Hope academic team

OBS GYN wateen 5th year

 One is tertogenic: enalpril

 RMI calculation for postmenopausal woman with 900 CA125 and

bilateral ovarian masses with septations?
1800
2700
900
Answer l think is 2700
Or --- 1800
Bilateral =1
Sepatation=1
No solid =no metastasis =no ascitis =0
Postmenopausal=3
RMI=U*M*Ca125= 3*(1+1)*300=1800.
But I am not sure if there is ascitis or one of other ultrasound
results in Q , I forgot the question.

 Grade of CA that spread outside endometrium and is malignant:

Type IAII
Type IIB
I think it was cervical ca 5 cm with parametria involvement > IIB

 A woman with previous seziures in previous pregnancy:

Give aspirin?

 Not a sign of placental abruption: severe abdominal pain

 One is true: vacum is contraindicated in face presentation

 risk factor for endometrial ca except: smoking

 One is mismatched:
Granulosa cell tumor and inhibin B
Thecoma is associated with meigs syndrome
granulosa is indeed associated with both inhibin and estrogin
secretion

 Responsible for external male development: DHT

 Not to do as a clinician?

Meet the patient in a gown already

 Strawberry cervix: trichominosis

 XY with short cervix and small uterous:

Swayer syndrome

 all with rubella except : conductive hear loss

 The case for hirsutism at age 27 with BMI normal and no other
signs?
Familial?

 One of the following doesnt cause PID?

Bacterial vaginosis
 One is incorrect in regards to antiphospholipid syndrome:
Is an inherited condition

 One is wrong:
Follicular phase is always 14 days

 COCP increases the risk of:

Breast Ca

 Voiding symptom :
Low stream

 Storage symptom :
Urgency

 A post cs woman is considering contraception what is your advice?

If she wants to exclusively breastfeed for 12 months and is
amenorrhea that is suffecient

 One is incorrect: ovaries are resposible for female genital tract

development?

 Case about fish oder discharge and ask what the mangment ?
 Metronidazole 7 days … One is incorrect:
Ampicillin and gentamycin are the best for endometritis?

 One is not a factor of the bishop score: presentation

 Which of the following not related to frequency ?

Menorhagia

 One prerequisit for salpingectomy:

Other tube has to be healthy

 Which of the following is true

Adenomyosis pelvic pain cyclical

 One of the following is true

Third degree pereneal laceration involve anal sphincter

 Oxytocin analoge: Syntocinon

 One is not used in shoulder dystocia: excessive traction

 First line in diagnosis bleeding

Ultra sound
Another case pelvic pain how to diagnoses
Laproscopic

 One of the causes of atony is: polyhydramnous

 Obstetric Cholestasis vs HELLP syndrome

AST
Hypoglycemia
BP
LDH

 The narrowest of the following is: obstetric conjugate

 One of the following is correct:

Pelvic inlet is the widest and its AP diameter is 11 cm

 Wrong :
Variable decelerations are due to head compression
 Not in booking visit :
Glucose tolerance test

 Wrong About screening for conginetal anomalies:

Done at 15 weeks?

 Case (hypogastric) :
Fibroid

 wrong about endometrial prolapse?

More common in whites?

 The narrowest pelvic inlet

Obstetric conjugate

 Pregnancy is a contraindication in:

Pulmonary HTN

 Correct :
Misoprostol (PGE1) is a medical treatment of miscarriage should not
be given if the patient has history of bronchial asthma

 Transvaginal US is more comfortable for the pregnant woman?

 Not considred a sensitization event?

Trans vaginal US

 Right about RH isoimmunization:

It should be offered after sensitization events
 Correct :
A)Transcervial CVS is associated with less maternal discomfort

 The idea of Rh disease is:

Formation of antibody against an isoantigen

 Cord prolapse with ruptured membrane ?

 first is: ways to prevent rubella except: vaccination during the 1st
trimester
 The 2nd: wrong about rubella —> causes conducive hearing loss

 One is correct:
Grade 3 laceration affects the anal sphinctor

 Best way to dx endometriosis

Laproscopy

 Not a risk factor of something?

DM in 2nd degree relative

 First sign of uterine rupture? Non reassure fetal ..?

 Not an indication for something ( i cant remember what)

DM?

 Is considred abnormal:
40% motility?

 Not a sign of endometrial prolapse?

  Q : which is wrong about VTE?

the risk in purperium period is 10 times

B-if doppler US is negative & clinical suspicion is high..then LMWH is
still needed (answer is A or B..not sure)

 Not an anatomical cause of AUB? Ovulation

 Wrong about valvar ca: occurs in 1000 women per year in UK

 Wrong about premature ovarian failure:

COCP can be used instead of HRT

 When to screen for GDM:

Previous hx of unexplained stillbirth

 mcc of postmenopausal bleeding >> atrophic vaginitis

 Most common cause of amenorrhea at 18 yrs old?

hypothalamic pituitary dysfunction

 with respect to postmenopausal bleeding :

A-endometrial Ca increases with age

B-incidence at age 80 is higher than age 50
C-endometrial Ca is the most common cause
D-endometrial biopsy is needed in all cases
E-vulvar cancer is not an identified cause
 The most common cause of secondary amenorr IN SINGLE ?
PCOS

 Seizure Immediate next step ?

Airway secure ?

 A Q about bleeding and pain and mass of size 16 weeks? Fibroids?

 Which is true about ovarian tumors?

Mucinous,serous,endometroid & clear cell Ca are surface
epithelial tumors

 There was a question about when not to induce labor, was it

something related to a pregnancy <28 weeks?

 Tender uterous: Hagar sign

 A question about which feature is not of a complex ovarian cyst

1.Ascites
2.multilocular
3.bilateral
4.solid components
I don’t remember the right answer, small maybe

 There was a Q about the wrong sign of obstructed labour? What

was the answer

 Something about fetal circulation

right atrium has the most oxygenated blood

 Conservative management of urinary incontinence is the best

method in a woman who is
 completed her family
6 weeks postpartum
breastfeeding
had one previous CS

 Question about role of giving steroid in prenatal period , which

wrong :
A-Reduce the perinatal mortality
B- Reduce RDS
C- Reduce IVH
Betamethasone is given between 20 and 32 weeks
Answer : D

 There was a question about menstrual Cycle which right :

A-Normal volume 80ml
B- Cycle in woman 20-25 years more regular than cycles in woman
30-35 (sth like that)
I don't remember Other choices
Answer ?

 Utrain atony causes exept

Epistomy
B...

 In the management of of placenta previa, one is correct:

TV scanning is used in obese women as there are fewer problems
with soundwave attenuation

 All of the following are the effect the pregnancy to preexisting

dm except
Easy control ***
Retinopathy
Nephropathy
Increase insulin requirement
Dka

 One of the following is correct about cholestasis:

Ursodeoxycholic acid improves the outcome

 Question about Rh isoimmuzation

One is true
We give 500 IU ….*