HaThe following are Cardiovascular complications associated with oral contraceptive

EXCEPT which?

Select one:
a. Myocardial infarction
b. Deep vein thrombosis
c. Hypertension
d. Complete Heart Block

MIGRAINE W/O AURA – NOT CONTRAINDICATION

Question text

What syndrome means associated with anosmia?

Select one:
a. Swyer sydrome
b. Savage syndrome the congenital absence of GNRH and comumonly
c. Stein-Leventhal syndrome- pcos
d. Kallman syndrome- (K)ULANG SA AMOY
Question text

Which clinical problem increases in pregnancy due to dilatation of the ureters ?

Select one:
a. Cystitis
b. Hypernatremia
c. Pyelonephritis
d. Proteinuria

Question text

What is the WHO group 3 classification for Anovulatory disorders?

Select one:
a. A. Hypogoadotropic hypogonadal
b. B. Hyperprolactinemic anovulation
c. C. Hypergonadotropic hypoestrogenic
d. D. Normogonadotropic normoestrogenic
Question text

Which is the scurce of circulating androstenedione after menopause?

Select one:
a. muscles
b. fat deposits
c. ovaries
d. adrenals
Question text

Which vulvar ulcer is NOT associated with infection and is characterized by "knife cut"
ulcers?

Select one:
a. Donovan ulcer
b. Crohn's disease- IN GYNE HSV 1
c. Behcet disease- INFALM BV
d. Paget's disease- BREAST SKIN

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In all cases of compound presentation, wha complication must be Suspected?

Select one:
a. Birth injuries- DURING DELIVERY
b. Cerebral palsy- AFTER DELIVERY
c. Umbilica. cord prolapse
d. Uterin.e rupture- AFTER DELIVERY
FRANK- FLEX HIP EXTEND AT KNEES
COMPLETE BOTH FLEX

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When is Doppler used to ansculcate fetal heaart rate?

Select one:
a. After 6-8 weeks
b. After 10-14 weeks
c. After 6 weeks
d. Initial visit regardless of age of pregnancy
Question text

Which is the adverse effect of renal stones in pregnancy outcome?

Select one:
a. All of the choices
b. Acute pyelonephritis
c. Frequent urinary infection
d. Acute renal colic

Question text

What is the initial treatment of choice for asymptomatic pyuria in pregnancy?

Select one:
a. Amoxicillin/Clavulanic acid
b. Amoxicillin- WEAK ANTIBIOTIC
c. Cefalexin- 3RD TRI
d. Cefuroxime
 Question text

Which does not characterize the Follicular growth?

Select one:
a. The maximal number of oocytes occur between the 16-20 weeks age of pregnancy
b. The most rapid decrease of oocytes occur before birth
c. At birth 2 million of oocytes vill decrease to 300,000 at puberty of 00cytes occur before
birth
d. Growth and atresia of follicle is interrupted by pregnancy and periods of ovulation

MEIOSIS 1- ARREST DIPLOTENE STAGE OF PROPHASE

The following are NOT characteristic of Paget's Disease of the Vulva EXCEPT which?

Select one:
a. A. The disease is more comnon in patients over the age of 60
b. B. The lesions are consistent of chronic inflammatory changes
c. C. The lesions are widespread and concentrically spread up to the anal area
d. D. Commonly, there is a history of long standing pruritus

Question text

Which condition can manifest as fever in puerperal women associated with painful swollen
leg and calf tenderness?

Select one:
a. Lymphogranuloma venereum- INFX CHLAMYDIA TRACHOMATIS
b. Inguinal lymphadenitis- INFLX LN IN INGUINAL AREA
c. chancroid- VAG INFX H.DUCREYI
d. Thrombophlebitis
Question text

What organism is suspected if marked cellulitis is noted in the operative wound from
Cesarean section ?

Select one:
a. E. сoli
b. Staphylоссоcus- IF CELLULITIS IS NOT GIVEN
c. Pseudomonas
d. Anerobic streptococci
Question text

Which group of women is hypomenorrhea commonly observed?

