Obstetrics & Gynecology 17

1. 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

2. Question

In patients with three consecutive spontaneous abortion in the second trimester, the most useful investigation is:

Chromosomal analysis
Hysterosalpingogram
Endometrial biopsy
Post coital test
Prolactin level

3. Question

Which of the following does not cause amenorrhea:

Endometriosis
Anorexia nervosa
Asherman's syndrome
Sheehan syndrome
None of the above

4. Question

Which statement is correct?

Lie → vertex
Position →longitudinal
Presentation → occipioanterior
The station of the baby is 0 at ischial spines
None of the above

5. Question

Risk factors for pre- eclampsia include all of the following, EXCEPT:

Elderly primigravida
African ethnicity
Positive family history of hypertension
Positive history of pre- eclampsia in previous pregnancies
Positive history of macrosomic baby

6. Question

Abruptio placenta:

Premature separation of abnormally implanted placenta.
hypercoagulable state.
Can result in postpartum hemorrhage
All of the above
None of the above

7. Question

The order of cardinal movements in labor:

Engagement, internal rotation, flexion
Engagement, descend, flexion, internal rotation
Descend, engagement, flexion
Internal rotation, flexion, decent, engagement.
Engagement, flexion, internal rotation.

8. Question

A syndrome seen in pre-eclampsia called HELLP syndrome is characterized by all of the following EXCEPT:

Elevation of Liver enzymes.
Hemolysis.
Low platelet count.
Prolongation of the Prothrombin time.
Increase fibrinogen level

9. Question

The fetal station at the level of ischial spine is:

-2
-1
0
+1
+2

10. 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

11. 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

12. Question

All the following are possible causes of menorrhagia, EXCEPT

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

13. Question

Absolute contraindication to OCP, all EXCEPT:

smoking and over 35 years.
Family history of Breast cancer
Undiagnosed vaginal bleeding
Ischemic heart disease
DVT

14. Question

Changes in the urinary tract system in pregnancy include:

Increase the glomerular filtration rate (GFR).
Decrease in renal plasma flow (RPF).
Marked increase in both GFR & RPF when the patient is supine.
Increase in the amount of dead space in the urinary tract.
Increase in BUN & creatinine

15. 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.

16. Question

Regarding ovarian carcinoma, all are characteristics of malignancy on US EXCEPT:

Large size
Contain solid component
Ascites
Bilateral
Distorted capsule

17. Question

Early deceleration is:

Associated with unengaged head
Associated usually with brain hypoxia
Decrease in the fetal beat that peaks after uterine contraction
Indication of C-section.
Results from increased vagal tone secondary to head compression.

18. Question

The most common cause of precocious puberty is :

Idiopathic.
Gonadoblastoma.
Albright syndrome.
Abnormal skull development.
Granulosa cell tumor.

19. Question

Complications of preeclampsia include all the following EXCEPT:

Premature delivery.
Placenta abruption.
Renal failure.
DIC.
Polycythemia

20. Question

Molar pregnancy associated with all, EXCEPT:

Hyperemesis gravidarum
Thyrotoxicosis
Excessive uterine size
Cervical dysplasia
None of the above

21. Question

Physiological changes in reproductive system during pregnancy:

No changes in vagina PH.
The uterus first enlarges by hyperplasia and then hypertrophy
There’s no change in the cervix
Estrogen has no role in changes that occurs during pregnancy
Lower segment of the uterus will be formed in the 1st trimester.

22. Question

All the following hormones are products of placental synthesis, EXCEPT:

HCG.
HPL.
Prolactin.
Progesterone.
Estriol.

23. Question

The initial evaluation in an infertile couple should include:

Ovarian biopsy.
Semen analysis.
D & C.
Laparoscopy.
Sperm penetration assay.

24. Question

Contraindication to induction of labor:

classical c-section
Choroamnionitis.
Post date
Severe PET at 36 weeks
GDM

25. Question

Regarding missed abortion, all of the following are CORRECT, EXCEPT:

Patient may present with loss of the symptoms of pregnancy
Per vaginal bleeding may be one of the presenting symptom
Immediate evacuation should be done once the diagnosis is made.
Disseminated intra-vascular coagulation may occur as a sequele of missed abortion
Ultrasound should be done to confirm the diagnosis

26. Question

With regards to contraception failure, the pearl index refers to:

Numbers of Pregnancies in years.
Number of pregnancies in 1 woman-year.
Number of pregnancies in 100 woman-year.
Number of pregnancies in 100 woman-years over pregnancy losses.
Number of Pregnancy losses in 100 woman-years.

