1. In prenatal infection
A. Rubella can be prevented by administration of rubella vaccine uring pregnancy
B. Toxoplasma is a virus
C. HIV virus infect the baby more readily when delivered vaginally than
caesarean section
D. Cytomegalovirus causes macrosomic babies
E. In HIV patient breast-feeding is encouraged
2. Uterine Cervix
A. Is the portion of the uterus below the isthmus
B. External OS cell lining is columnar epithelium
C. Laterally is attached to the round ligament
D. The cervical canal is covered with stratified squamous epithelium
E. Can be dilated with dilators without the need of anesthesia
3. The Commonest uterine fibroid to cause excessive bleeding is
A. Submucous fibroid
B. Subserous fibroid
C. Intramural fibroid
D. Cervical fibroid
E. Broad ligament fibroid
4. All the following infection can be transmitted through sexual intercourse, EXCEPT:
A. Genital herpes
B. Human Immunodeficiency Virus (HIV)
C. Chlamydia
D. Gonorrhea
E. Vaginal Candidiasis
5. Sure sign of pregnancy is:
A. Amenorrhea
B. Hegar's sign
C. Nausea and vomiting
D. Auscultation of fetal heart
E. Abdominal distension
6. All these tests can be useful in management of intrauterine fetal growth restriction
IUGR except:
A. Fetal kick chart
B. Cardiotocography CTG non stress test
C. Chorionic villous sampling
D. Biophysical profile
E. Umbilical cord Doppler waveforms
7. 14 weeks pregnant woman had abor0on and she was told that it is a complete
abortion. This is true regarding complete abortion:
A. Uterus is usually bigger than date
B. Cervical OS is opened with tissue inside the cervix
C. Need to have evacuation of the uterus
D. After complete abortion there is minimal or no pain and minimal or no
bleeding
E. Follow up with BHCG for one year
8. In patient with endometrial cancer and less than 50% myometrial invasion, the
stage is at least:
A. IA
B. 1B
C. IC
D. IIA
E. III
9. If your pa0ent is 8 weeks pregnant which one of the following USS measurement is
most useful?
A. Crown rump length
B. Biparital diameter
C. Femur length
D. Placental site
E. Abdominal circumference
10. Complete breech means:
A. Flexion at hip joint and extension in knee joint
B. Flexion at hip joint and flexion at knee joint
C. Extension at the hip joint
D. Flexion at knee joint and extension at the hip joint
E. Flexion of one leg at hip joint and extension of the other leg at the hip joint
11. Untreated patients with cancer of the cervix usually die with
A. Cachexia and starvation
B. Bowel obstruction → this is in ovarian cancer
C. Renal failure and uremia
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D. Multi organ failure
E. Cerebro vascular accident primigravida
12. In Turner's syndrome:
A. A chromosomal structure of 45 XY is characteris7c
B. Secondary amenorrhea is usual
C. Ovaries are streak
D. The ovaries are multicystic
E. Phenotypically are male
13. Which of the following tumors produces estrogen?
A. Endodermal sinus tumors
B. Choriocarcinoma
C. Granulosa-cell tumors
D. Dysgerminoma
E. Serous cyst adenoma
14. All of the following are true about PCO except:
A. To diagnose PCO hormonal analysis can be done at any time of the cycle
B. It is associated with reversed FSH:LH ratio
C. It is associated with increase resistance to insulin
D. Can be associated with increased prolactin level
E. The ovaries have characteristic appearance by the ultrasound
15. Regarding ectopic pregnancy, all of the following are true, EXCEPT:
A. Is associated with uterine enlargement
B. Is situated in the ovary in about 0.5% of all cases
C. Is more dangerous when it is situated in the isthmus of the fallopian tube
D. Can only be diagnosed after it has ruptured
E. Is a complication of assisted conception.
16. Acceptable treatment for uterine fibroids includes all of the following EXCEPT:
A. No treatment
B. Myomectomy during pregnancy if red degeneration occurs
C. Myomectomy
D. Hysterectomy
E. GnRH agonist
We will request it at any time → only if she present with amenorrhea, otherwise
we have to request the hormonal levels at 2nd, 3rd and 4th of the
cycle.
