Obstetrics & Gynecology 16

1. Question

All the following are possible causes of anovulation EXCEPT:

High body mass index
Anorexia nervosa
Polycystic ovarian syndrome
Premature ovarian failure
Sickle cell trait

2. Question

Incompetent cervix

Is a cause for early pregnancy loss
Is best diagnosed by history
Is a cause for fetal congenital abnormalities
Is not encountered with uterine anomalities
Can be treated with tocolytics

3. Question

Which one of the following actions COCP has:

Reduce risk of endometrial cancer.
Increase risk of ovarian cancer.
Reduce risk of breast cancer
Reduce risk of cervical cancer.
Worsen endometriosis

4. Question

All the following are possible causes of menorrhagia, EXCEPT

Uterine fibroid
Adenomyosis
Pelvic inflammatory disease
Endometrial hyperplasia
Combine oral contraceptive pills

5. Question

In complete hydatidiform mole

Rarely contains maternal genetic material
Can present with hypothyroidism
Prophylactic cytotoxic therapy should be given
Diagnosis is confirm with a very low blood level of human beta gonadotropin
Pre-eclampsia is the most common symptom and occur in 97% of patients

6. Question

Which of the following is not a common site for endometriosis:

Bone
Ovaries.
Uterosacral ligaments.
Peritoneum
Oviduct

7. Question

The puerperium:

Refer to the first 6 months after delivery
The lochia usually persist for 7 weeks
The uterine fundus should not be palpable abdominally by 14 days after delivery
The incidence of post-partum depression is 50%
Fever due to engorged breast occurs on the second day after delivery

8. Question

The best uterine scar a patient can have for Caesarian section is

Transverse upper segment
Longitudinal upper segment
Transverse lower segment
Longitudinal lower segment
A T-shaped incision

9. Question

Fetus of GDM mother has:

Hypercalcemia.
Hypoglycemia
Hypobilirubinemia
Hypoinsulinemia
Anemia

10. Question

Regarding incomplete abortion, all are true, EXCEPT:

There is a history of tissue passed per vagina
The cervix is open on vaginal examination
Ultrasound shows retained product of conception
Ultrasound shows intact gestational sac non- viable fetus
Management include evacuation

11. Question

The diagnosis of endometriosis is often strongly suspected from patient’s initial history expressing the following except:

Infertility
Dysmenorrheal
Vaginal dryness
Dyspareunia
Chronic Pelvic pain

12. Question

The followings are considered normal symptoms of pregnancy EXCEPT:

Backache due to increased lumbar lordosis.
Lower abdominal pain due to stretch of round ligaments.
Visual disturbances
Calf pain due to muscle spasm.
Increased vaginal discharge

13. Question

Which of the following factors predispose to genital prolapse

Repeated LSCS
Multiparty
Pelvic inflammatory disease
Endometriosis
Repeated candidiasis

14. Question

The following are true about Leiomyomas except:

Usually multiple
Usually malignant
Usually discrete
Usually spherical or irregular lobulated
Usually easy enucleated from the surrounding myometrium

15. Question

All of the following infection causes fetal malformation except:

Rubella
Syphilis
Toxoplasma
HIV
CMV

16. Question

Treatment of infertility:

Clomiphene citrate is helpful in patients with anovulatory premature ovarian failure
ovarian drilling is helpful in the treatment of infertility endometriosis
IVF is not helpful in the treatment of infertility due to male factor
Hyperstimulation syndrome can occurs in patient treated by gonadotropins
Spontaneous pregnancy can occur in patients with Mullerian agenesis

17. Question

Stages of labour

The first stage commences at the time of membrane rupture
The cervix dilates at consistent rate of 3 cm per hour in the first stage
The third stage end with the delivery of the placenta and membranes
Forceps or ventose may be useful in slow progress of the late 1st stage
Syntometrine is a combination of oxytocin and ergometrine which is used in the treatment of secondary postpartum hemorrhage (PPH)

18. Question

The second stage of labor:

separation of placenta
effacement of cervix
expulsion of placenta
dilation of cervix
expulsion of fetus

19. Question

The luteal phase of the menstrual cycle is associated with

High luteinizing hormone level
High progesterone levels
High prolactin level
Low basal body temperature
Proliferative changes in the endometrium

20. Question

The main support of the uterus is provided by

The round ligament
The cardinal ligament
The infundilo-pelvic ligament
The integrity of the pelvis
The broad ligament

21. Question

Regrading fertilization and implantation:

Fertilization occurs in inner third of the fallopian tube.
The sperm head penetrates through the corona radiata and zona pellucida while the tail remains outside.
The second meiotic division is completed before fertilization.
Implantation occurs in morula stage
The trophoblast invades the endometrium and differentiate into outer cytotrophoblast and inner cyncytiotrophoblast.

