MCQ2017

Question 1

classic triad of pulmonary embolism

Answer 1

1. hemoptysis
2. pleuritic chest pain
3. dyspnea

Question 2

common physical signs of PE

Answer 2

tachypnea >16breaths/min

Question 3

dehydration in preterm cause

Answer 3

1. premature contractions

2. uterine irritability

Question 4

indication for non-stress test (NST)

Answer 4

1. high-risk pregnancies at 32-34w gestation

2. decreased of fetal movements

Question 5

non-stress test NST

Answer 5

• reactive (normal) = in 20 min has at least 2 accelerations of fetal heart rate of at least 15beats/min above baseline and lasting at least 15s each
• if <2 accelerations noted in 20min => nonreactive (abnormal)

Question 6

most common cause of nonreactive NST

Answer 6

fetal sleep cycle ;

vibroacoustic stimulation used to awaken the fetus and allow a timely test

Question 7

antiphospholipid syndrome clinical presentations

Answer 7

1. thrombotic episodes
2. thrombocytopenia
3. pregnancy loss

Question 8

3 antiphospholipid antibodies

Answer 8

1. the biologic false positive test for syphilis
2. lupus anticoagulant
3. anticardiolipin

Question 9

Ristocetin assays

Answer 9

used to evaluate for Von Willebrand’s disease, often presents as easy bleeding or oozing from mucosal surfaces

Question 10

fetal fibronectin

Answer 10

done between 22 and 34 w of gestational age when preterm labor considered

Question 11

complete placenta previa

Answer 11

placenta completely covers the internal os

Question 12

partial placenta previa

Answer 12

placenta partially covers the internal os

Question 13

marginal placenta previa

Answer 13

placenta is near the internal os

Question 14

vasa previa

Answer 14

fetal vessels (umbilical cord) cover the internal os

Question 15

eclampsia

Answer 15

1. seizure or coma
2. HTN
3. facial edema
4. headache

Question 16

pelvic inflammatory disease in pregnancy (abdominal tenderness, cervical motion tenderness and adnexal tenderness)

Answer 16

IV Clindamycine and Gentamicine and hospital admission

Question 17

septic abortion SxS

Answer 17

• fever, chills, abdo pain and bloody purulent vaginal discharge
• exam : lower abdo tenderness and enlarged , tender uterus w dilated cervix

Question 18

septic abortion mgmt

Answer 18

1. cervical and blood cultures
2. antibiotics
3. gentle suction curettage

Question 19

androgen insensitivity syndrome (testicular feminization syndrome)

Answer 19

• genetic defects leading to abnormal androgen R function
• genotypically males (46,XY) but phenotypically females w breasts(undeveloped nipples and pale areolae) n no external male genitalia
• no internal female organs bcoz mullerian-inhibiting substance present during development
• no external male organ , testicule exist intra-abso

Question 20

androgen insensitivity syndrome (testicular feminization syndrome) mgmt

Answer 20

bilateral gonadectomy ; if not risk gonadal malignancy

Question 21

pelvic inflammatory disease (PID) SxS

Answer 21

1. fever >38C , N, V
2. leukocytosis
3. elevated erythrocyte sedimentation rate
4. purulent cervical discharge
5. adnexal tenderness
6. cervical motion tenderness
7. lower abdo tenderness

Question 22

pelvic inflammatory disease (PID)

Answer 22

common cause of infertility in women age <30 with normal menstruation

Question 23

pelvic inflammatory disease (PID) if left untreated may lead to

Answer 23

1. tuba-ovarian abscess
2. abscess rupture
3. pelvic peritonitis
4. sepsis

Question 24

pelvic inflammatory disease (PID) mgmt

Answer 24

inpatient tt cefoxitin or cefotetan/doxycycline, and clindamycin/gentamicin (all intravenous).

Question 25

preterm premature rupture of membranes (PPROM) between 24 and 34 w tt

Answer 25

Steroids (Betamethasone) used to enhance fetal lung maturity (risk pulmonary hypoplasia)