Mcqs Acemedix Flashcards
- The following are possible causes of Polyhydramnios, EXCEPT:
Diabetes
Multiple pregnancy
Fetus with duodenal atresia or neural tube defect
IUGR
IUGR: Explanation
All other condi/ons are causes of polyhydraminos. IUGR is associated with oligohydramnios
- Screening is most effective in preventing which of the following cancers:
Vulva.
Cervix.
Endometrial
Ovary.
Answer:cervix
Cervix cancer screening is preventive. The cancer of cervix has a long latency period. A lot can be done while screening including treatment
- Regarding missed abortion, all of the following are CORRECT, EXCEPT:
A.Patient may present with loss of the symptoms of pregnancy
B.Per vaginal bleeding may be one of the presenting symptom
C.Immediate evacuation should be done once the diagnosis is made
D.Disseminated intra-vascular coagulation may occur as a sequele of missed abortion
C: immediate evacuation should be done once the diagnosis is made
Explanation
Missed abortion is defined as unrecognized intrauterine death of the embryo or fetus without expulsion of the products of conception. Women experiencing a missed abortion may have no self-awareness due to the lack of obvious symptoms. Patient may experience lack of pregnancy symptoms. It can be treated by expectant management, medical management or surgical evacuation.
A number of investigation have to be done after diagnosis. Also, Management will depend on the age of Gestation. Immediate evacua/on is incorrect
4.A 25-year-old primigravida with 8 weeks threatened abortion, ultrasound would mostlikely reveal.
A.Feral heart motion in the adnexia
B.Empty gestational sac
C.Collapsed gestational sac
D.An intact gestational sac with fetal
D: An intact gestational sac with fetal
Explanation
A threatened Abortion doesn’t affect the gestational sac. Patient just need to be investigated and placed on bed rest.
5.Anti – D is given to all except:
A:External cephalic version
B:Threatened abortion
C:Already sensitized mom
D:Within 72 hours after delivery.
D: Anti -D acts to provide protection against sensitization, it does not work on mothers already sensitized.
- In prenatal infection
A:Rubella can be prevented by administration of rubella vaccine during pregnancy.
B:Toxoplasma is a virus.
C:CMV causes macrosomic babies.
D:HIV virus infects the baby more readily when delivered vaginally than cesarean section.
D: HIV is more likely to be transmitted in vaginal delivery than Cesarean Section which provide close to 100 % protection against the transmission of HIV.
HELLP Syndrome includes all the followings EXCEPT:
Increased LDH
Increased AST.
Increased platelets.
Increased ALT.
Increased platelets: HELLP means Hemolysis, Elevated Liver Enzymes, Low Platelets. Increased platelets is incorrect
- Alpha-fetoprotein is increased in all except:
trisomy
IUFD
Multiple pregnancy
nural tub defect and duodenal atrasia
Trisomy: Alpha feto protein is elevated in conditions like neural tube defects, cancers, multiple pregnancies. But it is low in Trisomy 13, 21
- The second stage of labor:
Effacement of the cervix.
Expulsion of the placenta.
Dilation of the cervix.
End by delivery of the baby
D:End by delivery of the baby
The Second stage of labour starts from full dilatation to deliver of the baby.
10.Which is a gonadotropin :
FSH
estrogen
oxytocin
progesterone
FSH: Gonadotropin are hormones that stimulate the gonads including Follicle Stimulating Hormone Lutenizing Hormone.
Most cause of maternal mortality in developing world is:
Thromboembolism.
Postpartum hemorrhage
Septic.
Cardiac disease.
Postpartum hemorrhage: Postpartum Hemorrhage is the most common cause of maternal mortality in developing countries according to WHO.
- Which of the following is an absolute contraindication to the use of COCP?
Varicose veins.
DM.
Seizure disorders.
Recent history of deep venous thrombosis.
Answer: Recent history of deep venous thrombosis:
COCP contains both estrogen and Progesterone. Estrogen increased the risk for Deep vein thrombosis. A recent history of Deep Vein Thrombosis
13.Postulated mechanism of action of IUD includes all the following, EXCEPT :
Alter the cervical mucous.
Alter the tubal motility.
Alter the endometrium.
Inhibits fertilization.
B:Alter the tubal motility
D - it doesn’t alter tubal motility. This is the most correct answer.
Intra Uterine device works by the following mechanism by inhibiting fertilisation, altering cervical mucus, affecting the endometrium
14.Feature characteristically associated with imperforated hymen in a 16 yearold girlinclude :
Acute retention of the urine
Absence of secondary sexual characteristics.
Hirsutism.
Short stature.
A:acute Retention of the urine: Imperforate hymen usually present with an obstruction to the menstrual follow. Most times symptoms are noticed after puberty in female. The most likely answer is that it may sometimes present with acute urine retention. It doesn’t affect the normal sexual development of the female .
- Contraindication of COCP, EXCEPT:
Previous DVT
Previous CVA
Family Hx of Breast Carcinoma.
35 Y, smokes >15 cigarette per day.
D:35y smokes )15 cigarettes per day
16.All the followings can be transmitted sexually EXCEPT:
HIV.
Chlamydia.
Gonorrhea.
Vaginal Candidiasis.
Answer:vaginal candidiasis Vaginal Candidiasis is not sexually transmitted disease. It is caused by a fungi Candida albican. It occurs commonly in immunosuppressed patients. All other options are sexually transmitted infections.
Menorrhagia is:
A:Intermittent irregular vaginal bleeding
B: Commonly presents as postmenopausal bleeding
Heavy menstrual cycle more than 80 ml
C;Infrequent spaced cycles every 45 days
D:Heavy menstrual bleeding
- Regarding injectable progesterone contraceptive, all of the following is true, EXCEPT:
Medroxyparogesterone acetate is the most commonly used
May cause irregular uterine bleeding
May cause amenorrhea.
Should not be given to lactating mother.
Answer:shouldn’t be given to a lactating mother
Injectable progesterone contraceptive causes amenorrhea, irregular uterine bleeding. MDPA is the most commonly used and it can be used in lactating women.
Which of the following factors predispose to genital prolapse:
Multiparty
Pelvic inflammatory disease
Endometriosis
Repeated Candidiasis
Answer: multiparty- Explanation
Genital prolapse is due to excessive stress placed on the pelvic support, muscle and ligaments. This make them weak causing organ prolapse. Multiple parous experience predispose to this.
- Urge incontinence
A:Patient loses small amount of urine.
B:Can be diagnosed with stress test.
C:Can be treated medically.
D:Is due to pelvic anatomic defect.
Answer:can’t be treated medically
Explanation
The most correct answer is it being treated medically with both bladder training and pharmacological treatment - Alpha -1adrenegic antagonist. Mirabegron
- Early clinical evidence of magnesium sulfate toxicity would show:
Flushing
Diplopia
Decreased oxygen saturation
Loss of deep tendon reflexes
Answer: loss of deep tendon reflexes
: Explanation
The earliest sign to look out for when monitoring for MgSO4 toxicity is the reflexes. Toxicity of magnesium sulphate causes the loss of these reflexes.
