CBT Flashcards
(126 cards)
1
Q
In the presence of an abnormal CTG, fetal hypoxia and acidosis may develop faster
or may affect the neonatal outcome in the following situations compared with an
averagely grown fetus at term
A
When the fetus has intrauterine growth restriction
2
Q
Concerning decelerations in a CTG
A
A CTG with variable decelerations is categorized as suspicious
3
Q
A young woman comes to you for family planning counseling. She asks you about the mechanism of work of the combined pill. What should you tell her?
A
Combined pill prevents ovulation
4
Q
A P2A0, 35 years old woman comes to you for family planning counseling. She is interested in combined pill. What conditions below are contraindications for combined pills?
A
Smoking
5
Q
You are attending a primigravida, 24 years full term pregnancy who are already in labor. The contraction was 3 times in 10 minutes strong and regular. During the process of engagement what is the position of sagittal suture against the pelvic brim?
A
Transverse
6
Q
You do an abdominal palpation using Leopold maneuver I. What are you going detect?
A
The height of the fundus
7
Q
Mrs P, 30 yo, P1A0 come to your clinic with mass in abdominal, On examination, the upper border of mass is at the middle level between the umbilicus and symphysis os pubicum. Her last period be around 3 weeks ago. On pelvic examination, the consistency of the mass is cystic, mobile in the right abdomen, the uterus with in normal limit in palpation, there is no pain, no blood in vaginal vault, cervix is closed.
The laboratory results are mentioned below.Hb 10,3 Al 4.000 AT 210.000 The most likely diagnosis is?
A
Ovarian cyst
8
Q
A POAO 29-year-old woman presents to your clinic with mass in the abdomen. She has history of prolonged vaginal bleeding when she had menstruation period. She has been married for 4 years. On examination, the uterine fundus is at the midle level between the umbilicus and symphysis os pubicum. Her last period, she should be around 3 weeks. On pelvic examination, there is a solid mass with size 9 cmx 8cm x 7 cm, mobile, there is no mass in the adnexa and no blood in the vaginal vault the cervix is closed.
A
uterine fibroid
9
Q
A 29-year-old woman, gravida 2, para 1, at 38 weeks’ gestation comes to the labor and delivery ward with frequent painful contractions. Her prenatal course was significant for a urine culture that showed 100,000 colony-forming units/milliliter of Group-B streptococci and asthma, for which she uses an albuterol inhaler. Examination shows that she is contracting every 2 minutes and her cervix is 5 centimeters dilated and 100% effaced. Which of the following medications should this patient be treated with during labor and delivery?
A
penicillin
10
Q
A 39-year-old woman, gravida 2, para 1, at 30-weeks gestation comes to the physician for a prenatal visit. The patient’s due date was determined by a 7-week ultrasound. Her prenatal course has been unremarkable. She has no complaints of contractions, loss of fluid, or bleeding from the vagina, and her baby is moving well. Examination demonstrates a fetal heart rate of 150 and a fundal height of 27 centimeters, which is the same measurement as that determined 4 weeks ago. This patient’s fundal height measurement is most suggestive of which of the following?
A
intrauterine growth restriction
11
Q
Menstrual flow is associated with the …
A
withdrawal of progesterone
12
Q
Which of the following is true regarding the normal menstrual cycle?
A
The endometrium is supplied with blood by the spiral arteries
13
Q
Which one is the correct
A
Adrenal gland produce DHEA, ovary does not
14
Q
Which are the enzyme located in the mitochondria
A
P450scc and P450c11
15
Q
A 26-year-old sexually active woman with a past history of gonorrhea complains of severe pelvic pain, vaginal discharge, and febrile. There are rebound tenderness and involuntary during physical examination. Which is the most likely diagnosis?
A
Pelvic inflammatory disease
16
Q
Cervical motion tenderness is associated with peritoneal irritation and is commonly found with which of the following nongynecologic disorders?
A
Appendicitis
17
Q
Seorang perempuan berusia 28 tahun datang ke Puskesmas dengan keluhan
terdapat benjolan kemerahan pada bibir kemaluan. Keluhan dirasakan sejak satu tahun yang lalu. Benjolan sebesar telur ayam, dirasakan gatal dan kadang nyeri. Pasien juga mengeluhkan keputihan yang gatal. Dari pemeriksaan status lokalis vulva didapatkan terdapat benjolan sebesar telur ayam, konsistensi lunak, tidak nyeri tekan. Sedikit fluor, berwarna putih, berbau tidak khas. Apakah kemungkinan diagnosa kasus?
