NUMBER ANS.

RATIONALE (IF ANY)

1 B Blueprints (Obstetrics) Chapter 6: Complications of Labor and

Delivery

2 B Blueprints Chapter (Obstetrics) 10: Infectious Disease of Pregnancy

3 D Blueprints (Gynecology) Chapter 15: Endometriosis and

Adenomyosis

*Hormone ang question

4 C

5 D Blueprints (Gynecology) Chapter 11: Abnormalities of the Menstrual

Cycle

6 B? Blueprints (Obstetrics) Chapter 6: Complications of Labor and

Delivery
7 B Blueprints (Obstetrics) Chapter 1: Other Medical Complications of
Pregnancy

8 D Blueprints (Obstetrics) Chapter 8: Hypertension and Pregnancy

9 B Blueprints (Gynecology) Chapter 16: Infections of the Lower Female

Reproductive Tract
10 B

11 D Blueprints (Gynecology) Chapter 16: Infections of the Lower Female

Reproductive Tract

12 C Blueprints (Gynecology) Chapter 16: Infections of the Lower Female

Reproductive Tract
13 D Blueprints (Obstetrics) Chapter 11: Other Medical Complications of
Pregnancy

14 B Blueprints (Obstetrics) Chapter 2 : Early Pregnancy Complication

15 B? *Not sure dito kasi ang statement nakalagay ay ARE so madami

dapat saka ang sagot ko sa boards ay Infection pero nakita ko sa
Journal ganito pacorrect na lang.

16 C Blueprints Chapter (Obstetrics) 10: Infectious Disease of Pregnancy

17 D Blueprints (Gynecology) Chapter 21: Amenorrhea

18 B BLUEPRINTS (CHAPTER 6)

19 C?

20 D https://www.aafp.org/afp/2017/0401/p442.html#:~:text=The%20Four
%20T's%20mnemonic%20can,%5D%3B%20and%20coagulopathy
%20%5BThrombin%5D).

21 A?
22 C

23 C?

24 C

25 B

26 B

27 CANT FIND THE ANSWER :(

28 B
29 C

30 B

31 B

32 C Hot flushes- physical symptoms

33 B

34 D
35 D

(TN OB page 28)

36 D

(TN OB page 56)

37 D Mitral Stenosis

(TN IM page 12)

38 B

(TN OB page 89)

39 B

40 A The shape of the pelvis: anthropoid and android pelvises are the most common cause of
occipito-posterior due to narrow fore-pelvis.
41 C

(TN OB page 38)

42 D

(TN OB page 26)

43 D

44 A

The Fifth International Workshop Conference on Gestational Diabetes recommends the following:
Fasting plasma glucose 90-99 mg/dL (5.0–5.5 mmol/L)
and
One-hour postprandial plasma glucose less than 140 mg/dL (7.8 mmol/L)
or
Two-hour postprandial plasma glucose less than 120-127 mg/dL (6.7–7.1 mmol/L)

45 B

46 B Calcium channel blockers (CCBs), commonly used to reduce blood pressure, can also be used
to relax uterine contractions and postpone a preterm birth. A common CCB for this purpose is
nifedipine.

47 B

48 D The spermicide most often used on condoms is nonoxynol-9.

49 D

50 B Progestins action:
Prevent ovulation by suppressing LH
 Thicken cervical mucus, thereby retarding sperm passage.
Render the endometrium unfavorable for implantation.

51 C

(TN OB page 38)

52 B Comprehensive Gynecology, 7th edition p 530

Granuloma inguinale, also known as donovanosis, is a chronic,
ulcerative, bacterial infection of the skin and subcutaneous tissue
of the vulva. Rarely, the vagina and cervix are involved in
advanced untreated cases.

53 B?

54 D https://www.medscape.com/answers/796892-194113/what-causes-postpartum-wound-
infections

The etiologic organisms associated with perineal cellulitis and episiotomy site infections are
Staphylococcus or Streptococcus species and gram-negative organisms, as in endometritis.

Vaginal secretions contain as many as 10 billion organisms per gram of fluid. Yet, infections
develop in only 1% of patients who had vaginal tears or who underwent episiotomies.

Those who underwent cesarean delivery have a higher readmission rate for wound infection
and complications than those who delivered vaginally

55 B

56 C Blueprint Chapter 11 page 413

Increased levels of estrogen and progesterone may both have direct effects on seizure activity
during pregnancy. Estrogen has been shown to be epileptogenic, decreasing seizure threshold.
Thus, rising estrogen levels in pregnancy that peak in the third trimester may have some
impact on the observed increase in seizure frequency. Conversely, progesterone seems to
have an antiepileptic effect

57 D
58 A Blueprint page 160

The most common lacerations are perineal lacerations, which are described by the depth of
tissues they involve. A first-degree laceration involves the mucosa or skin. Second-degree
lacerations extend into the perineal body but do not involve the anal sphincter. Third-degree
lacerations extend into or completely through the anal sphincter. A fourth-degree tear occurs if
the anal mucosa itself is entered.

59 C Maternal Serum AFP Elevation: Neural-Tube Defect Screening. All pregnant women are
offered screening for fetal open neural-tube defects in the second trimester, either with MSAFP
screening or with sonography (American College of Obstetricians and Gynecologists, 2016c)

60 B FIRST TRIMESTER SCREENING FOR FETAL ANEUPLOIDY

Collection of blood for biochemical analysis is performed between 9 and 13 6/7 weeks'
gestation (crown rump length, 24–84 mm). Ultrasound assessment of the NT measurement is
performed between 11 and 13 6/7 weeks (crown rump length, 45–84 mm).

