SMLE 11 (obs)

Question 1

4. Asking pregnant women with no remarkable history on pregnancy came on 34 -
   37 not sure
   The test results was ketone bodies positive and protein I think
   BP and everything was normal The option was
   A. CS
   B. observation
   C. induction of L

Answer 1

C. induction of L

Question 2

11. pregnant diagnosed placenta previa what is the most associated with it
    A. post coital bleeding spotting
    B. profuse bleeding at the first episode
    C. -?

Answer 2

If as presentation or symptoms&raquo_space; B
If as a complication&raquo_space; A

Question 3

16. pregnant 12week have cervical lesion what to do
    A. pap smear
    B. cone biopsy
    C. Colposcopy
    D. ?

Answer 3

C. Colposcopy

Question 4

18. Pregnant woman at known to have seizure disorder on phenytoin ما كتبو ال GA
    what to do about her medication?
    A. switch the medication
    B. continue the medication
    C. decrease the dose
    D. increase the dose
    Another recall: Pregnant woman at 12 week gestation known to have seizure
    disorder on phenytoin (last seizure attack 6 years ago), what to do about her
    medication?
    A. switch the medication
    B. continue the medication
    C. decrease the dose
    D. increase the dose

Answer 4

…..

Question 5

20. Female pt with vaginal candida, which following disease she has?
    A-DM
    B- HTN
    C- Epilepsy

Answer 5

A-DM

Question 6

24. Standard therapy for PPH due to uterine atony?
    A-oxytocin
    B-ergot

Answer 6

A-oxytocin

Question 7

25. 37 year old female pt g8 p7 at 36 weeks of gestation had previous recurrent
    postpartum that required blood transfusion.
    She is medically free
    What is the most appropriate preventable measure in delivery?
    A- deliver the patient in Operation Room
    B- elective cs in 38 week of gestation
    C- start active management in 3rd stage of labor
    D- give preload crystalloid fluid in labor to over come postpartum hypovolemia

Answer 7

C- start active management in 3rd stage of labor

Question 8

26. Management of PROM in active herpes simplex virus
    A CS
    B IV acyclovir

Answer 8

…. B IV acyclovir

Question 9

27. Case of PROM at 37 weeks when to give antibiotics?
    A- prior to delivery
    B- Postpartum

Answer 9

…. A- prior to delivery

Question 10

28. Pregnant in 34 week of GA came with labor pain admitted, she had PROM 4
    weeks ago , O/E cervix is 3 cm, there is clear liquor, Ask about next step?
    A- Emergency CS
    B- call Anastasia and deliver pt
    C- Wait until 37 weeks
    D- give her corticosteroids

Answer 10

……. B- call Anastasia and deliver pt

Question 11

30. Female had infertility for 6 years, complains of severe dysmenorrhea
    A-Leiomyoma
    B-Endometriosis
    C-Adenomyosis

Answer 11

B-Endometriosis

Question 12

31. Nullipaurs with menorrhagra and occasional dysmenorrhea want
    contraception what to give
    A- ocp
    B-Depo injection
    C- vaginal ring
    D- progesterone only pills

Answer 12

A- ocp

Question 13

32. 44 female c/o dysmenorrhea + menorrhage Pelvic exam revealed uterus
    symmetric enlarge and tender endometrial biopsy normal
    A- adenomosis
    B- endometriosis
    C- sarcoma
    D- liomyoma

Answer 13

A- adenomosis

Question 14

36. Fungal infection in pregnant lady how to treat?
    A. Oral antifungal
    B. Topical antifungal

Answer 14

B. Topical antifungal

Question 15

38. Pregnant with herpes treated with Acyclovir. Rationale of acyclovir usage?
    A. Increase immunity of the mother
    B. Decrease placental transmission
    C. Decrease herpes simplex virus infection
    D. Decrease shedding of the virus and duration

Answer 15

D. Decrease shedding of the virus and duration

Question 16

91. Sickle cell trait, what’s the most common complication during pregnancy?
    A- IUGR
    B- Chest infection
    C- Preeclampsia
    D- UTI

Answer 16

D- UTI

Question 17

96. Screening for bacteriuria in pregnancy ?
    A. 12 weeks
    B. 25 weeks
    C. 30 weeks

Answer 17

A. 12 weeks