Paper One Batch (26) Obgyn Final Exam PDF

Paper One Batch (26) obgyn Final exam ‫‏ تبديل الحساب‬[email protected].‫سيتم تسجيل عنوان بريدك اإللكتروني عند إرسال هذا النموذج‬ ‫* تشير إلى أّن السؤال مطلوب‬...

Paper One Batch (26) obgyn Final exam ‫‏ تبديل الحساب‬[email protected].‫سيتم تسجيل عنوان بريدك اإللكتروني عند إرسال هذا النموذج‬ ‫* تشير إلى أّن السؤال مطلوب‬ :MCQs :Choose the best answer for the following questions A 16 years old PG presented to ANC for booking, she is LESS LIKELY to be at risk )1 :of A. Gestational trophoblastic disease. B. Preterm labour C. Placenta praevia D. Pre-eclampsia A 24 years old PG at 8 weeks gestation presented with severe nausea and )2 vomiting with unremarkable previous medical history, O/E: looks ill, dehydrated not pale or jaundiced, pulse 100b/min, BP= 90/50, BFFM is –ve, urinalysis: sugar= nil, ? acetone= ++. What is the most likely diagnosis A. UTI with pregnancy. B. Hyperemesis gravidarum. C. Hepatitis with pregnancy. D. Diabetic Ketoacidosis  A 36 years old newly married, known diabetic lady wishes to know the status )3 ?of her blood glucose before getting pregnant. Which of the following is requested A. Serial blood glucose B. Post prandial blood glucose C. GTT D. Haemoglobin A1C level A 38 years old present at 20 weeks gestation for anomaly scan, she is known )4 diabetic for 10 years. What is the most possible congenital anomaly that may ?occur to her fetous A. Renal anomalies B. Cardiac anomalies C. Genito-urinary anomalies D. Musculoskeletal anomalies A 28 year old PG, at term, presented with abdominal pain, and minimal vaginal )5 bleeding. pulse 120 per minute, BP 80/40 mmHg, abdomen rigid and tender,. What ?is most likely diagnosis A. Placenta Previa. B. Placental abruption. C. Vasa Previa. D. Ruptured uterus A multiparous lady in her 33 weeks gestational age, presented with antepartum )6 ?haemorrhage and diagnosed as placenta praevia, which finding they relied on A. Hemodynamic status of the patient B. Abdominal examination C. The status of the foetus D. Second trimester ultrasound result Mona is GII PI presented at 28 weeks gestations, with fever, dysuria and )7 increased frequency of micturition. Urine culture is requested, what is the expected ?pathogen that could be isolated A. Staphylococcus aureus B. Streptococcus agalactiae C. Escherichia coli D. Klebsiella pneumoniae A 23 years PG at 7 weeks gestation, her blood group is B -ve and her husband is )8 O +ve, she is worried about her future pregnancies. In which of the following ?situations do you advise her to take Anti D Ig A. Vaginal spotting at 8 weeks. B. Spontaneous complete miscarriage at 10 weeks. C. Occurrence of IUFD. D. Drainage of liquor.  A 20 year old PG presented with labour pain at 32 weeks gestation, there is )9 palpable uterine contractions. PV: cervix is 2 cm dilated, which one of the following ?should be included in her treatment plan A. Oxytocin. B. Intravenous fluids. C. Antibiotics D. Steroids years old lady GIII PII her gestational age is 38 weeks presented with gush 26 )10 of fluid per vagina. she was diagnosed as case of PROM. How do you confirm the ?diagnosis A. Digital vaginal examination. B. Ultrasound for amount of liquor. C. Speculum examination D. High vaginal swab. Nada is 36 years GV PIV diagnosed as case of twin pregnancy, what is the )11 ?main determinant of the perinatal outcome of her pregnancy A. Maternal age. B. Parity. C. Chorionicity D. Amnionicity  Hiba is brought by midwife after she failed to deliver her second twin for 3 )12 ?hours. What is the safe method to deliver her A. Breech extraction B. Caesarean section C. Foetal destructive operation D. Instrumental delivery A 42 years old GIII PII presented at 22 weeks gestation for anomaly scan. )13 Ultrasound revealed presence of polyhydramnios. What is the other possible foetal ?finding in this scan A. Renal agenesis B. Polycystic kidney C. Anencephaly D. Posterior urethral valve Salma is G9 P8, she got pregnant while lactating her last baby and she didn’t )14 use contraceptive, diagnosed as a case of anaemia. What is the cause of her ?anaemia A. Increased demand. B. Being grand multiparous C. No spacing between pregnancy D. Breast feeding her child  A pregnant lady who has recurrent attacks of malarial infestation is prone to )15 :have A. Intrauterine growth restriction (IUGR) B. Haemolytic jaundice C. Preterm labour D. Intra uterine foetal death (IUFD) A GIV PIII lady presented to ANC clinic, complains of passing her due date of )16 ?delivery. What is your first step in her management A. Revise her LMP and first trimester scan. B. Vaginal examination to assess cervical favourability C. Immediate ultrasound to assess the amount of liquor D. Plan her for induction of labour next morning. A PG at 41weeks+3 days planned for induction of labour. Fetal heart sound is )17 normal. Vaginal examination: the cervix is soft, central, effaced, 2 cm dilated and ?the head at 0 station. What is the best method of induction A. Sweeping of membranes B. Prostaglandin E1 C. Prostaglandin E2 D. ARM and oxytocin infusion  years old primigravida with mitral regurgitation presented in labour, How 25 )18 ?do you manage her during labour A. Plenty of I.V. fluids should be administered to ensure good hydration. B. Opioids is administered to control pain. C. No place for instrumental delivery in the second stage. D. Postpartum ergometrin injection should be administered to guard against PPH. Mona is GII PI at 32 weeks gestation, known hypertensive, her fundal height is )19 less than date with positive foetal heart sound. she is diagnosed as case of IUGR. ?On what basis is this diagnosis made A. Being hypertensive B. Abdominal examination C. Serial growth scans D. Fetal Doppler studies Huda is PG at 36 weeks gestation diagnosed as case of breech presentation, )20 ?she opted for ECV, what is the suitable time to perform it A. At 36 weeks gestation B. At 37 weeks gestation C. In labour D. At 40 weeks  GII PI with previous vaginal delivery presented in labour. She is term with )21 breech presentation and positive foetal heart sound. PV: cervix is 3 cm dilated, intact membranes with palpable feet below buttocks. What is the best option of ?delivery A. Performing ECV. B. Assisted breech delivery. C. Forceps delivery. D. Emergency caesarean section. years old primigravida, 38 weeks pregnant attending for ANC, after a short 25 )22 ,history & physical examination she had been told that she is in labour ?What is the finding that leads to this diagnosis A. Uterine contraction. B. Ruptured membranes. C. Show. D. Dilatation of the cervix. Maha is 23 years old PG presented in the active phase of the first stage of )23 labour. with good progress. Which of the followings should be included in her ?management plan for this stage A. Advise of light diet. B. Artificial rupture of membranes. C. Monitoring of foetal heart sound every 30 min. D. Vaginal examination every two hours.  Magda is 24 years old primigravida booked for vaginal delivery. presented in )24 labour and monitored till 2nd stage with occiput at +2.when she is diagnosed as ?foetal distress. What is the best mode of delivery for her A. Obstetric forceps B. Vacuum extractor C. Generous episiotomy D. Emergency caesarean section A 23 years old PI delivered vaginally two days ago. During delivery she )25 underwent a vertical midline episiotomy. What is the possible serious complication ?that this lady exposed to A. Infection B. Anal sphincter damage. C. Chronic pain and dysparunia D. Hematoma formation A 28 years old GII PI with one previous C/S, planned for VBAC and admitted in )26 active labour. She suddenly developed abdominal pain and vaginal bleeding. What ?is the most possible diagnosis A. Ruptured uterus B. Abruptio placentae. C. Vasa praevia. D. Show. Nahla is PI delivered by elective C/S due to breech presentation, her operation )27 ?went smoothly and uncomplicated. How do you manage her postoperatively A. Keep the patient fasting for 24 hours postoperatively. B. Monitor the vital signs and vaginal bleeding. C. Dress the surgical wound daily. D. Remove the urinary catheter after 72 hours. Mona is PVII lady delivered vaginally 30 minutes ago a baby weighed 4.5 kg, )28 since then she developed heavy vaginal bleeding, what is the most likely cause of ?her bleeding A. Ruptured uterus B. Coagulation defect C. Uterine atonia D. Vaginal and cervical laceration -: The outcome of treating post partum haemorrhage depends on )29 A. Restoring blood loss B. Knowing the cause C. Working as a team D. Expert attendant  A severely overweight 