27. Question

Antenatal Booking investigations include the following EXCEPT:

Glucose
CBC
Hepatitis
Toxoplasma
Beta HCG

28. Question

Complete breech means:

Flexion at hip joint and extension in knee joint
Flexion at hip joint and flexion at knee joint.
Extension at the hip joint
Flexion at knee joint and extension at the hip joint
Flexion of one leg at hip joint and extension of the other leg at the hip joint

29. Question

Compared with a midline episiotomy, an advantage of mediolateral episiotomy:

ease of repair
fewer break downs
lower blood loss
less dyspareunia
less extension of the incision

30. Question

First sign of puberty:

Budding of breasts.
Pubic hair
Menstruation
Growth changes
Changes in voice

31. Question

Regarding Secondary postpartum hemorrhage:

Is diagnosed when bleeding occurs 72 hours after delivery
Contra indicate breast feeding
The commonest cause is the cervical tears
Very common when the patient delivers a congenitally abnormal baby
retained placental tissue could be a cause.

32. Question

A preterm birth is defined as:

before 37 completed weeks gestation
prior to the period of viability
weighing less than 1000 g
B & C
None of The Above

33. Question

Most common cause of breech presentation:

Prematurity.
Advanced maternal age
Fibroid
Uterine anomalies
Polyhydramnios

34. Question

Obstructed labor: Which is true?

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

35. Question

Uterus at the level of umbilicus is at:

10 weeks
12 weeks
16 weeks
20 weeks
24 weeks

36. Question

Antepartum hemorrhage maybe caused by all the following EXCEPT:

placenta previa
cervical cancer
abruptio plcenta
ectopic pregnancy
vasa previa

37. Question

Which of the following is known to be the commonest presentation i twins

Breech, cephalic
Cephalic, breech
Cephalic, cephalic.
Breech, breech
Cephalic, transverse

38. Question

One of the following is an indication of emergency lower transverse c-section :

Previous lower transverse c-section
Patient with prolapsed cord and a dead fetus
Cardiac disease of the mother
Multiple gestation
Prolonged labor due to brow presentation

39. Question

PPH:

maybe a consequence of an antepartum hemorrhage
always ends with DIC
the most common cause is retained placenta
B & C
None of the Above

40. Question

The following are factors affecting the choice of Methotrexate as a choice of treatment for ectopic pregnancy, EXCEPT:

Size of the ectopic
Presence or absence of cardiac activity
Level of BHCG
Parity of the patient
Integrity of the tube

41. Question

All of the followings are risk factors of preterm labor except:

UTI
vaginal candidiasis
multiple pregnancy
polyhydramnios
placenta previa

42. Question

All of the following are fetal complications of perinatal Toxoplasmosis infection EXCEPT:

Spina bifida
hepatosplenomegaly
Hydrocephalus
brain calcification
Chorioretinitis

43. Question

Perinatal mortality refers to:

Number of stillbirths per 1,000 total births.
Number of stillbirths & neonatal deaths per 1,000 total births.
Number of stillbirths & neonatal deaths per 1,000 live births.
Number of neonatal deaths per 1,000 total births.
Number of stillbirths & neonatal deaths per 100,000 total births.

44. Question

All the following is needed to be functional in order to have normal menstrual cycle EXCEPT:

Hypothalamus
Posterior pituitary
Endometrium
ovary

45. Question

Which of the cases is considered primary amenorrhea:

PCO
Bicornate uterus
Sheehan syndrome
Imperforated hymen
All of the above

46. Question

The followings are causes of Antepartum hemorrhage EXCEPT:

Abruptio placenta.
Placenta brevia.
Cervical polyp.
Vasa previa.
Rh isoimmunization.

47. Question

All the following are true about ovarian hyperstimulation, EXCEPT:

The ovaries will be very small in size have unilateral cyst
Caused by ovulation induction
In severe types, admission to ICU may be required
Can be diagnosed clinically & by USS.
Patients with PCO has increased risk

48. Question

The time that spermatogonum takes to transform to spermatozoa:

52 days
62 days
72 days
82 days

49. Question

The most common reason for postdate pregnancy is:

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

50. Question

Regarding breast milk all true except:

Has less protein than cow’s milk
Has more lactose than cow’s milk
Has less calories than cow’s milk
Is an excellent source of iron
Rich in vitamin B