Select one:
a. A. Women working in factory
b. B. Women Athletes- LEAN BODY LESS ESTROGEN
c. C. All of the choices
d. D. Women working in shifts

Question text

What is the medical problem pertaining to the loss of urine with coughing, laughing and
lifting during menopause ?

Select one:
a. A. Urge incontinecnce
b. B. Irritable bladder
c. C. Cystitis
d. D. Stress incontinence

Question text

The following is true about acute appendicitis (AA) in pregnancy EXCEPT which?

Select one:
a. A. Typical signs and symptoms in the non pregnant state of AA is not seen because of
the cocntainment of the infection by the omentum-SHOULD BE RUPTURED
b. B. Appendicitis may be confused with preterm labor and renal colic
 c. C. Leukocytosis occur in both AA and pregnancy but there is a predominance of
lymphocyte count AA while neutrophil is high for pregnancy
d. D. The appendix moves upward and outward toward the flank by the enlarging uterus so
that pain is not in the right lower quadrant

**correction check

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The approach to secondary amenorrhea always begins with which of the following?

Select one:
a. testosterone level-LAST
b. TSH-2ND
c. –Hcg-1st
d. prolactin-3RD

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Which is the most common symptom of cervical cancer?

Select one:
a. Pelvic pain- ADVANCED
b. Watery vaginal discharge
c. Postcoital bleeding
d. Abnormal vaginal bleeding

-FIGO CERVICAL CA

Question text

Which type of women will have higher risk for osteoporosis?

Select one:
a. A. Thin, mixed race women
b. B. Thin, fair and Caucasian
c. C. Overweight Asian women
d. D. Overweight Afro-americans
Question text

Which non invasive test can be done to predict preterm birth within 7 days in symptomatic
women?

Select one:
a. A. Lecithin test-TEST ROM
b. B. Fibronectin
c. C. Apt test
d. D. Nitrazine test

Question text
 The following pelvis have the same measurement for the widest transverse diameter
EXCEPT which?

Select one:
a. Gупесоid
b. Platypeiloid
c. Anthropoid
d. Android

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Which is the preferred procedure for the removal of stones in pregnen women?

Select one:
a. Percutaneous –nephrostomy= GIBE GEN ANES AVOIDED IN PREG,
b. Open laparotomy
c. Lithotripsy PROLONG PRONE POSITION

d. Ureteral stenting

NON PREG- ESWL(SHOCK WAVES- DAMAGES FETUS, FETAL LOSS)

If pregnant women are exposed to Hepatitis B virus (HBV), what post exposure prophylaxis
can be given?

Select one:
a. A. One dose of Hep B immunoglobulin
b. B. Two doses of Hep B Immunoglobulins, the first dose immediately exposure and the
second dose 4 weeks prior to expected delivery
c. C. Delay Hер В vaccine imnunization until post partum
d. D. One dose of Hep B immunoglobulin and a complete hepatitis B vaccination

Which of the vaginal infection below is associated with strawberry cervix?

Select one:
a. Bacterial vaginosis
b. Nesisseria Gonorrhea
c. Trichomonas-CLUE CELLS
d. Genital Herpes

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All reproductive structures arise form the Mullerian system EXCEPT which organ?

Select one:
a. Fundus of the uterine corpus
b. Fallopian tubes
c. Endocervix
d. Ovaries

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What is the treatment of choice for AA in pregnancy?

Select one:
a. Laparoscopy
b. Immediate surgical exploration
c. Hydration and antibiotics and surgery inmediate postpartum
d. Conservative with antibiotics and hydration

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Before what age is the appearance of secondary sex characteristics in female is considered
precocious?

Select one:
a. 10 years old
b. 9 years old
c. 5 years old
d. 7 years old
Question text

What is the presentation if a fetal extremity presents alongside the vertex or breech?

Select one:
a. Footling breech
b. Complete breech
c. Compound extremity
d. Incomplete breech

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Which condition is commonly misdiagnosed as Imperforate hymen?

