . Postpartum psychosis D . Postpartum neurosis E . Postpartum schizophrenia  4) Women with uterine fibroid can present with all of the following except ? A . Menorrhag...

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 ...

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 . ...

1/ 50 A 30 year old lady, G1P0, 7wks pregnant presented to the emergency room wth persistent nausea and vomiting, al of the following could be the differential diagnosis for her clinical situation except 1- Gastritis. 2-Missed abortion. 3-Emesis gravidarum, 4- Hyperthyroidism 5-cholecystitis 2/ 50 Al the following findings could be part of sever PET except: 1-Polyhydramnios. 2- Persistent headache 3-Thrombocytopenia. 4- Epigastric pain 5-Pulmonary edema. 3/50 The most common presenting symptom in cases of vulvar carcinoma is: 1-Vulvar bleeding 2-Dysuria 3-Vulvar discharge 4-Dysparunia 5-pruritus 4/ 50 One is true about the uterus after delivery of the fast baby: 1-firm 2-Irregular surface 3- Not painful. 4-Deviated to left 5-above the umbilicus  5/50 Uterine fibroids can be presented by all of the folowngs except: 1-Accidental finding on ultrasound 2- They cause hypomenorrhea 3- Pelvic pain 4- infertility 5-Dysmenorrhea.  6/ 50 The mos...

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 . ...