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OB/GYN

P OHM

1. 35
ASC VS
A. Endocervical biopsy
B. LEEP
C. Hysterectomy
D. Follow up PAP smear 6
E. Colposcopy

2. PV effacement 90%, os
5 cm. 1 effacement 100%, os 7 cm

choice

3. 33 GA 33 wk.
6 wk u/s heart beat Hct 34%, plt
70,000, PT17, PTT44, TT22
A. cryoprecipitate
B. FFP
C. Traxanemic acid
D. low dose heparin
E. Plt. concentration

4. 26 wks
F/U GA 5wk
IUGR
A.
B. Thalassemia
C.
D. GDM class B1
E. chromosome abnormality

5. GA 32 wk 2 hr
7-8
mildly pale VS stable FHR 140
contraction 5 PV 20 ml

1 2 wk
A. tocolytic drugs
B. oxytocin augmentation
C. PV BISHOP score
D. Abdominal ultrasound

6. 2 hr.
PV: station 0, dilate 4 cm eff 90%
2 station 1+, dilate 5 cm
effacement 100% early descen
management
A. Drip oxytocin
B. C/S because arrest of dilatation
C. C/S station +1
D. Amnioinfusn

7. 20 G1P0 GA38wk 3-5


60 dilate 3 cm, efface 90%
epidural infusion 1.
PV: dilate 5cm eff100%
A. oxytocin protract active phase
B. observe
C. epidural infusion
D.
E. C/S

8. 24
Lab Hb 6, WBC 12000 (Neutrophil 35%,
Lymphocyte 65%) Platelet 15000, Coomb testnegative, BUN 60, Cr 3.5, LDH 3000
Peripheral Blood smear- Schistocyte 2+

A. Preecclampsia
B. Acute Disseminated intravascular coagulopathy
C. HELLP syndrome
D. ITP
E. TTP

9. day3 fluctuant nodule


breast mx
A. I&D
B. Cloxacillin oral

10. postpartum 3d 2cm

A.
B.
C. Sx &drain
D.
E. 1 wk

11. 22 plt 10,000


A. Repeat CBC
B. Hx mens
C. blood smear

12. ectopic pregnancy


A. ectopic pregnancy

B. Abnormal uterine bleeding + pelvic pain


C. -HCG > 2000 IU/L transvaginal ultrasound
D. -HCG 500 IU/L 700 IU/L 2
E. U/S sac 30mm. fetus

13. ectopic pregnancy


A. GA 7 wk. RLQ pain, Rt. Adnexal mass, tender
B. GA 7 wk. Uterus tender, Os close, Abnormal
uterine bleeding
C. GA 7 wk. , Abnormal uterine
bleeding
D. GA 7 wk. RLQ pain, Os 1 cm

14. perimenopause
management
A. oral premalin
B. topical premalin genitalia

15. 38 G2P1 progressive


dysmenorhea 2 dyspanuria PE+PV
normal cul de sac 2 nodule tender
0.5 cm +adhesion Mx
A. Laparo oophenectomy +lysis adhesion
B. DMPA q 1 mt for 1 year
C. continuous OCP
D. TAH
E. GnRH agonist

16. G2P2 last 5


excessive grayish white
discharge
A. Candidiasis
B. Trichomoniasis
C. Bacterial vaginosis
D. Chlamydial infection
E. Gonorrhoeae

17. 20 yr SI 1-2

A. Oral contraceptive
B.
C.

18. stage IIB


adenocarcinoma grade III LN: neg

A. External RT
B. Intracavity brachyradiation
C. CMT
D. 1+2
E. 1+3