\\ a woman who has never been pregnant

\\\ a woman who had only one pregnancy

\\\\ What is the mean duration of pregnancy from the first day of the LMP?
\\\ 250 days
\\\ 260 days
\\\ 270 days
\\ 280 days

\\\\ Naegele’s rule estimates gestation age based on which of the following formulas?
\\ Add 7 days to LMP and count back three months.
\\\ Subtract 7 days from LMP and count back three months.
\\\ Add 21 days to LMP and count back three months.
\\\ Subtract 21 days from LMP and count back three months.

61

\\\\ Which of the following statements are true?

\\\ The granulosa cells secrete androstenedione.
\\ The granulosa cells become luteal cells following the release of the oocyte.
\\\ Luteal cells secrete progesterone alone.
\\\ The ovary contains around 50 000 oocytes at menarche.

\\\\ Which of the following statements are true of the menstrual cycle?
\\\ Oestradiol causes the endometrial glands to secrete glycogen.
\\\ The endometrium is shed because the spiral arterioles lose their elasticity and start to
bleed.
\\ The luteal phase lasts for a fixed duration of 12–14 days.
\\\ In the proliferative phase of the cycle the spiral arterioles become waved

\\\\ Which of the following statements are true?

\\\ Oestradiol exerts a posotive feedback on FSH.
\\\ The secretion of FSH and LH is under the control of the thalamus.
\\ Testosterone is essential for the production of oestradiol.
\\\ Progesterone concentrations reach their peak at the time of ovulation.

\\\\ Which of the following are associated with causing tubal damage leading to tubal
subfertility?
\\\ Trichomonas vaginalis.
\\ Gonorrhoea.
\\\ Candidos.
\\\ Gardnelos.

\\\\ Which of the following statements are true of sexually transmitted infections (STIs)?
\\\ Gonorrhoea in women is best diagnosed by cultures of material from the posterior
vaginal fornix.
\\ Syphilis is adequately treated in penicillin-allergic pregnant women by doxyciklin.
\\\ Contact tracing partners of women with first attack genital herpes is helpful.
\\\ Bacterial vaginosis should be diagnosed by culture of a high vaginal swab (HVS) for
Gardnerella vaginalis.

\\\\ Which of the following statements are true about HIV infection?
\\\ It is caused by a DNA virus that binds to the CD4 receptor.
\\\ Seroconversion commonly presents with a glandular fever illness.
\\ In the UK, all patients with a CD4 count below 200 ¥ 106/l should be encouraged to
start anti-HIV drugs.
\\\ Antiretroviral resistance testing will show resistance patterns to both current and
previous anti-HIV drugs.

\\\\ Which of the following is the best treatment of a suspected dermoid cyst found in
an 18 year –old nulliparous woman?
\\\ Observation
\\\ Hysterectomy
\\\ Adnexectomy
\\ Cystectomy

\\\\ Which of the following statements are true?

\\\ Fetal haemoglobin shifts the oxygen dissociation curve to the right of that for
haemoglobin A.
\\\ In fetal life oxygenated blood from the umbilical arteries flows directly to the left side
of the heart.
\\\ During fetal life the lungs are filled with amniotic fluid.
\\ Exposure to teratogens is more likely to cause congenital abnormalities in the first
trimester of pregnancy.

\\\\ The functions of the placenta include which of the following?

\\\ Transfer of oxygen from the fetus to the mother
\\\ Transfer of urea from the mother to the fetus.
\\\ Transfer of nutrients from the fetus to the mother.
\\ Regulation of fetal metabolism of insulin and glucose.
\\\\ The smallest diameters of the fetal skull include which of the following?
\\\ Mentovertical.
\\ Suboccipitobregmatic.
\\ Biparietal.
\\\ Occiptofrontal.

\\\\ Which of the following statements are true of a hydatidiform mole?

\\\ Is not associated with early onset pre-eclampsia.
\\\ Should be treated with methotrexate.
\\\ Should be followed up for only 6 months in a specialist centre.
\\ Is associated with a higher than average hCG concentration.