Hope academic team

OBS GYN wateen 6th year

Q incubation period of rubella

Q neisseria gonorrhoeae regimen

1 gm IM single dose ceftrixone

Q. Pt choose active management of labor

What to choose
Oxytocin 5 iv
Oxytocin 10 Im
Oxytocin iv infusion
Others
Answer : Oxytocin 10 Im

Gestational cholestasis all true except

1. Lft every 2w
3. Us and NST to predict/prevent fetal mortality
5. Recurrence up to 90 %
Ans 3

Q. Gestational thrombocytopenia one is false

Maternal bleeding *
Plt >70,000
3rd trimester
Resolve postpartum 1 m
Mcc of skin infection post cs
Staph *
Strep
Enterococcus

One of the following statement is right regarding fetal wellbeing:

- detailed anomaly scan usually done at 18-22 week

Most common pop

Ant wall *
Post
Uterus

Q pt 48 multigravida came with incontinence

What is the most likely cause
Stress incontinence
Urge incontinence
Others

Pt with incontinence, choose the first investigation to do

UA , culture *

Pop score third raw

3 , 0 , -7 dx??
Third degree rectoccele
Amniocentesis at ?
After 15 w

All features regarding turner syndrome is true except?

- endocrine hyperthyroidism *
- the rest of options same as slides

Endometrial hyperplasia with atypia ?

TAH + BSO

Cord prolapse RF except

Post date / term
lbwt
premature
Ans most likely post date

Endometrial thickness of 15mm , next appropriate step?

Biopsy

All false about soft marker except:

Ventriculomegaly (10mm or greater)

Gestation DM : 40+6
Name of criteria of pcos: Rotterdam

GDM F/u :
- FBG 6-13 week *
- oGtt 6- 13 week
- oGtt at 13 week
- FBG at week

DM monitoring after delivery :

Fasting glucose 6_13 week

Molar pregnancy: p57

2 GDM cases
Pt w fhx of gdm who underwent fasting and OGTT which show
hypercalcemia, choose the right mx
Exercise insulin +- metformin

Other q about postpartum sugar measurement , when to back for sugar

level measurement?
Fasting sugar 6-13 w postpartum

High risk of crvaical ca except :HPV 40

A pt was dx w GDM, many many things the summary is that on lab test
it reveled
FBG 7mmol
And 2hour 8.9 mmol
Appropriate ttt?
Diet , exercise insulin-/+ metformin

Question about EDD

A pt was dx w GDM, many many things the summary is that on lab test
it reveled
FBG 7mmol
And 2hour 8.9 mmol
Appropriate ttt?
Diet , exercise insulin-/+ metformin

Regarding primary amenorrhea which of the following is wrong ;

Absent breast with high FSH : CAIS

Q about calculating the Ovulation day of a 33 long cycle ?

19

Wrong about eclampsia

- complicate 15% of preeclampsia*
All below required criteria for vaginal delivery of a breech baby except:
- The fetal head is extended *

All true except: decrese TBG in pregnancy

Criteria for vte in pregnancy

1- well criteria
2-modeifed well criteria ***
3- Sydney

All are true about transfusion through placenta except

Insulin can cross placenta ***

There was a question regarding the guidelines of something I can’t

remember it’s name :
- I think the answer was increase the number of readmission

Risk factor for endometrial cancer ?

Smoking
Pcos
Clomaphine
induce ovulation by tomaxifin
All increase risk for vulvar cancer
Early menapuse
Smoking

All with non immune hydrops except:

Cardiovascular disease
Twin to twin transfusion syndrome
Infection
Red cell alloimmunization

Rubella IgG+ and igM + :

Acute infection
Chronic infection

According to androgen antagonist all true except:

-5a reductase more potent than others
-2ry monotherpy or combination with OCP in sever cases
- can be combined to prevent feminization to male fetus
-all can be combined prevent feminization to male fetus

Fitz-Hugh-Curtis syndrome and ophthalmia neonatorum:

Chlamydia
Risk factor for cord prolapse except:
Prematurity
Low birth weight
Breech
Multiparty

Vulvar White discharge and epidermis atrophy

Lichen sclerosis

Most common ca of cervix

Sq.cell?

