OBSTETRICS It Final Exams March 14,2014 Nane_ [CHOOSE THE BEST ANSWER RG 32 ylo GIPO 13-14 weeks gestation fr prenatal check up. FH- (+) Preeclampsia Dut Asthma PE: BMI-28, VS- 120/70mmble PR- 79min RR-19/min T-365C Which ofthe following is NOT considered aris facoe for prcclampsis? A. Ryle B.GIPO CC Fit precciampsia D. BMI-28 JC. 2 Which ofte following is NOT used for the prediction of preeclampsia? Gs Atimblalanen dope: B. Urine ater Doppler CMAP D.PAPP.A _3 ‘Which of ie following can be given to prevent preeclampsia in high ik patents? A. Vitamin Cand E 3. Calciom C. MgsO4 D. All ofthe above LV 4. Wich ofthe following biochemical markers is are decreased in preeclampsia? A. Soluble Fms-like fyrosne kinase | C Vascular endecheal growth fa B. Soluble endoglin D, Allof the above Gre flowy 32 neck of tsion BP wo 160/00 What te most probable ‘A Mild preeclampsia B. Severe esclampsin C. Superimposed prcclampsiaD. None 6. What aberstory exam shou be requested confi the diagnosis? AceC stays C.2tlnar onae proms __D.Alloftheabove 7 igh 12smeat, Hee 35%: Urinalysis +3 proteins What ithe dings? A Mild reclame ‘Severe precampsin 8: Sector reetampin 5 conatinna ypertenson a unatr cide fllowing ts conraindicated inthis pion? Which of les Kleene erepecblecker C-TRimzide D, Bblocken o Ninian sts falling NOT ictuded in he managment? ABS iB Tocobtos EComcoserads D.C shame! boeken 2 ee vot the flowing acparin surveilance shold NOT be done inthis patient ‘A Ubiical ancy Doppler BLNST CCT Nowe ‘Wh ofthe flowing warrants immotiate dvr)? AREDY BAFLon C Pick cwont 150000 _D. Allofhe above Y ects tation the patent conplined of persistent headache. VS: 1701 OO maa, RR Demin, T-305C. What fic ignoni? ‘A Mild pocelarpsia C Severe peelampsa Bi. Superimposed preeclampsia D.telangsin anette fcllowing # NOT gar ofthe management” ‘AvCastannel Beckers B.MgSO# Deliver the baby. Aspirin IL 26,01 Twin reancy 1415 wees pstton forproatal cep, On alasend showed» tmochoronic, mnoaminic Evin cere When dd the division of zygote occu? cA Me pear B Betwern Any Afr \Odays, DAR er dave “715 er etrasound findings is compat with dichroic wining? seater B.Difleratsex C.2plaentas All ofthe above _ 1A Wish ine fllowing compliaon fs NOT suited with hie pte? “A OligePolyhnydcamnios syndrome (CPreterm labor 5B Condentanglanent D Bypeneasion 1 PGR ote has NOT been proven prevent peer labor mule pregnancy? “A Toesytics B Prosterone ¢.Cerlage D. Allofth above D_'at39-33 wets pte complain of uterine contain every 4Sminutes 1E-2em, 50% * ad intact membranes, RSA floating What ithe manegement? Se coli: B.Cackannel backers C. Labor admission test D. Allof he above Cea t ne isthe major reason for noreased nooatel morbiity and morality in twins? * sbased peemncy B.Copmedtvins C.Pretem bin D.All ofthe above 1. Which ofthe following is TRUE inti pregnancy? "a Twine of opposite sex are almost always dizystc twin C. Both Thermos common vascular anastomscsisarey toariey.D. Neither (Dat: Factors thet fluence monozygotic twinning | Clomighene citrate BIVF. C:Both __D-Neither O/22 A536 weeks patient complained of passage of watery aischarae. Spes-(") ooking. 