18-year-old lady delivered by emergency caesarean )30 section, presented 10 days later, with low-grade fever of 37-37.5°C. Both legs remain markedly swollen, but the left calf is also tender and hot. What investigation ?you would request for her A. Renal function test B. Echocardiography C. Venous Doppler for lower limbs D. Liver function test :The uterus is mainly supported by )31 A. Broad ligaments B. Lateral cervical ( cardinal) ligaments C. Round ligaments D. Utero ovarian ligaments Fatima is a 40 years old primigravida she had spontaneous miscarriage at 9 )32 ?weeks of gestation. What is the most likely cause of her miscarriage A. Chromosomal abnormalities B. Excessive exercise C. Infection D. Chemical toxins  A 23 years old lady presents with minimal vaginal bleeding and Amenorrhea. )33 On examination she is vitally stable and cervix is closed. Ultrasound done and ?show single viable baby at 12 weeks gestation. What is her diagnosis A. Incomplete miscarriage B. Inevitable miscarriage C. Septic miscarriage D. Threatened miscarriage Samia is 28 years old, PI+III, her first pregnancy was ended by forceps delivery )34 and her last three miscarriages were mid trimesteric, what is the likely cause for ?her latter miscarriages A. Cervical os incompetence B. Congenitally abnormal uterus C. Anti phospholipids syndrome D. Balanced chromosomal translocation A 19 years old lady presents with Amenorrhea for 8 weeks, vaginal bleeding )35 and fever for two days, her abdomen is tender, The cervix is dilated with offensive ?products coming through it. How do you manage her A. Broad spectrum antibiotics should be administered after evacuation of products. B. There is place for expectant management. C. Immediate well hydration is recommended D. Thrombo-prophylaxis with heparin should be avoided because of the risk of DIC.  A 36 years old woman has had a suction evacuation because of complete )36 molar pregnancy. Her B HCG started to rise six months after treatment. What is :your management A. Re-evacuation B. Intramuscular methotrexate C. Expectant management D. Total hysterectomy years old GVII PVI+0 diagnosed as case of molar pregnancy, what is the 48 )37 ?treatment of choice A. Medical induction B. Methotrexate injection C. Suction curettage D. Hysterectomy. Sabah is 33 years old para VIII her last delivery was 6 month ago complicated )38 by severe postpartum bleeding , complains of secondary amenorrhoea since her ?last delivery. What is the possible cause A. Pregnancy B. Sheehan syndrome C. Premature ovarian failure D. Hypothyroidism * Siham is 13 years old, presented with irregular periods. What is the most )39 ?likely cause of her condition A. Anovulation B. Ectopic pregnancy C. Endometrial polyp D. Uterine fibroid Marwa is 40 years old PIV presented with severe dysmenorrhoea and heavy )40 ?menstrual bleeding, what is the most likely diagnosis of her condition A. Endometriosis B. Uterine fibroid C. Adenomyosis D. PID Sara is 26 years old PIII presented with itchy whitish odourless vaginal )41 ?discharge. What could be the possible risk factor for her condition A. Being hypertensive. B. Use of Cu-IUD C. Recent use of antibiotics. D. Urinary tract infection Abeer is 35 years old PIV presented complaining of foul smelling, yellow green )42 ?vaginal discharge. What is the best treatment for her A. Mycostatin. B. Metronidazole. C. ceftriaxone. D. Azithromycin A 22 years old lady C/O fever, lower abdominal pain, offensive vaginal )43 discharge. Vaginal examination revealed bilateral adenexal tenderness. Pregnancy :test is negative. The most likely diagnosis is A. Acute appendicitis B. Torsion of ovarian cyst C. PID D. Ectopic pregnancy Mariam is 34 years old PI presented with offensive vaginal discharge, what will )44 ?be the first investigation you request for her A. Ultrasound. B. CBC. C. High vaginal swab for culture and sensitivity D. Midstream urine for culture and sensitivity  A 45 years old PIV presented with excessive , prolonged and some times )45 ? irregular menses.What is the possible cause A. Sub mucosal uterine Fibroid B. Dysfunctional uterine bleeding C. Endometrial cancer D. Cervical cancer Faiza is 30 years old nulliparous lady presented with pelvi-abdominal mass )46 equivalent to 22 weeks gestation, diagnosed as uterine