False about hyperemisis gravidarm :

not associated with ketosis

Most common histological type of cervical ca : SCC

HPV 16 +18 cause 50% of all cervical ca

Sth about anal sphincter injury asking about the wrong statement
Mediolateral episiotomy increase the risk
False about thyroid :
T4 20 time more than T3
Bound to (TBG) =70%
Stimulation of TSH receptor by HCG
anti epiliptic not enzyme induced :

Not caused by IUGR:

Hyperglycemia?

false about IUGR :

cause hyperglycemia

Very old female who had prolapse not improved with pessaries:
Do nothing?
Surgery idk what it was?

One is incorrect about prolapse:

Procedentia is only anterior vagina

90y female with urine leakage

difficult to used pessaries :

Right order is
Descent/flexion/internal rotation/extention
Suspected ectopic pregnency with 2*2*2 fluid in peritoniuem, what to
do?

oxytocin : antidiurtic effect

Decreases in normal pregnency:

Tidal volume
Vital capacity
Functional inspiratory volume
Answer: vital capacity?

Most common part to prolapse:

Vagina
Cervix
Uterus
Answer: vagina?

Female with confirmed miscarriage, she was stable

What is best thing to do?
Expectant (wait 7-14 days)

Q about hirsutism and its management, what is false?

All drugs you should give with them OCP to prevent fetus Feminization
Q about white, ithcy vulvar lesion, with atrophy of epidermal and
hyalinization of dermal. Most likely Diagnosis:
Lichen sclerosus

Regarding physiology changes in pregnancy, which is incorrect: increase

inspiratory reserve volume

Q about thrombocytopenia in pregnancy, which is false:

-mild it platelets more the 70,000
-resolve within 1-2 months after delivery
-can't differentiate btw ITP & Gestational Thrombocytopenia
-CTG and US is reliable method for monitoring the baby
-Female typically present with Vaginal bleeding

84 female with vaginal vault prolapse after hysterectomy what to do?

-Vaginal sacrospinous fixation
-abdomial surgery
-Colpocleisis (answer)

Regarding fetal Membrane Transfer (sth like that) which is incorrect:

- glucose and cortisol freely pass through placenta
-Insulin can pass through placenta (answer)
Ovarian torsion manegment:
-untwesing
-untwesting with fixation the ovary
What is right:
Endometrial cancer increase with age

Associated with ovarian cancer:

BRAC1
primary Breast cancer

Simple endometrial hyperplasia in PCOS patient,what the

association,cause?
-Anovulatory cycle
-hyperprolctenoma

most common association with endometrial hyperplasia.

Vomiting,blood pressure 146/95 Protine +1,manegment,31 gestational

age?
-admission and see if she need antihypertensive drug.
-labetalol,corticosteroids,plan for delivery
-reassess her 2-3 times per week.

What is right:
-placenta abruption diagnose by US
-placental abruption can have NORMAL vaginal delivery
-major PPH more than 500ml
PPH manegment,except:
IV fluid
Keep the patient warm and flat
-prepare her for hysterectomy

Preaqustation instrument,except:
- full bladder

Most common cause of multipara prolonged labor fetal malposition

In follicular phase the estradiol and inhibn B

What is wrong:
HRT decrease vertebral fracture but not hip fracture

What is right:
HRT increases breast and ovarian cancer in 35 women.

All cause primary ovarian fauiler except:

Addison
Malaria

What is right about precious puberty?

-macune Albright central cause
-central cause due to hypotrphin 75% of the causes

cervical dilation 1cm and thickness 1 cm station 0 cervix soft what is

best next mx ?
Pg1
Pg2
Oxytocin and and amniotomy
Membrane sweeping

About hirsutism one is true

Terminal hair growth due to increase androgen production only
Vellum hair growth due to hereditary only

Fibroids prevelance:
70% in white women and 80% in black women

AUB manegment: Mirena

Question about what wrong about Methotrexate:

- Methotrexate use because trophoblast cell regenerate in high rate.
-Methotrexate cause increase miscarriage after use it in ectopic
pregnancy.

CTG detect all except?

-mother heart rate*
-fetal heart rate
-mother contraction

What is right about contraceptive?

-she can use breast feeding exclusively without presence of vaginal
bleeding as a tool for contraception.

In young female patient with AUB,what should I order?

-coagulation studies

Regarding COVID-19 in pregnancy, which is incorrect:

COVID-19 infection is an indication for CS

The name of criteria for diagnosing PCOS: Rotterdam

Name of VTE diagnosis Criteria:

modified Wells