Select one:
a. Vaginal agenesis
b. Transverse vaginal septum?
c. Vaginal atresia
d. Turner syndrome

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Which is the most common reason for stopping the pill?

Select one:
 a. Gastrointestinal pain
b. Breakthrough bleeding- 1ST 3 MOS OF USE
c. Hypertension
d. Increase in fasting blood sugar

Question text

How does a tampon test work in diagnosing PROM?

Select one:
a. A. A dye is injected IM to patient who wears a tampon for 12 hours.The tampon will stain
pink if PROM is present
b. B. A chemical impregnated tampon is inserted into the vaginal and it turns blue if
amniotic fluid has leaked
c. C. A dye is injected via amniocentesis and observed if it leaks into the vagina
d. D. A tampon is used for 8 hrs by the patient and it turns pink if positive for amniotic fluid

NO AMNIO MORETHAN 15 WEEKS-DAMAGES THE FETUS

Which microorganism maintains the pH of the vagina below 4?

Select one:
a. Н. ducreyi
b. Gardnerella vaginalis
c. Lactobacillus sp
d. Group 3 strep

Question text

Which diagnostic test is recommended for fetal survey?- COMPREHENSIVE AND

Select one:
a. A. Chromosomal screening
b. B. Maternai serum alpha fezoprotein
c. C. Congenital ultrasound scan at 19- 20 weeks
d. D. Color Doppler ultrasound

Question text

Which diagnostic procedure is more sensitive and accurate in diagnosing AA in pregnant

Question text

The following are assessed on each prenatal visits EXCEPT which?

Select one:
a. Urine dipstick- LEUKOCUTES AND NITRITES
b. Weight
c. Blood pressure
d. Urinalysis- R/O INFECTION

Question text

What procedure can be done by an interventional radiologist to control postpartum bleeding

Select one:
a. hemostatic sutures in the placental bed
b. placenent of inflatable balloon
c. uterine artery embolization
d. internal iliac artery ligation
BLEED
1.OXYTOCIN
2.CHECK VAG LACERATION
3. URETERAL MASSAGE
4. INFLATABBLE BALLOON
5. cs- COMPRESSION SUTURE
6. INTERNAL ILIAC ARTERY LIGATION
7. UTERINE ART EMBOLIZATION- RADIOLOGIST

Question text

The following is true for the diagnosis of gestational hypertension?

Select one:
a. A. Increase of 30 mm Hg from pre-pregnant systolic Blood pressure- taken in patient in
the left lateral position
b. B. Increase of 15 mm Hg from pre pregnant diastolic Blood pressure taken in patient in
left lateral position
c. C. Blood pressure should be above 130/90 mm Hg while in left lateral position and rising
to 140/90 mm Hg when placed in supine position
d. D. Blood pressure should be above 140/90 on at least two occasions taken 4-6 hrs apart
while patient is seated

Question text

Which anti-hypertensive drug is given for vasomotor flashes in menopausal women?

Select one:
a. Paroxetine-SSRI (ANTIDEP)
b. Reserpine
c. Clonidine
d. Nifedipine

Question text

Where does the majority of the spread of vulvar cancer drain into ?

Select one:
a. A. direct extension to vagina
b. B. Intra-abdominal pelvic nodes
c. C. Superficial inguinal lymph nodes
d. D. Direct extension to urethra
 Question text

Which is a subsequent problem that can develop in patients with history of threatened
abortion ?

Select one:
a. A. Hypertension during pregnancy
b. B. Small for gestational age fetuses
c. C. Premature rupture of membrane
d. D. Preterm labor

***STUDY MISCARRIAGE

Question text

Which resuits in the initiation of LH surge in women?

Select one:
a. Menarche
b. Ovulation INITIATION: 36 HOURS AFTER OVULATION, PEAK :12 HOURS
c. Thelarche
d. Puberty

Question text

Which type of women are transdermal hormonal contraceptive less effective?

Select one:
 a. Asthmatics
b. Markedly overweight
c. Thin asthenic
d. Athletes
PROGESTIN CONTACEPTIVES:LACTATING WOMEN

Question text

Which of the following medication reduce the efficacy of the oral contraceptives?

