Deck 1: Obstetrics and Gynecology: Part B

Question 1

Which one of the following is a risk factor for developing DVT?

A)Family history of thromboembolic disease.
B)Factor V Leiden.
C)Antiphospholipid syndrome.
D)Sepsis.
E)All of the above.

Answer 1

All of the above.

Question 2

Premature labour.

A)is associated with an increased risk of breech presentation.
B)is associated with uterine anomaly.
C)asymptomaticbacteruria is a proven risk factor.
D)is associated with genital tract infection.
E)All of the above

Answer 2

All of the above

Question 3

A 22-year-old woman in labor progresses to 7 cm dilation, and then has no further progress. She therefore undergoes a primary cesarean section. Examination 2 days after the section shows a temperature of 39.1 C (102.4 F), blood pressure of 110/70 mm Hg, pulse of 90/min, and respirations of 14/min. Lungs are clear to auscultation bilaterally. Her abdomen is moderately tender. The incision is clean, dry, and intact, with no evidence of erythema. Pelvic examination demonstrates uterine tenderness. Which of the following is the most appropriate pharmacotherapy?

A)Ampicillin
B)Ampicillin-gentamicin
C)Clindamycin-gentamicin
D)Clindamycin-metronidazole
E)Metronidazole

Answer 3

Clindamycin-metronidazole

Question 4

A 19-year-old nulliparous woman in her 35th week of pregnancy presents with nausea, blurred vision and a weight gain of 4.5 kg per week. Her blood pressure is 160/110 mmHg. Which of the following tests is the most suitable for the assessment of fetal status?

A)amniocentesis for the measurement of the lecithin/ sphingomyelin (L/S) ratio
B)amniocentesis for the measurement of the creatinine level of the amnotic fluid
C)sonographiccephalometry
D)a non-stress test (NST)
E)an oxytocin challenge test (OCT)

Question 5

All of the following can be used in hypertension in Pregnancy except

A)Hydralazine
B)Labetolol
C)Captopril
D)Alpha methyl DOP
E)none

Question 6

All are complications of illegal /Septic abortion except

A)Cerebral Hemorrhage
B)DIC
C)ARF
D)Bacterial Shock
E)none

Question 7

A 31-year-old woman comes to the physician for follow-up after an abnormal Pap test and cervical biopsy. The patient's Pap test showed a high-grade squamous intraepithelial lesion (HGSIL). This was followed by colposcopy and biopsy of the cervix. The biopsy specimen also demonstrated HGSIL. The patient was counseled to undergo a loop electrosurgical excision procedure (LEEP). Which of the following represents the potential long-term complications from this procedure?

A)Abscess and chronic pelvic inflammatory disease
B)Cervical incompetence and cervical stenosis
C)Constipation and fecal incontinence
D)Hernia and intraperitoneal adhesions
E)Urinary incontinence and urinary retention

Question 8

Female patient with history of irregular vaginal bleeding tender right iliac fossa , CBC normal , B-HCG positive , most likely to be :

A)corpus luteum cyst
B)appendicitis
C)ectopic pregnancy
D)none of the above
E)none

Question 9

Cervical lesion (ectopy):

A)It is an ulcer of the cervix.
B)Should be treated in pregnant females.
C)Pap smear is advisable before management.
D)Commonly cause pain, dyspareunia & low back pain.
E)none

Question 10

The foetal well-being can be assessed by all of the following, except ?

A)non-stress test
B)contraction stress test
C)ultrasound
D)oxytocin sensitivity test!!!
E)none

Question 11

In which of the following condition vaginal delivery is contraindicated?

A)Extended breech
B)Mento anterior
C)Twins with one vertex and one breech
D)all
E)none

Question 12

Which is contraindicated in trial of labour following Caesarian Section ?

A)History of Classical CS
B)Breech
C)X-ray pelivmetry not available
D)No previous vaginal delivery
E)none

Question 13

A 20 year old full-term primigravida is brought to the casualty with labour pains for last 24 hours and a hand prolapse. On examination, she has pulse 96/min, BP 120/80 mm Hg, and mild pallor. The abdominal examination reveals the uterine height at 32 weeks, the foetus in transverse lie and absent foetal heart sounds. On vaginal examination, the left arm of the foetus is prolapsed and the foetal ribs are palpable. The pelvis is adequate. What would be the best management option ?

A)External cephalic version
B)Decapitation and delivering the baby vaginally
C)Internal podalic version
D)Lower Segment Caesarean section
E)none

Question 14

Which one of the following is diagnosed by Spiegelberg criteria ?

A)Molar pregnancy
B)Ovarian pregnancy
C)Uterine pregnancy
D)Twin pregnancy
E)none

Question 15

The presence of a retraction ring at the junction of upper and lower uterine segment in labour indicates ?

A)Prolonged labour
B)Cervical dystocia
C)Obstructed labour
D)Precipitate labour
E)none

Question 16

The indications of an elective caesarean section include all of the following, except ?

A)Placenta Praevia
B)Cephalopelvic disproportion
C)Previous lower segment caesarean section
D)Carcinoma Cervix
E)none

Question 17

Hyperemesis gravidarium in 1st trimester is seen with increased frequency in allof the following except:

A)H. Mole
B)Twins
C)Pre-eclampsia
D)Primigravida
E)none

Question 18

Most common indication for C/S :

A)malpresentations
B)antepartum hge
C)prematurity
D)previous c/s
E)contracted pelvis

Question 19

Which of the follwing is responsible for inability to rotate anteriorly in the occipitoposterior position :

A)Moderate size fetus
B)Gynecoid pelvis
C)Weak uterine contractions
D)Good levatorani muscle contractions
E)none

Question 20

Ectopic pregnancy is differentiated from abortion by the fact that in ectopic pregnancy :

A)Pain appears after vaginal bleeding
B)There is slight amount of bleeding
C)No enlargement of uterus
D)Histological examination of products of expulsion shows villi
E)none

Question 21

Following a vaginal delivery, a woman develops a fever, lower abdominal pain and uterine tenderness. She is alert, and her blood pressure and urine output are good. Large gram positive rods suggestive of clostridia are seen in a smear of cervix. management should include all except :

A)Immediate radiographic examination for gas in uterus
B)High dose antibiotic therapy
C)Hysterectomy
D)close observation for renal failure or hemolysis
E)none

Question 22

Engaging diameter, in fully extended head :

A)Mento occipital
B)Submentobregmatic
C)Biparietal
D)Mentovertica
E)none

Question 23

A woman experiencing a molar pregnancy has an increased risk of which of the following in subsequent gestations?

A)Stillbirth
B)Prematurity
C)Congenital malformations
D)Recurrent molar gestation
E)Cancer later in life

Question 24

A woman with a complete mole is most likely to present with which of the symptoms?

A)Vaginal Bleeding
B)Excessive uterine size
C)Hypermesis
D)Prominent theca lutein cysts
E)Pre-eclampsia

Question 25

Fetal hyperinsulinemia leads to:

A)Fetal macrosomia causes difficult vaginal delivery
B)Inhibition of pulmonary surfactant causing Intrauterine asphyxia
C)Decrease serum K causing respiratory distress syndrome
D)Neonatal hypoglycemia with myocardial injury
E)none