Obstetrics & Gynecology 12

1. Question

Rupture of membranes is suspected with all of the followings EXCEPT:

Positive Nitrazine test
Positive Fern test.
Pooling of amniotic fluid on speculum examination.
Observing amniotic fluid drain through the cervix during speculum examination.
Contractions seen on the CTG.

2. Question

The reason of using antihypertensive treatment in pregnancy is to:

Reduce the placental blood flow.
Reduce the risk of CVA in the fetus.
Reduce the risk of CVA in the mother.
Prevent hypertensive renal disease.
Prevent myocardial infarction.

3. Question

In polycystic ovary syndrome patients, all the followings are true EXCEPT:

They are usually underweight with low body mass index.
They have hirsutism.
They have oligomenorrhea.
They have high prolactin level.
They have subfertility.

4. Question

Management of a patient with threatened abortion includes all the followings EXCEPT:

Ultrasound.
Physical exam.
CBC.
Detailed menstrual history.
Immediate dilation and curettage.

5. Question

Prerequisites for instrumental delivery include all the followings EXCEPT:

Cephalic presentation.
Engaged head.
Full dilation of the cervix.
Rupture of membranes.
The presence of epidural analgesia.

6. Question

All the following prenatal infections cause fetal anomalies EXCEPT:

HIV.
Toxoplasmosis
CMV.
Rubella.
Syphilis.

7. Question

The terminology of pelvic inflammatory diseases indicates:

Infection of the vagina.
Infection of Bartholin's glands
Infection of Skene's glands.
Infection of the urinary bladder.
Endometritis and salpingo-oophoritis.

8. Question

The most common cause of uterus size-date disparity is:

Fetal macrosomia
Polyhydramnios.
Inaccurate last menstrual period.
Multiple pregnancy.
Molar pregnancy.

9. Question

All the followings are indications of Rh-D administration EXCEPT:

Artificial rupture of membranes.
Threatened abortion.
External cephalic version.
Cordocentesis.
None of the above

10. Question

Risk factors for shoulder dystocia include all the followings EXCEPT:

Maternal obesity.
Macrosomia.
Maternal diabetes.
Prolonged second stage of labor.
IUGR.

11. Question

Components of biophysical profile in addition to non-stress test include all the followings EXCEPT:

Fetal movement.
Placental thickness.
Fetal tone.
Fetal breathing movement.
Amniotic fluid pocket depth.

12. Question

Which of the following types of fibroid causes an excessive bleeding?

Cervical.
Broad ligament.
Submucosal.
Subserosal.
Intramural.

13. Question

In breech presentation:

Frank breech is the commonest type.
Brachial plexus injury is a recognized complication.
Prolapse of the umbilical cord can occur.
Fetal mortality is increased.
All of the above.

14. Question

Which of the following laboratory tests would be most suggestive of preeclampsia?

Elevated bilirubin.
Decreased hematocrit.
Elevated lactate dehydrogenase (LDH).
Elevated uric acid.
Elevated creatinine.

15. Question

HELLP Syndrome includes all the followings EXCEPT:

Hemolysis.
Increased AST.
Increased platelets.
Increased ALT.
None of the above

16. Question

While evaluating a 30-year-old woman for infertility, you diagnosed a bicornuate uterus. You explain that additional testing is necessary because of the woman’s increased risk of congenital anomalies in which system?

Skeletal.
Hematopoietic.
Urinary.
Central nervous.
Tracheoesophageal.

17. Question

Ultrasound in the first trimester of pregnancy is mainly used to:

Localize the placenta.
Check for fetal well-being.
Date the pregnancy.
Check the placental blood flow.
Estimate the fetal weight.

18. Question

All the followings can be used as tocolytic agents EXCEPT:

Ritodrine (β agonist).
Salbutamol.
Diazepam.
Indomethacin.
A Calcium channel blocker.

19. Question

Indications for instrumental delivery include all the followings EXCEPT:

Prolonged second stage of labor.
Fetal distress.
Transverse lie.
Breech presentation.
Maternal cardiac disease.

20. Question

The presentation of Asherman’s Syndrome typically involves:

Hypomenorrhea and amenorrhea.
Galactorrhea.
Menorrhagia.
Metrorrhagia.
Dysmenorrhea.

21. Question

The second stage of labor involves:

Separation of the placenta.
Effacement of the cervix.
Expulsion of the placenta.
Dilation of the cervix.
Expulsion of the fetus.

22. Question

A contraceptive method that prevent transmission of STD is:

Condom.
OCP.
IUCD.
Spermicide.
Vasectomy

23. Question

The peripheral tissues resistance to insulin in pregnant women is mediated by:

Human chorionic gonadotropin.
Human placental lactogen.
Growth hormone.
Luteinizing hormone.
Follicle stimulating hormone.

24. Question

A 48-year-woman who had two normal pregnancies 13 and 15 years ago presents with the complaint of amenorrhea for 7 months. She expresses the desire to become pregnant again. After exclusion of pregnancy, which of the following tests is next indicated in the evaluation of this patient’s amenorrhea?

Hysterosalpingogram.
Endometrial biopsy.
Thyroid function test.
Testosterone and DHAS levels.
LH and FSH levels.

25. Question

Which of the followings is a known complication of diabetes in pregnancy?

Fetal microsomia (small baby).
Oligohydramnios.
Iron deficiency anemia.
Fungal infection.
Placenta previa.

26. Question

Apgar’s score includes all the followings EXCEPT:

Skin color.
Muscle tone.
Blood pH.
Heart rate.
Respirations.