Select one:
a. Diazepam
b. Carbamezipine
c. Methyldopa
d. Theophylline

Question text
Which of the following laboratory tests are indicated for heavy prolonged bleeding especially
after dental extraction or epistaxis?

Select one:
a. A. Serum Ferritin
b. B. Blectrophoresis for thalasemmia
c. C. Pactor VII and IX-FEMALE
d. D. Pactor VIII-MALE

Question text

What is the most commonly used reversible means of preventing pregnancy?

Select one:
a. Implant
b. Hormonal contraceptives
c. Intrauterine device
d. Condom
Clear my choice

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Which vaccine for travel can be use unless otherwise indicated?

Select one:
a. Tурhoid
b. Rabies
c. Yellow fever
d. All of the choices
Question text

Which tocolytic agent/drug blocks the enzyme cyclooxygenase and decrease uterine
contractions?

Select one:
a. Salbutamol
b. Indomethacin
c. Dinoprost-
d. Nifedipine
Question text

What is the drug of choice for recurrent cases of genital candidiasis ?

Select one:
a. Miconazole
b. 2-3 doses of fluconazole oral therapy every 72 hours
c. Nystatin suppositories
d. Fluconzole 150 mg once every week for 2 months
 Exposure to which antiepileptic drug is associated with low head circumference?

Select one:
a. Lamotrigine- low head circumference
b. Phenobarbital- spinal defect
c. Valproic- hypospadias
d. Phenytoin- fetal dilatin syndrome

 Monotherapy is better than multitherapy

Question text
Which are being prevented by reducing the incidence of osteoporosis?

Select one:
a. A. Prevention of hip fracture
b. B. Reduces immobility
c. C. All of the choices
d. D. Reduces loss of height

Question text

Which congenital anomalies commonly cause female infertility?

Select one:
a. A. Mullerian agenesis
b. B. Uterine septum
c. c. Testicular Feminization
d. D. Turner syndrome
Question text

What is a more sensitive marker of ovarian follicle competence?

Select one:
a. LH
b. inhibin
c. estradiol
d. FSH
**FSH inc near menopause

Question text

Which anti-fibrinolytic drug is given to women with heavy vaginal bleeding?

Select one:
a. Vitamin K
b. Ibuprofen
c. Tranexamic acid
d. Mefenamic acid- if MC given
Question text

Which is the most common dermatoses in pregnancy called?

Select one:
a. A.Prurigo of pregnancy
b. B.Pruritic, urticarial, papules and plaque of Pregnancy
c. C.Pruritus gravidarum
d. D.Pruritic Folliculitis of pregnancy
Question text

How Is the management for patients with the finding of ASCUS on their pap smear result?

Select one:
a. Å. Repeat pap smear with concommittant HPV test
b. B. HPV testing and if positive repeat the HPV testing plus pap smear after a year
c. C. HPV testing to determine if a colposcopy is needed
d. D. Repeat pap smear every 6 months- 12 MOS
Question text

Which is NOT true about Basal body temperature (BBT) as a form of natural fertility
awareness method?

Select one:
a. A.97 percent effective in typical use
b. B.Taken after 3 hours of continuous sleep
c. C.Lower before ovulation
d. D.Highest during ovulation
Clear my choice

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What is the prerequisite for implantation of the blastocyst?

Select one:
a. A.Production of Early Pregnancy Factor
b. B.Production of adequate HCG
c. C.Loss of zona pellucida
d. D.Increased in Blastokinin and fibronection
Clear my choice

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Which female practice may also cause cervicitis?

Select one:
a. A.Use of tampon
b. B.Use of spermicides
c. C.Frequent douching
d. D.Use of oral contraceptive
Clear my choice

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What is the meaning of menometrorrhagia?