1E-3 ‘em, effec, eptced membranes, cephalic, station 2, Whats she management? A Coricostesids DB. Induction labor CCS. 1D. Ca chamel blockers aa 9 May-18-22, -cervin- Lem dilated, $0% JocaPt (1001) fr prenatal check-up. LMP- May18-22, 2013, E- cervix. tom d Bs 3/0 a tos é 23. What isthe AOG in weeks? 5 AOL B41-42 cans Dc 26. Wen isthe EDC? RONAFD2 2014 B.Feb29,204C-March25,2014 DC 25. Which of the fllowing warrants immediate delivery? BPS. 8/10 (AFI-1 dem) B.Negative STC. Nonreastive STD. All ‘26. Which of the following should be delivered before 42 weeks? ‘A Type? DM. TUGR _C. Chronic Hypertension _D. All ofthe above D. 43-44 D. March 29, 2014 Pear wnien ofthe following i asoeiated with variable deceleration? 7" A. Oligshydramnios (C: Macrosonia ao D.Neve (O28. Whats the clinical significance of lte deceleration? ‘Head compression B. Uteroplacental insufficiency C.Cord compression. All {29 Which ofthe following is NOT susosited with poster ‘MAS 31. After | week, IE- cervin: 4 em dilated, anterior, 70% effaced, cephalic, station 0, intact ‘memancn, CST — Negative, What isthe management? ‘A. Induction of labor BCS ‘C. Repeat CST after! day. DoNST _Mr 41y/o G1P0 known hypertensive and sorenty tiking Cx shanna! blockers: LMP. Aug 21-24, 2013. eo tee WS: BP.14000mmiig. PR-Te/min RR-19min T-36,7C, Funds Bt: 26cm, kK ‘A. Angiotensin C. Oxytocin So Siac eno meer Rie aaa” c.2ea 2030 B35 Which ore following stmpest SGA fers? ‘Masia eon fandic Weigh —_D.Alloftte above De 34, Whatis the mostimportast factor in the diagnosis of IUGR? Te iting 'BFundicteight — CUltasoundat 2022 wectsD.LMP D 5S Gace fm enifod as SGA. sequen surveil should cost of mene "UA Dopervelacinery C--Anonaly sean D. Allof Be above ‘D_e whine following his been proven prevent 1UGR? ee Bade High pratcin dit _D.Nove 57" Which ofthe following is associated with symmetric TUGR? ou Buttpatytism C.Congenial infections Alf te above 2 se tots oe manapenentin his pation ifthe ronozapiclyetinaied Teal neil (SEFW)e 0" pecetie, wih clcvatel SID rio of the tmblcal artery doppler, BPS. 101 unripe cervix are OG Tate weekly BPS C.lnductonoflator D-Cotcosterods then ever Lech oft fatiwing a ition fr dtvey? —VAREDV B.Nonreative NST. C.Negatie CST, _D. All ofthe above 46s Wats te management of 37 nels wih SEEW <10" perce, elevated UA doppler indices, CST (-).IE- 3em, 70% eflaced, cephalic, Medan of or BCS -CRepeatCST afer day —_D. DoNST 1.25 yeu ld 30 comes 7-5 AOG for presale ip Pir ranks wore i ‘abortions, FH (-) DM. a ~~ I Recomsanied oko rete he estoy Ea AsbgaT Bisecer Clbgn OGTT DEBS ‘wna Ste mamgemen ft sbre pavt if PES 95 mgm? _dDitandenersse "1 Buln Ginn D. None 4c 'Fer 8M pet wit pre prgnaney BMI, how mich eos intake i: ee eee ae <2" Cas a0 kal pe30 Cane ection or adn ois bes 10 weeks £8 Paster births <3 weeks due to plcentalinsficiecy De Allo the above _fe-78 Wien phophotipé—indng pot when bounded with LAC ress in ventral thrombosis? RBChcopoiin-1BPreinC&S——C.AmexinV ppac Dro what apuntion est iar prolonged when gG and IgM LAC Str is modemtely high? Na ® ‘CDRVNT ‘Dall fy 