27. Question

The most common reason for postdate pregnancy is:

Inaccurate gestational age.
Fetal anencephaly.
Oligohydramnios.
IUGR.
Advanced maternal age.

28. Question

In post-term pregnancy all the followings are true EXCEPT:

Associated with meconium stained liquor.
The fetus has long nails.
May results in oligohydramnios.
Associated with respiratory distress syndrome.
It is a gestational age beyond 43 weeks.

29. Question

Regarding gestational diabetes mellitus (GDM):

It is the most common cause of IUGR.
The best screening test is random blood sugar.
The diagnostic test is glucose tolerance test (GTT).
All patients should be treated by insulin, as diet alone is not enough.
All patients should be delivered before term to avoid complications.

30. Question

Lower abdominal pain and six weeks gestation:

Vaginal examination is contraindicated.
Right iliac fossa pain is diagnostic of appendicitis.
Placental abruption should be considered.
Could be gallstones.
USS has reliable diagnostic information.

31. Question

The following statements about multiple pregnancy are true EXCEPT:

Its occurrence in West Africa.
Its incidence is increased by increased age and parity.
Twin to twin transfusion common in monochorionic twins.
Can be diagnosed by ultrasound only after 12 weeks.
Associated with induction of ovulation.

32. Question

Diabetes in pregnancy can cause all the following congenital anomalies EXCEPT:

Sacral agenesis.
Central nervous system abnormalities.
Lower limb hypoplasia.
Congenital heart disease.
Yellow teeth discoloration.

33. Question

These are possible sites for endometriosis deposits EXCEPT:

Brain.
Peritoneum.
Uterosacral ligaments.
Ovaries.
Scars.

34. Question

Uterine cervix:

Is the portion of the uterus below the isthmus
External os lining is columnar epithelium.
The internal os is covered with stratified squamous epithelium.
Can be dilated with dilators without the need of anesthesia.
None of the above is correct

35. Question

Regarding threatened abortion:

Anti-D should be given to Rh- positive mother.
All patients should be admitted to the hospital.
Ultrasound should be done to confirm the diagnosis.
Vaginal examination will reveal severe pain.
The patient has vaginal bleeding and tissue passage per vagina.

36. Question

These are possible symptoms caused by fibroids EXCEPT:

Pelvic pain.
Subfertility.
Pressure symptoms.
Deep vein thrombosis.
Irregular vaginal bleeding.

37. Question

The test used to diagnose ovulation on day 21 in a 28 days menstrual cycle is:

Estrogen.
FSH.
Progestrone.
LH.
Prolactin.

38. Question

Regarding missed abortion, all of the followings are correct EXCEPT:

The patient may present with loss of pregnancy symptoms.
Per vaginal bleeding may be one of the presenting symptoms.
Immediate evacuation should be done once the diagnosis is made.
DIC may occur as a sequela.
Ultrasound should be done to confirm the diagnosis.

39. Question

Induction of ovulation agents:

Clomiphene citrate is an antiandrogen.
Clomiphene citrate is given by injection.
Gonadotropin is given orally.
Ultrasound scan is not needed with induction.
Causes multiple follicles.

40. Question

Polyhydramnios is commonly found with:

IUGR.
Placenta brevia.
Abruptio placenta.
Diabetes insipidus.
Diabetes mellitus.

41. Question

Hyperextension of the fetal head is found in:

Vertex presentation.
Face presentation.
Shoulder presentation.
Breech presentation.
Hydrocephalic baby.

42. Question

The differential diagnosis of vulvar swelling includes all the followings EXCEPT:

Bartholin's cyst.
Hematoma.
Condyloma.
Nabothian cyst.
Papilloma.

43. Question

In the fetus:

The coronal suture lies between the two parietal bones.
The umbilical artery normally contains one artery and two veins.
Fetal lie describes the long axis of the fetus to the long axis of the mother.
Entanglement of the umbilical cord is common in diamniotic twins.
The anterior fontanelle is usually closed by the time of labor.

44. Question

Secondary amenorrhea is a recognized feature of:

Imperforated hymen.
Testicular feminization syndrome.
Pregnancy.
Sickle cell anemia.
Mullerian agenesis.

45. Question

Obstructed labor:

Diagnosed only when the cervix is fully dilated.
Usually predicted before the onset of labor.
More common in developed countries.
Mento-posterior position could be a cause.
X-ray pelvimetry is essential to predict cephalopelvic disproportion in a primigravida.

46. Question

In threatened abortion at 15 weeks gestation in a nulliparous patient:

Pain is characteristic.
The internal os is often opened.
Fainting is characteristic.
Vaginal bleeding is usually mild.
Absence of fetal movements suggest non viability.

47. Question

Vacuum extraction (ventouse):

Causes more maternal birth canal injuries than the forceps.
Can be used when the cervix is 7 cm dilated.
Can be applied when the vertex is minus 2 station.
Can cause cephalohematoma to the baby.
Can be used in face presentation.

48. Question

Which of the followings is an indication for induction of labor?

Placenta brevia.
Post-term gestation.
Cord presentation.
Prior classical cesarean section.
Active genital herpes.

49. Question

Which of the following terms best describes the pelvic type of small posterior saggital diameter, convergent sidewalls, prominent ischial spines, and narrow pubic arch?

Android
Gynecoid
Anthropoid.
Platypelloid
Mixed.

50. Question

In prenatal infection:

Rubella can be prevented by administration of rubella vaccine during pregnancy.
Toxoplasma is a virus.
HIV virus infects the baby more readily when delivered vaginally than cesarean section.
CMV causes macrosomic babies.
In HIV patients, breastfeeding is encouraged.