Select one:
a. A. Vaginal bleeding in between menses accompanied by severe dysmenorrhea
b. B. Excessive or prolonged vaginal bleeding at irregular intervals
c. C.Vaginal bleeding in between menses
d. D. Excessive bleeding during menstruation
 Clear my choice

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Which endocrine changes occur before menopause?

Select one:
a. A.Progesterone levels fall and estrogen and FSH increase
b. B.FSH, LH, estrogen and progesterone levels fall
c. C.FSH levels increase and estrogen and progesterone levels fall
d. D.FSH levels fall and dehydroepiandrosterone rises
Clear my choice

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Occasionally PID is complicated by Fitzhugh-Curtis syndrome. What are the features of the
syndrome?

Select one:
a. A.Abdominal colic with chronic diarrhea
b. B.Perihepatitis resulting in right upper quadrant pain and tenderness and elevations of
liver function test (LFT)
c. C.Disseminated purpura associated with arthritic pain and elevation of CPX
d. D.Progressive Anemia not responsive to ferrous sulfate treatment
Clear my choice
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If the fetal is cephalic with an extended head, it may be presenting which way?

Select one:
a. All of the choices
b. face
c. vertex
d. extended cephalic
Clear my choice

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Which of the following is a differential diagnosis of puerperal infection?

Select one:
a. A.Disseminated Intravascular Coagulopathy
b. B.Bilateral Lobar Pneumonia
c. C.Systemic Lupus Erythrematosus
d. D.Superficial and deep vein thrombophlebitis of the legs
Clear my choice

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Question text

What are predisposing factors of placenta previa?

Select one:
a. A.Collagen vascular disease
b. B.Eryhtroblastosis
c. C.Hypertension
d. D.Short umbilical cord
Clear my choice

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What is the hallmark of severe preeclampsia-eclampsia?

Select one:
a. Hyperuricemia
b. Elevated liver function tests
c. Increased Creatinine Phosphokinase
d. Hemoconcentration
Clear my choice

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The following is true about drug therapy EXCEPT which?

Select one:
a. Nausea and vomiting during pregnancy lead to skipping dose
b. subtherapeutic levels of anticonvulant increases seizure rates
c. Expanded intravascular volume lowers serum drug levels
d. Increased in protein binding increases the serum blood levels of Anti-convulsant drugs

Question text

Which is the shortest anteroposterior diameter of the pelvic inlet?

Select one:
a. A.External conjugate
b. B.Obstetrical conjugate
c. C.True conjugate
d. D.Diagonal conjugate
Clear my choice

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Ten percent of women with sever pre eclampsia can develop HELLP syndrome. What are
the abnormal findings in this condition?

Select one:
a. A.Elevated uric acid and high plateletes
b. B.Elevated liver enzymes and high plateletes
c. C.Elevated liver enzymes and low plateletes
d. D.Elevated creatinine and high uric acid
Clear my choice

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What is the rate of male factor as a cause of infertility?

Select one:
a. 55%
b. 45%
c. 10%
d. 35%
Clear my choice

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Which hormone has anti-epileptic effect?

Select one:
a. Estrogen- exacerbates
b. HCG
c. Progesterone- prtects
d. Inhibin

Question text

What is the second most prevalent and the most serious neurological condition encountered
in pregnant women?

MOST- HEADACHE

Select one:
a. Cererbral aneurysm
b. Epilepsy
c. Huntington’s chorea
d. Cerebral palsy

Question text

What is the ultrasound finding indicating aneuploidy?

Select one:
a. A.Discrepancy between aging using LNMP and ultrasound measurement of Crown rump
b. B.Irregular borders of gestational sac
c. C.Nuchal translucency
d. D.Subchorionic hemorrhage between 6-8 weeks

Question text

Estrogens are given to women with premature ovarian failure to prevent which important
medical condition?

Select one:
a. Vaginal dryness
b. Depression
c. Osteoporosis
d. Recurrent urinary tract infection
 Which office procedure is recommended to confirm the diagnosis of VIN and Cervical
Intraepthelial Neoplasia (CIN) ?
Select one:
a. A.Pap smear
b. B.Pap smear gith liquid prep
c. C. Colposcopy
d. D.Visual inspection with acetic acid
Clear my choice

Question text

The following is true in managing Hemorrhagic shock?