83 Primary varicetia may be reactivate years ter causing what condition? ‘A Shingles 1 Seullpox CCM D.HSV ‘34 Mstemal serological sereening for CMY is not recammendd forthe 1. reason /s: "A. Noaccurate prediction of sequelae ‘C. No available vaccine 1. Fetal infeston may be due to maternal reinfection with a different strain. All WU ss. si infestans ib ori? ACM 'B Robells 'C. Varicella D.Hsy 86.25 yo G2P1(2001) 38-39 weeks in labor wit severe dysun due to ulcers nthe vulvovaginal Seri Sew be tows? boise moter B. Varicella. cmv (D. All of the above: A sh tat ncn i i eimmine D.Neither Ds Wiet va 5 a D. Toxoplasmosis fear meatstransmission in the 3 trimester eS ees Je 91 cmon nd oes sob ie in gists C Onan DAB ot toe idiom oe ashe Satna tars hhled Bagot Thine TD sf tare epee esi wnat ia ce Pen 29 Maal E caciy mpd Cuneaed 0, An of ietne ) of nce cnaeaies ees wih sor or pty call shine Ponte B heer ike fe 98 eesental for diagnosis of pulmonary condition in gravida with fever, cough aad dyspaca a es Spam anee DS Je tap rc ean a ae a eC. Frome _D. Any ofthe sve 7 tonid bata psn econ i ts a a oe ea Sone Cian Ea Eos. The stimulatory effect of this hormone on TSH rocoptors underlies gestational thyrotoxicosis Which infectious agents has high vertical HSV C. Dystocia DAmdB enone a ics towers 1 een eee rope Shan orn Sages on Seectiae a E “vd or etme wo ic which of thew beter gauges thyroid states recy BT cist D.TPO 7) 101 Pregnancy condo that can wpe thyrid soem ‘APreecianpsia B. Anemia Csemis All 102 Moat cammon cause of hypothyroid in preanancy 'A Previous inyronectomy °C. Radioctve bation BB Hashimeto's hos D. Thionamide therapy F710r Hemedymamicatyme geatet nea in {G2 icing inbor occurs dng the ara agen cegunen ome rein (A au often dome ine remo Sano —_ with mitral: a To asm pnts with! ets - “C. Chest pains D. archythmia — Paceition D.Prengin 2 NE Cad Ole step. cada mtn nda mesig conse rte eS oihaon oak am B10 ce bu 1B men with. cent of 2835 dis he soi maa Beta es hess, Cite elk mn oun at pe re eM sog —C.Uipitennt —_D. Cena ona Dsus rasui smc mit ny sn Soin oes eS eee (tw ste aa yey ny oo : ees stm Ciowane “D. 12 mons CR 17 yio G2PO 30-31 weeks gestation consulted because of FH: (-) DM, Asthma, and Sx Peso tc) maker po yt vag Dei 1S ca, ROS (Je ete rant tpn, cnr RA i aaa = is. at ; fa meet os iy Desi ih le inion CarmaYa) MA halluaalh eM rd VO Chairaa A) _ 114. diagnosis hast be documented withthe chief complaint of hypogastric pain, contractions snus fulfil this minimum erteria Ane B.Two _C.Three__D. Four contractions in 20 minutes 115. Ifcervical assessment was done earlier at 8 weeks, the critical length to look out for 40mm 8 B16. Corclage is wna AA Recurrent abortions B. Sonographic evidence of short cervix mm C. 30mm D.25mm C. Inadequate progesterone therapy D. Previous cerclage [AL 32.33 weeks gestation she came back because of more frequent contractions and with cervical dilatation of 2 em. Bir nimi manage iieganesten doce: Sage ce gl donaemenaree pera deerelaaprpranpelg ec tal cinenmnrn the eee teeter eee opiates ics 5 ect aso Fi hrs ter tok ewer oeme ks eee U