61 C hypergonadotropic (PRIMARY) or hypogonadotropic (SECONDARY) hypogonadism that can

be differentiated by an FSH measurement. Primary hypogonadism is associated with low
levels of testosterone and high-normal to high levels of LH and FSH. Secondary
hypogonadism is associated with low levels of testosterone and normal to low levels of LH and
FSH.

62 C Comprehensive Gynecology 7th edition Chapter 23 page 530

CDC recommends AZITHROMYCIN 1 g orally once a week or 500 mg daily for 3 weeks and
until all lesions have healed. Alternative antibiotic regimens include the following: doxycycline,
100 mg orally, twice daily for a minimum of 3 weeks; ciprofloxacin, 750 mg orally twice daily;
erythromycin base, 500 mg orally four times daily; or trimethoprim-sulfamethoxazole (TMP-
SMZ), one double-strength tablet orally twice daily

63 D Depending on the cause of amenorrhea, you might experience other signs or symptoms along
with the absence of periods, such as: Milky nipple discharge (galactorrhea), Hair loss,
Headache, Vision changes, Excess facial hair, Pelvic pain,, Acne

approach to secondary amenorrhea always begins with a beta human chorionic gonadotropin
(β-hCG) assay to rule out pregnancy often before a formal history is taken. If this is negative,
the standard history should include: focused questions toward hypothyroidism (e.g., lethargy,
weight gain, and cold intolerance), hyperprolactinemia (e.g., nipple discharge and usually
bilateral), and hyperandrogenism (e.g., recent changes in hirsutism, acne, or virilism; see
Chapter 23). TSH and prolactin levels should then be checked to rule out hypothyroidism and
hyperprolactinemia, both of which can cause amenorrhea.

64 B Blueprint Chapter 12 p.456

With blood loss greater than 2 to 3 L, patients may develop a consumptive coagulopathy and
require coagulation factors and platelets.

65 B Complications of breech deliveries include cord prolapse, entrapment of the fetal

head, and fetal neurologic injury.

66 B Detection of spina bifida is aided by two characteristic cranial findings. Scalloping of the frontal
bones is termed the lemon sign, and anterior curvature of the cerebellum with effacement of
the cisterna magna is the banana sign

67 B N-Methyl-phenobarbital and primidone, though both anticonvulsants in their own right, are
metabolised to phenobarbital, which probably mediates much of their antiseizure effect.
 Primidone also yields the weaker anticonvulsant phenylethylmalonamide.

68 B

69 C A. Cefuroxime - 2nd generation B. Ceftriaxone - 3rd generation

C. Cefazolin - 1st generation D. Co-amoxiclav - penicillin (amoxicillin)

Recommendation: For antibiotic prophylaxis for caesarean section, a single dose of first-
generation cephalosporin or penicillin should be used in preference to other classes of
antibiotics. (Recommended)

WHO recommendation on Prophylactic antibiotics for women undergoing caesarean section

(https://apps.who.int/iris/bitstream/handle/10665/341865/9789240028012-eng.pdf)

70 C

71 D

72 D Braxton Hicks contractions tend to increase in frequency and intensity near the end of the
pregnancy. Women often mistake Braxton Hicks contractions for true labor. However, unlike
true labor contractions, Braxton Hicks contractions do not cause dilatation of the cervix and
do not culminate in birth.
73 B

*Estrone (E1, in menopause)

*Estradiol (E2, most potent, in reproductive age)
*Estriol (E3, in pregnancy)

74 A

75 B
76 C

77 C Factors decreasing the ovarian reserve: tobacco smoke, viruses,

radiation, chemotx, autoimmune and genetic diseases

78 A or B?

79 D

80 D 20% = normal monthly fecundability (ability to achieve pregnancy in one menstrual cycle)

81 B Gestational yzhypertension - Hypertension (BP ≥140/90) without proteinuria occurring

after 20 weeks’ gestation, on two occasions at least 4 hours apart in women with
previously normal BP

Preeclampsia without severe features - BP >140/90 on 2 occasions at least 4 hours apart

beyond 20 weeks AOG in a woman with a previously normal BP with PROTEINURIA
82 A

83 C Preeclampsia (with or without severe features)

Urine protein: Creatinine ratio >0.3 or Dipstick +1

84 A/D

Nonsevere includes both mild and moderate.

85 B William Obstetrics 24thd - Prenatal Care p177

86 D/C

Baka D ito kasi 2 pregnancy is CS delivered.

87 B

88 B

89 B William Obstetric 24 ed page 802

A digital examination should not be performed unless delivery is

planned. A cervical digital examination is done with the woman in an
operating room and with preparations for immediate cesarean
delivery. Even the gentlest examination can cause torrential
hemorrhage.
90 A

Low lying nakalagay sa book but based on image lang .

91 C Williams obstetrics 24th ed Ch. 63 p.1223

92 B FIGO classification
93 C Since the patient is already of full family size we can consider
chemoradiation
94 D Walang nakaindicate sa williams and blueprints
Pero sa TN handouts.

Page 98 TN hand out

95 B Williams obstetrics 24th ed Ch. 63 p.1223

96 B Rule out A and C since no findings related to it.

97 D As indicated above - choose the one more related to cause increase

in estrogen level.

98 C TN handout:
Estrogen can cause endometrial development.

This can be related to the menstrual cycle.- PROLIFERATIVE

PHASE wherein estrogen rise and in the uterus it causes
proliferation.

TN handouts:
UTERUS
In the first trimester - hypertrophy is stimulated by estrogen and
progesterone

99 B TN handout page 101

Diagnosis and endometrial sampling
● Endometrial biopsy
 ● Endometrial curettage
● Hysteroscopy

100 C TN handout page 87