Select one:
a. A.Aggressively replace intravascular volume with rapid infusion of colloids- crystalloid
b. B.The use of blood and blood products is necessary when the blood loss is 30 of the total
blood volume
c. C.Start transfusion at a hemoglobin of 9 gm/dl-- hgb 7 or 8 gm/dl
d. D.Hemoglobin in an actively bleeding patient is a reliable diagnostic test for hypovolemia
—NOT RELIABLE

1st- Oral iron

Question text

What are overgrowths of tissue cells lining the uterus?

Select one:
a. Septa
b. Hyperplasia
c. Polyp
d. Fibroids

Question text
What is a serious sequela of untreated PID?

Select one:
a. Incontinence
b. InfErtility
c. Tenosynovitis
d. Endometrial cyst – NOT RELATED TO PID

Question text

If coagulopathy is considered in the patient with antepartum bleeding, what other blood
tests are warranted?

Select one:
a. A.Blood typing
b. B.Hematocrit
c. C.D-dimer
d. D.Complete blood count with Hemoglobin
Question text

Which of the following is the most common cause of premature ovarian failure (POF)?

Select one:
a. Ovarian torsion
b. Surgery
c. Idiopathic
d. Chemotherapy

Question text

The following are correct about future pregnancies with previous PROM, EXCEPT which?

Select one:
a. A.Consider cervical length screening
b. B.Progesterone can be given at 16-24 weeks of gestation
c. C.Consider cervical cerclage- preterm labor/delivery
d. D.No increased risk of recurrence of PROM

Question text

What is the main action of the combined oral contraceptive?

Select one:
a. A.Thickening of the cervical mucus
b. B.Suppresses ovulation by interferes with the pulsatile release of FSH and LH
c. C.Changes the endometrium to a hostile environment for implantation
d. D.Retards sperm motility

Question text

Which of the common aneuploidly is associated with female infertility?

Select one:
a. 46,XXY
b. Mosaicism
c. 18 Disomy
d. 45, XO

Question text

Which of the following is commonly associated with anomalies of the uterus?

Select one:
a. A.Imperforate vagina
b. B.Unilateral renal agenesis
c. C.Ptotic kidney
d. D.Polycystic ovaries
Clear my choice

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Which of the following from a urine dip indicates urinary tract infection?

Select one:
a. High specific gravity
b. Nitrite
c. Blood
d. Leukocye esterase

Question text

Situation 1 - A 35 year old G2P1 (1001) patient on her 33-32 weeks age of gestation was
observed by her physician to have increasing edema of the feet reaching the ankle for the
last 2 weeks and currently headache and epigastric pain unrelieved by intake of antacids.
Her blood pressure 2 weeks was 110/79 mm Hg bu is no 160/110 mm Hg. Her first
pregnancy was delivered vaginally but her blood pressure allegedly increaseed during labor
to 130-140/90 mm Hg. She has an older sister who had hypertension during her pregnancy.
She is a smoker but stopped during her pregnancy. Her family history is positive for
hypertension and diabetes. Urine revealed +3 proteinuria. What is the most likely diagnosis
for the patient?

Select one:
a. A.Mild pre eclampsia
b. B.Chronic hypertension
c. C.Chronic hypertension with superimposed Preeclampsia
d. D.Severe Preeclampsia

Question text

What is the accepted pathophysiology of the condition?

Select one:
a. A.Hemoconcentration with hemolysis
b. B.Placental dysfunction due to the absence of Nitrous Oxide
c. C.Increased maternal coagulation
d. D.Generalized arteriolar constriction

Question text

Which information in her history is a risk factor for her condition?

Select one:
a. A.Family history of diabetes
b. B.Sibling with hypertension during her pregnancy( HTN in prec pregnancy)
c. C.Smoking
d. D.Family history of hypertension
What is the PRIMARY goal of treatment for the patient?