A
kista bartolini
18
Q
Seorang perempuan berusia 30 tahun, G3P3A0, diantar suaminya ke UGD RS
dengan keluhan perut kenceng-kenceng. Ketuban pecah sejak 24 jam yang lalu.Hasil pemeriksaan Leopold janin tunggal, letak kepala, taksiran berat janin 3000 gram, denyut jantung janin 120 x/ menit. Didapatkan his 2 kali dalam 20 menit. Pemeriksaan vaginal toucher pembukaan 4 cm, effacement 50%, kepala turun di bidang hodge Apakah tindakan yang paling tepat?
A
perbaikan his
19
Q
Which of the following is a risk factor for the development of placenta acrreta, increta and percreta?
A
Placenta previa.
20
Q
Which of the following increases the risk of placenta previa
A
prior cesarean delivery
21
Q
What is the term for no visible fetus in the gestational sac
A
Blighted ovum
22
Q
What is the most common ectopic tubal implantation site
A
Ampula
23
Q
Which investigation should be done in the first time for infertility investigation
A
ultrasound
24
Q
Infertility in older women may be due to
A
A higher rate of chromosomal abnormalities that occur in the eggs
25
Which of the following methods for assessment of female fertility during a menstrual cycle can best predict the timing of ovulation
Hormonal study
26
Clomphene citrate-True statements
anti estrogenic
27
Wanita 28 tahun datang ke dokter karena sudah menikah 5 thn yll tapi belum bisa hamil juga. dokter melakukan pemeriksaan fern test pada hari ke 12 dan hasilnya positif. kemudian pasien diperiksa lagi fern test pada hari ke 20 dan hasilnya negatif. apa arti hasil pemeriksaan?
ovulasi
28
Pasien G1POAO muntah2, lama2 semakin memberat, hingga tidak bisa masuk kerja. Usia kehamilan 10 minggu, di USG umur kehamilan sesuai tinggi fundus dan ukuran janin.Diagnosis?
Hiperemesis gravidarum
29
Seorang wanita berusia 35 tahun, P2A0 setelah melahirkan, baru saja melahirkan anak keduanya di bidan. Didapatkan ruptur pada daerah perineum. Dari pemeriksaan, ditemukan robekan dari introitus vagina hingga otot sphincter ani eksterna. Ruptur perineum grade berapakah yang terjadi pada pasien tersebut?
IIIA
30
Perempuan 30 tahun datang dengan keluhan keluar darah sedikit-sedikit dari
kemaluannya. Dari pemeriksaan ternyata diketahui pasien hamil usia 30 minggu dan belum pernah melakukan pemeriksaan kehamilan sebelumnya. TTV dalam batas normal. Kenceng-kenceng (-). Tidak dirasakan nyeri perut maupun nyeri pinggang. Diagnosis pada kasus ini adalah?
placenta previa
31
Post-menopausal women who are overweight or obese who suffered from endometrial bleeding is most likely caused by
Aromatase activity in adipose tissue
32
Where estradiol 17-beta is is produced?
Granulose cell, FSH
33
A mother, P3A0 is visiting a clinic because she has been occasionally leaking urine when she is coughing or sneezing. This symptom disappears when she is having some rests. What is the diagnosis for this patient?
Urinary incontinence
34
A 30 years old woman, G3P2A0 and her husband came to the emergency unit due to labor contractions. She has been leaking her amniotic fluid since 12 hours ago. Leopold examination revealed a singleton with head presentation. The estimated birth weight was 3000 gr and FHR was 120x/min. The frequency of the
contraction was 2 times in 20 minutes. Bimanual examination revealed a 4cm cervical dilatation, 50% of cervical effacement and the fetal head has been descending until hodge 2. What is the appropriate intervention for this patient?
Induction of the labor
35
A 34 year old woman, P3A0 visited a healthcare service due to abnormal discharge from the vagina. The discharge was yellowish and thick. The patient
also suffered from itchiness and burnt sensation on external genital area, as well as painful urination. The patient was still using IUD at that time. A strawberry cervix sign was observed from speculum examination. What might be the most probable diagnosis for this patient?