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17. Evaluation of infertile couples
A. History of regular cycles is suggestive of anovulation
B. History of severe dysmenorrhea and dyspareunia is suggestive of
endometriosis
C. Endometriosis is diagnosed by hysteroscopy
D. Hysterosalpingogram is the only means of assisting ectopic pregnancy
E. Thyroid disease does not affect fertility
18. Treatment of pelvic inflammatory disease include the following,
EXCEPT:
A. Oral doxycycline
B. Removal of IUCD
C. Clindamycin
D. Tetracycline
E. Dilatation and curettage (D & C)
19. Antenatal booking investigations include all of the following,
EXCEPT:
A. Complete blood count
B. Blood sugar
C. Hepatitis screening
D. Toxoplasmosis
E. liver function
20. Which of the following is known to be the commonest presentation in twins
A. Breech, cephalic
B. Cephalic, breech
C. Cephalic, cephalic
D. Breech, breech
E. Cephalic, transverse
21. All the following are possible causes of polyhydramios,
EXCEPT:
A. Diabetes
B. Multiple pregnancy
C. Fetus with hydrops fetalis
D. Fetus with duodenal atresia or neural tube defect
E. IUGR
22. Uterine fibroid is:
A. Composed of fibrous tissue
B. Surround by a false capsule
C. The most common cystic tumor in women
D. Progestogen dependent
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E. Managed by myomectomy in most of the cases
23. In a pregnant female which of the following depicts the level of iron:
A. Transferrin level
B. Serum ferritin level
C. Haemoglobin level
D. Iron binding capacity
E. Serum Iron
24. Most common cause of first trimester abortion
A. Chromosomal abnormalities
B. Syphilis
C. Rhesus isoimmunization
D. Cervical incompetence
E. Bifurcate uterus
25. ABer menopause
A. There is increase vaginal acidity
B. Gonadotrophines level falls
C. There is increase in bone density
D. The size of an existing fibroid increases
E. Any post menopausal bleeding should be investigated by endometrial
Sampling
26. Which instrument in no a basic component of a laparoscopy
A. Trochar
B. ventous cup
C. Veres needle
D. Light source
E. CO2 insufflation set
27. Regarding injectable progesterone contraception, all of the following is true,
EXCEPT:
A. Medroxyparogesterone acetate is the most commonly used
B. May cause irregular uterine bleeding
C. May cause amenorrhae
D. Should not be given to lactating mother
E. Does not carry a risk of venous thrombosis
28. All are CORRECT, EXCEPT, Pregnancy is associated with:
A. Increase cardiac output
B. Increase venous return
C. Increase peripheral resistance
D. Increase pulse rate
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E. Increase stroke volume
29. The following are presump0ve skin signs of pregnancy except:
A. Chloasma
B. Maculo papular rash
C. Linea Nigra
D. Stretch Marks
E. Spider Telangiectases
30. The followings are considered normal symptoms of pregnancy EXCEPT:
A. Backache due to an increased lumbar lordosis.
B. Lower abdominal pain and groin pain due to stretch of round ligaments.
C. Visual disturbance.
D. Calf pain due to muscle spasm.
E. Increased vaginal discharge.
31. Rupture of membranes is suspected with all of the followings EXCEPT:
A. Positive Nitrazine test.
B. Positive Fern test.
C. Pooling of amniotic fluid on speculum examination.
D. Observing amniotic fluid drain through the cervix during speculum
examination.
F. Contractions seen on the CTG.
32. The terminology of pelvic inflammatory diseases indicates:
A. Infection of the vagina.
B. Infection of Bartholin's glands
C. Infection of Skene's glands.
D. Infection of the urinary bladder.
E. Endometritis and salpingo-oophoritis.
33. The luteal phase of the menstrual cycle is associated with
A. High luteinizing hormone level
B. High progesterone levels
C. High prolactin level
D. Low basal body temperature
E. Proliferative changes in the endometrium
34. Ovula0on induction complications include:
A. Ovarian hyperstimulation.
35. All the following are true, about ovarian hyperstimulation, EXCEPT:
A. It can follow any of ovulation induction drugs
B. In severe type admission to the intensive care unit may be required
C. The ovaries will be very small in size have unilateral cyst
D. It can be diagnosed clinically and by ultrasound
E. Patients with PCO are at increased risk
36. According to WHO, Hb in a pregnant woman shouldn't be less than:
A. <8
B. <10
C. <9
D. <11
E. <13
37. According to WHO, Sperm count shouldn't be less than :
A. 50 million /ml
B. 60 million/ml.
C. 90 million/ml.
D. 20 million/ml.
E. 10 million/ml.
38. Compound malpresentation most commonly occur with:
A. Prematurity
B. Advanced maternal age
C. Large pelvic vessels
D. Diabetic pregnancy
39. Placenta previa all help in diagnosis of except:
A. Constant lower abdominal pain
B. Mal presentation
C. Painless vaginal bleeding
D. US
40. Cervical incompetence one true:
A. Cone biopsy is not a predisposing factor
B. Cerculage is contraindicated
C. In not encountered with uterine anomalies
D. Best diagnosed by Hx
E. Is a cause of early pregnancy abortion
41. In patients with three consecutive spontaneous abortion in the second trimester
the most useful investigation is:
A. Chromosomal analysis
B. Hysterosalpingogram
C. Endometrial biopsy
D. Post coital test
E. Prolactin level
42. The predisposing factor to ( case of burning micturation, loin pain) is:
A. Hydroureter because of progesterone effect
B. Compression of ureter in the 3rd trimester by enlarging uterus
44. Immediate complication of C/S include all except:
A. Bladder injury
B. Hemorrhage
C. Thromboembolism (also DM is not immediate)
D. Complication of anesthesia
45. Amniohook (artificial ROM) may cause all except:
A. Amniotic fluid embolus
B. IUGR
C. Abruptio placenta
D. Fetal distress
E. Cord prolapse
46.Most common cause of anesthesia death in pregnancy:
A. Aspiration pneumonia
B. medication reaction
C. stroke
D. hemorrhage
E. failed intubation
47. Risk factors to preeclampsia include all the following EXCEPT:
A. Premature delivery.
B. Placental abruption.
C. Renal failure.
D. DIC
E. Polycythemia.
48. All are contraindications to VBAC except:
A. Lower segment c/s
B. Classical CS
C. Rupture uterine
D. ??
E. ??
49. karyotype of Androgen Insensitivity Syndrome:
A. 46xx
B. 46xy
C. 47xxy
D. 45x0
E. 45 xy
50. Hyperemesis gravidarum in 1st trimester is seen with increased frequency in all of
the following except
A. H. Mole
B. Twins
C. Missed Abortion
D. Primigravida
E. Patient with history of hyperemesis
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