Select one:
a. A.Lower immediately her blood pressure to 120/80 mm Hg
b. B.Prevention of congestive heart failure
c. C.Prevention of seizure
d. D.Prevention of stroke

Question text

Which treatment should be started in this patient to achieve the primary goal of treatment?

Select one:
a. A.IV bolus of 10mg hydralazine may repeat after 15 minutes
b. B.Enalapril 10mg under the tongue and 02 inhalation
c. C.Magnesium sulfate 4 g loading dose and 2 g maintenance
d. D.Phenobarbital 100 mg IV once a day
 Clear my choice

Question text

Which is the Major determinant of cycle length?

Select one:
a. Peri-ovulatory phase
b. Follicular phase- VARIES IN LENGTH
c. Secretory phase- FIXED AT 14 DAYS
d. Ovulatory phase

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Situation 2 - a 29 year old G3P1 (2002) parturient on her 18 weeks age of gestation was
admitted in labor with contractions coming in every 10 -15 minutes, moderately severe and
lasting for 55-50 seconds. Unusual vaginal bleeding was noted on internal examination. Her
cervix was 5 cm dilated and fully effaced. Her vaginal bleeding increased in amount after an
hour of admission and after the spontaneous rupture of her membrane. She was eventually
hooked to a fetal monitor. Based on her presenting symptoms and their onset, what do you
think is the likely diagnosis for her increasing amount of vaginal bleeding?

Select one:
a. A.Circumvallate placenta
b. B.Vasa previa
c. C.Placenta accrete
d. D.Placenta increta

Question text

Which information in the history raised the suspicion of the diagnosis?

Select one:
a. Stage of labor
b. Parity
c. Age of gestation
d. Rupture of membrane

Question text

What fetal tracing would you expect to see from the fatal monitoring?

Select one:
a. A.Fetal Bradycardia
b. B.Variable deceleration with low variability
c. C.Sinusoidal pattern of fetal heart tracing
d. D.Early deceleration

Question text

Diagnosis at the time of bleeding can be done by the APT test. What result from this test will
clinch the diagnosis?

Select one:
a. A.Hypochromic red blood cells
b. B.Positive for Nucleated red blood cell
c. C.Positive for red blood cells
d. D.Perinuclear inclusions of nucleated red blood cells
Question text

During the antepartum period, which diagnostic test for the diagnosis in this case can be
done, although its sensitivity and specificity have not yer been determed?

Select one:
a. A.No recommended antepartum test
b. B.Color Doppler ultrasound
c. C.Serial biophysical tests
d. D.Serial Hemoglobin and Hematocrit of the mother

Question text
Situation 3 - An 18 year old girl consulted with her parents for prolonged menstruation which
started 4 weeks ago. She had her last normal menstruation last month which stopped on
the fifth day. However, her vaginal bleeding recurred and has continued until this day when
she came in for consultation. Prior to this, she sometimes skipped a month of mentruation.
She had her menarche at the age of 12 and subsequent menses allegedly came every
month, moderate to strong. She has no other associated complaints. Social history: No
sexual debut. She does not smoke or drink alcoholic beverages. Transrectal exam revealed
a normal sized uterus, retroverted and firm with no masses. She refused a transrectal
ultrasound. Which is the most likely diagnosis in the absence of ultrasound?

Select one:
a. A.Endometrial polyp
b. B.Outflow tract anomalies
c. C.Abnormal Uterine bleeding
d. D.Polycystic ovaries

Question text

Typically, which is not observed in patients with this problem?

Select one:
a. Dysmenorrhea
b. Breast development
c. Pubic hair development
d. Moliminal symptoms preceding menstruation
Question text

What is the first diagnosis that a physician must rule out?

Select one:
a. Uterine anomalies
b. Polyp
c. Pregnancy
d. Malignancy
Question text

Which medical condition should you rule out next especially for younger women?

Select one:
a. Depression
b. Bleeding disorders
c. Toxicities to heavy metals
d. Gut disorders

Clear my choice

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◄ Pediatrics and Nutrition

DOWNSYNDROME