Trichomoniasis
36
Chlamydial infection is the most common bacterial STI and results in substantial morbidity and economic cost worldwide. Untreated chlamydial infection may cause severe complications in the upper reproductive tract, especially in young women. Which of the following is the complication of the disease?
Ectopic pregnancy
37
Female receptive partner is more susceptible for HIV transmission that the insertive (male). Which of the following is the least likely to be the cause of the phenomenon?
Vaginal fluids contain more HIV on the average than semen
38
Syphillis is a STI bacteria caused by:
Treponema pallidum
39
The drugs listed below are used as treatment for syphilis. Which drug that should not be used for pregnant women treated for syphilis?
Doxycycline
40
Seorang wanita 28 tahun G2P1A0, datang ke rs dengan penurunan kesadaran. Sejam sebelumnya sempat kejang. TD 150/90 mmHg, HR 100x/min, RR 28x/min, terdapat edema tungkai inferior, pemeriksaan laboratorium menunjukkan proteinuria 3+. Diagnosis yang tepat adalah?
Eclampsia
41
Wanita hamil mual muntah, tanda2 hiperemesis gravidarum. Hormone yang menyebabkan keluhan?
Estrogen & hCG
42
Wanita hamil 34 minggu, sebelum nya tidak ada riwayat hipertensi. ANC didapatkan tensi 150/100 dengan proteinuria +2. Apa yang dilakukan?
Rawat jalan dengan pertahankan kehamilan
43
Pasien hamil dengan kejang setelah diperiksa TORCH kemudian diberikan edukasi
Tidak makan daging setengah matang
44
Seorang perempuan umur 24 tahun, G1P0A0 gravid 40mgg, masuk rumah sakit dengan keluhan nyeri perut. Sampai di RS, pasien kejang 2x. dari heteroanamnesis, pasien masih merasakan gerakan bayi. Dari pemeriksaan fisik didapatkan TD 180/120, proteinuria +3. Diagnosis pasien?
Gravid aterm belum inpartu + eklamsia
45
.Peremuan 35 tahun G3P2A0, uk 22mgg. Dating ke poliklinik untuk periksa kehamilan. Nyeri kepala dan penglihatan kabur (+). Riw HT sebelumnya ada tp pasien tidak minum obat teratur. TD 180/100. Proteinuria 300mg/dL. Dx?
PEB superimposed
46
Perempuan 38 tahun datang dengan bidan dengan keluhan perdarahan banyak setelah melahirkan anak ke-7 dengan BBL 4200g. placenta lahir 5 menit setelah bayi lahir. TD 120/80, HR 100, terdapat robekan pada otot perineum. Dx?
Rupture perineum derajat 2
47
Perempuan 28 tahun UK 34mgg, datang ke pkm dengan keluhan nyeri perut disertai keluar lender dan darah. Ibu ditangani dokter dan diberi kortikosteroid. Tujuannya?
Mempercepat kematangan paru
48
Perempuan usia 24 tahun datang dengan keluhan perdarahan pervaginam sejak pagi. Perdarahan bergumpal + nyeri perut. Riw melahirkan 1 mgg yang lalu. Px fisik tanda vital dbn. Px abdomen uterus teraba. Px dalam diperoleh pembukaan portio dan teraba jaringan. Dx?
Retensi plasenta
49
Perempuan 19 tahun, primigravida, tidak tahu HPHT. Px ginekologi fundus uteri teraba setinggi ½ simfisis-pusat. DJJ terdengar Doppler. Berapa perkiraan usia kehamilan pasien ini?
. 16-18 mgg
50
Perempuan 16 thn, datang ke UGD dgn perdarahan dari jalan lahir 3 hari yg lalu. Darah keluar bergumpal dan banyak. Pasien baru melahirkan anak pertama 5 hari yg lalu. Tanda vital normal, TFU setinggi pusat. V/U perdarahan dari kemaluan, banyak, dan bergumpal. Luka episiotomy baik, tidak ada robekan jalan lahir. Dx?
Retensi sisa plasenta
51
Wanita 39 tahun, datang dgn keputihan sejak 3 bulan yg lalu. Pasien menikah 3x, memiliki 5 anak, pertama kali menikah usia 19. Px awal yg harus dilakukan?
Swab vagina
52
Wanita 35 tahun ke UGD dgn perdarahan dari kemaluan saat jalan pagi. Keluhan tidak disertai rasa nyeri. Pasien saat ini hamil 35-36 mgg. TD 110/70, dan px dalam dijumpai perdarahan pervaginam. Dx?