fibroid. What is the suitable ?management option for her A. Expectant management ( no treatment) B. Use of combined oral contraceptive pills C. Myomectomy D. Hysterectomy A 25 years old lady presented with inter-menstrual bleeding and Post-coital )47 ?bleeding. What is the best diagnostic tool you would perform to her A. Abdominal ultrasound B. Speculum examination C. Pregnancy test D. Coagulation profile A couple seeking pregnancy for 5 years. Investigations revealed an abnormal )48 semen analysis. They were told that the spermatozoa are absent in the semen, ?what does this abnormality called A. Aspermia B. Azoospermia C. Asthenospermia D. Tetratozoospermia A couple presented with failure to conceive for 5 years. Semen analysis, )49 ovulation testing and hysterosalpingogram are all normal. What is the first line of ?treatment A. Ovulation induction B. Intrauterine insemination (IUI) C. In vitro fertilization ( IVF) D. Intracytoplasmic sperm injection (ICSI) Samia is 30 years old PIV has regular heavy menstrual bleeding and )50 ?unremarkable medical history, what is the best contraceptive method for her A. Cu-IUD B. Combined oral contraceptive pills C. Progesterone only pills D. Contraceptive diaphragm  Naima is 33 years PII lady, her last delivery was 4 years ago and she stopped )51 her contraceptive method one year ago, but since then she had no menstrual :periods. Which type of contraceptive methods did she use A. Progesterone implant B. Cu-IUD C. Injectable progesterone D. Combined oral contraceptive pills Aida is 49 years old presented with hot flushes, night sweats and irregular )52 menstrual periods, she was diagnosed as perimenopaused. What is the hormonal ?finding that can confirm the diagnosis A. Low estrogen level B. Undetectable progesterone level C. High level of FSH D. Elevated GnRH levels  A 35 year old lady with intact uterus diagnosed with premature ovarian failure, )53 she wants to start hormone replacement therapy (HRT) soon. Which of the ?following is the correct choice for her A. Progestogen only pills B. Estrogen only pills C. Combined estrogen and progestogen pills D. She should not receive HRT Naglaa is 24 years old presented to you worried about an accidental )54 sonagraphic finding of ovarian cyst. You reassured her and told her that it is simple ?cyst. On what basis you reassure her A. The cyst is sepetated and less than 3cm in size B. The cyst is less than 3cm in size with small solid component C. The cyst is thick-walled and less than 5cm in size. D. The cyst is anechoic and less than 5 cm in size  Sahar is 12 years old girl presented with pelvic pain , abdominal ultrasound )55 ?revealed an ovarian tumor, what is the most likely type of her tumour A. Germ cell tumour. B. Serous epithelial tumour. C. Granulosa cell tumour. D. Brenner tumour In postmenopausal woman present with huge ovarian cyst which is sepetated )56 and had solid components. What is the most important tumour marker you will ?request for her A. Alpha fetoprotein B. Estrogen C. CA-125 D. CA 19-9 years lady presented with a result of a pap smear which showed high grade 65 )57 intraepithelial lesion (HGISL). Colposcopy confirmed the above result (CIN III), ?which of the following viruses is most often associated with this type of lesion A. HPV 6. B. HPV 11. C. HPV 16. D. HPV 42. Option 5 A 44 years old female P VIII presented with post coital bleeding and offensive )58 ? vaginal discharge What is the possible diagnosis A. Cervicitis B. Cervical cancer C. Cervical polyp D. Cervical ectropion  A 66 years old nulliparous diabetic lady presented with post menopausal )59 ?bleeding, what is the first step in managing this case A. Trans- vaginal ultrasound B. D&C with endometrial biopsy C. Hysteroscopy guided endometrial biopsy D. Hysterectomy * Samah is P1 complains of drippling of urine for one year after obstructed )60 labour which was managed by caesarean section. What is the likely cause of her ?recent complain A. Bladder injury during C/S. B. Stress incontinence C. Vesico-vaginal fistula D. Retention with over flow incontinence. ‫محو النموذج‬ ‫إرسال‬ ‫رجوع‬.‫ مطلًق ا‬Google ‫عدم إرسال كلمات المرور عبر نماذج‬ ‫ سياسة الخصوصية‬- ‫ شروط الخدمة‬- ‫ اإلبالغ عن إساءة االستخدام‬.Google ‫لم يتم إنشاء هذا المحتوى وال اعتماده من ِق بل‬ ‫نماذج‬