22. Question

Feature characteristically associated with an imperforate hymen in a patient aged 16 years includes:

Absence of secondary sexual
Acute retention of urine
Hirsutism
Short stature
Present with secondary amenorrhea

23. Question

High alpha feto protein found in all EXCEPT

IUFD
Multiple pregnancy
Some Ovarian Cancer
Trisomy 21
Neural tube defect

24. Question

Most common cause of postmenopausal bleeding is:

atrophic vaginitis
Endometrial cancer
Endometrial hyperplasia
Endometrial polyp
None of the above

25. Question

Most common cause of first trimester abortion

Chromosomal abnormalities
Syphilis
Rhesus isoimmunization
Cervical incompetence
Bifurcate uterus

26. Question

Urinary stress incontinence is:

The loss is of large amount of urine when intra-abdominal pressure
The loss is of small amount of urine when intra-abdominal pressure
Inability to control the bladder of all urine
Inability to pass urine
Constant loss of small amounts of urine

27. Question

Most definitive treatment for preeclampsia is:

IV magnesium sulphate
Diazepam.
Delivery
IV hydralazine
IV labetalol

28. Question

All the following are possible causes of polyhydramnios, EXCEPT:

Diabetes
Multiple pregnancy
Fetus with hydrops fetalis
Fetus with duodenal atresia or neural tube defect
IUGR

29. Question

A pregnant woman presents with a placenta previa of a major defect and fetus is poorly formed. Which of the following will be the best management?

Caesarian section
Oxytocin drip
Rupture of membranes
Induce with PG E2
Forceps delivery in the second stage to accelerate delivery

30. Question

Menorrhagia is:

Intermittent irregular vaginal bleeding
Commonly presents as postmenopausal bleeding
Heavy menstrual cycle more than 80 ml
Infrequent spaced cycles every 45 days
The main presentation in case of Asherman Syndrome

31. Question

All of these are normal changes in pregnancy EXCEPT:

increase plasma volume.
Decrease RBC mass
Increase stroke volume
Increase cardiac output
None of the above

32. Question

Uterine fibroid is:

Composed of fibrous tissue
Surround by a false capsule
The most common cystic tumor in women
Progestogen dependent
Managed by myomectomy in most of the cases

33. Question

Polycystic ovarian diseases, all of the following can be seen, EXCEPT:

Acne
Streak ovaries
Insulin resistance
Hirsutism
Glactorrhoea

34. Question

The following are presumptive skin signs of pregnancy except:

Chloasma
Maculo papular rash
Linea Nigra
Stretch Marks
Spider Telangiectases

35. Question

Mechanism of action of IUCD, all EXCEPT:

changes tube motility.
Endometrial changes
Inhibits fertilization
Inhibits implantation.
Changes cervical mucus.

36. Question

All are the risks associated with macrosomia, EXCEPT:

Maternal obesity
Prolonged Pregnancy
Previous large infant
Short Stature
Gestational Diabetes Mellitus

37. Question

Urge incontinence

Is due to pelvic anatomic defect
patient loses small amount of urine
can be diagnosed with stress test
Can be treated medically
Can be treated surgically with sling

38. Question

All the following conditions result in polyhydramnios EXCEPT:

Renal agenesis.
duodenal atresia.
Spina bifida.
Anencephaly.
Fetal hydrops

39. Question

Risk Factors for DVT includes all, EXCEPT:

Smoking
Operative delivery
Lupus anticoagulation
Maternal weight over 80 kg
Hyperthyroidism

40. Question

Breast feeding

Should be discontinued if breast infection is suspected
Should be started immediately in case of maternal HIV infection
Has a rule in involution of uterus
Should be replaced by bottle feeding if the patient had caesarean section
Contain adequate of iron

41. Question

Which of the following is the most certain method to determine that ovulation has occurred:

Basal body temperature.
Pregnancy
Increase in LH
Cervical mucus is thick
Endometrial biopsy

42. Question

Risk Factors of gestational trophoblastic disease include all of the following except

Far East Asian
age under 20
Diet high Folic acid
Age above 40
Diet lower beta carotene

43. Question

Regarding injectable progesterone contraception, all of the following is true, EXCEPT:

Medroxy progesterone acetate is the most commonly used
May cause irregular uterine bleeding
May cause amenorrhea
Should not be given to lactating mother
Does not carry a risk of venous thrombosis

44. Question

First stage of labor:

End with complete dilatation of cervix.
Result in separation of placenta.
Is more than 24 hours in primigravida.
Should use ergotamine in first stage

45. Question

Hyperemesis gravidarum in 1st trimester is seen with increased frequency in all of the following except

H. Mole
Twins
Missed Abortion
Primigravida
Patient with history of hyperemesis

46. Question

The following are contraindication to external cephalic version, EXCEPT:

Contracted pelvis
Placenta previa
Multiple pregnancy
Presence of cervical suture in site
Scarred uterus

47. Question

The follicular phase of menstrual cycle is characterized by:

Endometrial proliferation.
Decreased estrogen
Progesterone dominance.
Fixed length of 8 days
Reduction in aromatase activity.

48. Question

In a pregnant female which of the following depicts the level of iron:

Transferrin level
Serum ferritin level
Hemoglobin level
Iron binding capacity
Serum Iron

49. Question

An Ultrasound in the 1st trimester of pregnancy is done for

Placental localization
Detecting of fetal weight
Assessment of amniotic fluid volume
Detection of fetal breathing
Dating of the pregnancy

50. Question

The baseline Heart rate of normal fetus at term is:

80-100 bpm
100-120 bpm
120-160 bpm
160-180 pbm
There is no baseline heart rate.