Placenta previa
53
Perempuan 27 tahun datang ke puskesmas kontrol kehamilan anak 3. Anamnesis didapatkan perkiraan usia 7 bulan. Px fisik ditemukan ukuran uterus
lebih besar dari usia kehamilan normal, bagian janin sulit diraba dan didapatkan 3 bagian besar dengan 2 ballotement. Dx?
gemelli
54
Perempuan 20 tahun, ke dokter untuk periksa kehamilan. Saat ini hamil anak pertama dan HPHT 20 juni 2011. HPL?
27 Maret 2012
55
Wanita G3P2A0 28 tahun masuk ke RS dgn keluhan nyeri perut tembus ke belakang disertai pelepasan lendir dan darah. Px dalam pembukaan 5cm, hodge II. Dx?
Kala I fase aktif
56
Perempuan 24 tahun G2P1A0 hamil 12 mgg datang dgn keluhan nyeri perut bawah dan keluar darah. Px inspekulo didapatkan portio tertutup dan lunak. Dx?
Ab imminens
57
Wanita 28 tahun G2P1A0 hamil 38 mgg, datang dgn keluhan nyeri ulu hati dan nyeri kepala. Riw kejang (-). TD 160/100. Proteinuria +3. Penanganan yang tepat?
Infus RL + MgSO4
58
Wanita 38 tahun G3P2A0, datang dgn keluhan bengkak pd kaki. Riw hipertensi sebelumnya tidak ada, kejang (-), TD 180/100. Lab proteinuria +3. Dx?
PEB
59
Wanita 36 tahun G1P0A0 datang ke puskesmas cukup bulan. Px dalam teraba mata, hidung, mulut, dagu. Presentasi?
Muka
60
Wanita 28 tahun ke puskesmas hamil 1 bulan, nyeri perut bawah, nyeri tekan (+), hb 8, hipotensi, takikardia, takipneu, OUE keluar darah, nyeri goyang portio. Dx?
KET
61
Wanita 39 tahun P3A0 datang dengan keluhan perdarahan dari jalan lahir sejak 2 hari yang lalu. Riw persalinan 2 hari yang lalu, TFU 40cm, keluar keputihan berbau dan demam. PF: keluar cairan putih dari vagina. Dx?
Endometritis
62
Perempuan 22 tahun G1P0, UK 28 mgg, sering pusing. Px fisik normal. Konjungtiva anemis. Gambaran morfologi anemia yg paling mungkin?
Mikrositik hipokromi
63
Wanita 46 tahun P5A0, datang untuk melakukan konsultasi program KB. Pasien memiliki asma dan hipertensi. TD 150/100, nadi 90, RR 20. Pilihan kontrasepsi paling tepat?
IUD/AKDR copper
64
Perempuan 34 tahun G3P2A0 hamil 9 bulan dengan tanda-tanda persalinan, dengan riwayat melahirkan normal sebelumnya. Pd leopold III teraba massa yang keras. Setelah dilakukan pemeriksaan dalam didapatkan orbital, hidung, dan dagu. Dagu menghadap anterior. Bagaimana melahirkan janin tersebut?
Spontan pervaginam
65
Sepasang suami istri datang ke praktek dokter umum karena belum dikaruniai anak. Walaupun sudah 6 tahun menikah. Dokter menyarankan untuk dilakukan
px pd istri. Salah satu pemeriksaan nya dengan Sabin-Feldman dye test didapatkan peningkatan IgG yg signifikan. Apakah penyebab kelainan pada istri?
Toxoplasma gondii
66
Wanita 30 tahun datang ke puskesmas dengan perdarahan hilang timbul 1 bulan ini. Sudah melahirkan 2 anak. Riw KB (-), telat haid (-). TTV normal. Px dalam: bimanual: uterus anteflexi, besar, kenyal, adnexa tidak teraba. Speculo: darah keluar dari OUE. Dx?
Perdarahan disfungsi uterus
67
Wanita P5A0, pasca melahirkan 1 jam mengalami perdarahan hebat. Mengeluhkan pusing, lemas, dan tampak pucat. Tanda vital TD 100/80, HR 120, suhu 36.0. Hb 8. Apa tindakan awal yang harus dilakukan dokter? PPH, syok derajat 2. Pertama dilakukan resusitasi, baru cari et perdarahan.
Resusitasi cairan
68
Pasien 28 tahun P1A0 ingin memiliki anak. Pasien ini ingin agar anak pertama dan kedua memiliki rentang usia 2 tahun. Saat konsultasi ke dokter, wanita tersebut ingin menggunakan kontrasepsi oral kombinasi. Apa efek samping kontrasepsi tsb?
Choalasma
69
germ cell selesai week brp?
8
70
G2P1A0 H38 minggu dateng dgn PPV gumpal hitem nyeri. Dx? Perdarahan pada kehamilan tua etiologinya: plasenta previa, abruptio plasenta, vasa previa
. Abruptio placenta
71
Tx abruptio placenta
Stabilisasi trs rujuk ke SpOG
72
G1P0A0 H22 minggu ngeluh lemes pucat. Conjunctiva anemis +. Lab Hb 8.7, MCV 72.1 MCH lupa. Causa dari kasus ini? Microcytic
Increase blood plasma volume (hemodilution)
73
Usia 22th P1A0 dateng ngeluhkan keluar cairan dan gatal pada kemaluan. P/D tdk terlihat massa. Dilakukan swab pada discharge yg keluar dan hasilnya clue cell +. Bakteri apa yg menyebabkan kondisi tsb
a. Bacterial vaginosis → cells (+), amine/whiff test (+), discharge : abu2, putih/kuning, fishy odor
74
Tx bacterial vaginosis
Metronidazole 2gr PO single dose
75
P1A0 sexually inactive, mens teratur, tetiba ngeluhkan nyeri perut kiri saat sedang Yoga. TFU setinggi umbilikus, nyeri goyang serviks -, discharge -. Dx?
Torsio ovarium
76
Seorang ibu ingin pake COC pill 21 day pack. Apa yg km konseling kan?
Setelah semuanya abis, berhenti dulu 7 hari baru mulai pack yg baru .
77
Mana yg benar ttg ovulasi
14 days before menstrual flow
78
Variabilitas CTG normal
5-20
79
Semen analysis is important to detect infertility. Which of the following has the least clinical important analysis
Sperm survival rate
80
Estrogen is produced by which organ:
ovary
81
Maximal latent phase nulli para?
20 jam
82
Chronic pelvic pain adl
nyeri non cyclic, lebih dr 6 bln, ada functional disturbance, pelvic area
83
Tanda paling awal dari cervical cancer
Vaginal bleeding
84
Sample yg paling penting diambil utk screening ca cervix
Squamocollumnar Junction
85
35 th, mens terakhir 10mg yg lalu, uterus di antara simfisis dan pusat. Pemeriksaan dalam tampak cervix lunak dan seperti vesikel air. Beta hcg 80.000. Diagnosis?
Uterine fibroid
86
Tx mola
suction curettage
87
Px mola
USG
88
Yg paling sensitif utk ngitung gestational age
FL
89
P1A0 minum COC (combined oral contraceptive). Sudah minggu ke 2 pake COC terus lupa minum COC 3 hari berturut turut. What to do next?
Minum 1 pil sehari (tetep)disertai dengan penggunaan kondom utk 7 hari kedepan
90
G1P0A0 H 10mg, PPV dan nyeri. Pemeriksaan dalam OUE terbuka dengan sisa jaringan di oue, ada darah keluar. Dx?
incomplete abortion
91
8th P2A0 merasa ada masa di vagina, ngeden ketika BAB terasa keluar. Ketika bedrest masuk lagi. Pada saat pemeriksaan valsava maneuver uterus keluar seluruhnya. Dx
Prolaps uteri grade 4
92
Wanita 27 tahun sexually active, amenorrhea, mengeluhkan massa di abdomen. P/D teraba masa solid mobile tanpa PPV dll. Dx pr
Uterine solid tumor
93
TFU setinggi mid umbilicus - symphysis pubis. Week?
16
94
oncearning ultrasound examination, what is the normal range for normal range for normal amniotic fluid?
5-25 cm
95
A woman came to see you seeking for advice because she would like to start using combined pills in her 2nd week of menstrual cycle. How would you advice her?
e. You can start any day of the menstrual cycle if we can be sure you aren’t pregnant and use condom for the next 7 days
96
You check the fetal heart rate using monaural stethoscope. WHat is the normal range for fetal heart rate?
120-160/minute
97
A 28-year-old woman presents to your clinic with mass in the abdomen. On examination, the uterine fundus is the middle level of the umbilicus and symphisis os pubicum. She has not having menstruation for 4 month. By her last period, she should be around 16 weeks gestation. On the auscultation there is no paon and the cervix is closed. The lab then calls you to say that her serum β-hCG result is greater than 80.000 mIU/mL. The most likely diagnosis is?
16 weeks of pregnancy
98
19 years old primigrivida comes in emergency at 32 weeks of gestation. She is complaining of vision, gross edema. On examination her blood pressure is 170/115 mmHg. What is the most likely diagnosis
Preeclampsia
99
Which of the following is not a cause for anovulation
Propanolol
100
Which of the following is true regarding the anovulatory cycles?
May be due to polycystic ovary syndrome
101
Dyspareunia is a frequent gynecologic complaint reported by up to 20 percent of reproductive-aged. It can be subclassified as superficial or deep. Which of the following condition is mostly associated with deep dyspareunia?
c. Endometriosis
102
A 38-year-old G2P2A0 reports cramping and low back pain during menses since menarche at age 12. Thorough evaluation fails to reveal any specific pelvic abnormality or other cause of pain. Which of the following terms best describes her cyclic menstrual pain in the absence of identifiable pathology?
Primary dysmenorrhea
103
During the physical examination or chronic pelvic pain, the examination technique shown here should be included. During this examination, nodularity of the uterosacral ligaments is most commonly palpable with which of the following conditions?
endometriosis
104
A 39-year-old woman, P5AO, has just given birth in a delivery room. One hour ago the patient was bleeding and changed 2 cloths. On the examination, there was decreased consciousness. Examination of vital signs, blood pressure 90/palpation, pulse rate 120 x/minute, fast and weak. What is the most appropriate first action?
b. Cardiopulmonary resuscitation
105
A 54 years old multiparous woman was brought by her family to the emergency room because vaginal bleeding. The bleeding started 5 days ago. The patient has not had menstruation since 5 years ago. Physical examination BMI = 32 kg/m2. Gynecological examination of the anteflex uterus with normal size, smooth cervix, no mass in the adnexa. Pregnancy test (-). Class I Pap smears, cervical atrophy. What is the most likely cause of the bleeding?
endometrial carcinoma
106
What is the most likely immediate obstetric management if a patient is not in labour, with 1 cm cervical dilation?
Go home. Outpatient follow-up at the outpatient clinic.
107
Successful pregnancy requires a complex sequence except
Induction ovulation
108
Capacitation of sperm is best described by which one the following characteristics?
It includes removal of some sperm surface oligosaccharides while in the female reproductive tract
109
G2P1A0 39 weeks, came reffered by the midwife to the hospital emergency room with complaints of discharge from the birth canal. From the anamnesa, the discharge was felt for 3 hours, a quid, cloudy. Complaints are accompanied by increasi frequent loudness, blood and mucus discharge, fetal movements are felt strongly. From the physical examination, blood pressure was 120/80, pulse 80x/minute, RR 20x/minute, temperature 36.7 C. Internal examination found complete opening, head presentation, amniotic membranes -, right back, Hodge 3+, his adequate, FHR 162x /minute. History of normal first child delivery. What action is most appropriate?
Terminate pregnancy with a vacuum
110
G1P1A0 UK. 33 weeks had 2x seizures at home before coming to the midwife, KU; enough BP;170/120x/minute, N;90/minute, Tx ;36.8. The diagnosis in this case....
Eclamsia
111
G11P1000Ab000 36 weeks pregnant, discharge from the birth canal, GCS E4V5M6, DJJ 140, BP, 120/90 mm Hg, N; 89/minute, Tax; 37. v/v ; 4 cm dilatation, effacement 25%, amniotic fluid (-), Hodge l, there is compression of the bone, head (+). Doctor will performed....
Observation for 4 hour
112
G1POA0 28 weeks pregnant, came to emergency roon with complaints of discharge from the birth canal, BP; 120/90 mm Hg, N; 89/minute, T; 37. Uterine contractions (-). v/v; no dilatation. What procedure the doctor will perform?
Lacmus test
113
Primigravida women, come to ER with chief complaint headaches with a history of hypertension. BP 150/70. what the therapy for this patient?
Nifedipin
114
A 30-year-old pregnant female patient G2P1 A0 came with complaints of coughing 4 weeks ago, and the patient is currently taking hyperthyroid drugs PTU and Propranolol, doctor want to give rifampicin therapy to the patient. What drug interactions will occur if given rifampicin
Increase the metabolism of hyperthyroid drugs
115
A pregnant woman complains that it is difficul to hold her urine while sitting and is stressed. What's the right examination?
Urinalysis
116
A G2P1A0 woman 28 weeks pregnant comes with complaints spotting bleeding. BP 110/70, Pulse 78x/minute, Respiration 18x/minute, Temperature 37.0 C. On physical examination abdominal tenderness (-). Ultrasound examination revealed that the placenta attaches to the bottom of the uterus. The probable diagnosis is…
Placenta previa
117
A 28 year old woman, 12 weeks pregnant, came to the polyclin for ANC. TORCH serological examination results: IgM Toxo : reactive. IgG Toxo : non-reactive. Rubella IgM : non reactive. Rubella IgG : reactive. IgM CMV : non reactive. IgG CMV : reactive. IgM HSV 1 : non reactive. IgG HSV 1: non-reactive.
What is the interpretation of Rubella serology results?
Rubella infection that has resolved
118
A marital spouse came with complaints of not having children after 3 years of marriage. Husband 30 years on and wife 25 years old. The wife regularly menstruates every month and the husband feels normal. Examination of sperm obtained 3 ml of sperm, white, distinctive odor, 4 million sperm count, 52% good morphology, 30% motility. Diagnosis?
Oligoastenozoospermia
119
An 18-year-old woman consults you for a painful swelling of her left labium that has progressively worsened over the past 3 days. She has been treating the discomfort with over-the-counter analgesics and warmsitz baths. On examination, a 6-cmswollen, red, tender, tense cystic mass is present in the base of the left labium majus. What is the most appropriate next step in the care of this patient?
A. excision of the mass
incision and drainage of the mass
120
A 14-year-old girl is brought to you for evaluation of lower abdominal pain that has been progressive over the preceding 4 months. History indicates that she experienced a growth spurt at age 11 and has had normal breast and pubic hair growth that began approximately 2 years ago. She appears to be of appropriate height. She has no other medical conditions and takes no medications. She has not had a menstrual period and is not sexually active. What is the most appropriate next step in the evaluation of this patient?
pelvic ultrasonography
121
A 21-year-old woman presents to your colposcopy clinic after HSIL,moderate dysplasia was reported on her Pap test at her family medical clinic. She is a heavy smoker with four lifetime sexual partners. She had negative STD testing at her annualexamination, and she has no other complaints. What is therecommended management?
Colposcopy with biopsies
122
A 62-year-old woman presents to the office complaining of watery vaginal discharge and bleeding for the last 2 months. You obtain a Pap test and take a biopsy of her cervical abnormality. The Pap test returns with a reading of SCC,and the biopsy confirms cervical cancer. She also received a cystoscopy for hematuria with positive urine cytology. You order a CT scan, which shows a cervical mass measuring 7.7 x 3 X 5.0 cm as well as an enlarged left internal iliac lymph node consistent with locally metastatic disease. What is the International Federation of Gynecology and Obstetrics (FIGO) stage for her cancer?
Stage IIIB
123
Taking sample for Pap Smear, it is important to take the area which is the most common source of cervical cancer. Where does cervical cancer usually arise from?
Squamocolumnar junction
124
A 25 year old woman G1POA0 32 weeks pregnant cam with chief complaints of bleeding from the vaginal without abdominal pain. The blood looks bright red. On physical examination, vital signs were within normal limits. The fetal heart rate is 146 beats per minute. What is the most appropriate diagnosis in this case?
Placental Previa
125
Seorang wanita usia 30 tahun, melahirkan anak ke-2, 1 bulan yang lalu. Datang ke dokter untuk melakukan pemasangan IUD, hari ini adalah mens hari ke-3. Dalam proses pemasangan IUD, teknik yang dilakukan seorang dokter pada saat mengukur rongga rahim adalah
No touch
126
Your patient decides to continue using condoms and spermicide She is aware of the 95% effectiveness when spermicide is used. Several months later, she calls your office 35 hours after having unprotected sexual intercourse and is very concerned about becoming pregnant. You prescribe her Plan B for emergency contraception. It can be effective if administered up until how long after intercourse?
72 hours
