4th stage question_60
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القناة تحتوي على أسئلة امتحانات كلية طب الموصل للمرحلة الرابعة دفعة 60
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Regarding the horaeshoe kidney,, one of the is incorect:
1-it's formed by the fusion of the lower pole
2-their ureters pass over the isthmus and partially obstructed
3-renal stasis leads to infection and stone formation
4-it's more common in female
5-it's associated with a congenital condition PUJ obstruction
All the fallowing are about the anal fissure except
_trouma due to evacuate hard stool has no affect to cause anal fissure
_anterior fissure common in female more than male
_posterior fissure common more than anterior
_ The bleeding making blood stream on the stool
_tumor can make fissure ....
Regarding pregnancy symptoms one of the following is correct
A- amenorrhea in healthy reproductive age woman is more likely pregnancy until prove otherwise
B- morning sickness appear at 12 week gestation
_ C_increase frequency at second 2nd trimester
D- advertent breast discomfort begin at 2 trimester
Differential diagnosis of acute abdominal pain
1-Labor pain is most common concern of acute adomen during pregnancy
2-Acute appendicitis pain in R iliac fossa & remain in the righ until end of pregnancy.
3-chorioamnionitis: fever ,abdominal tenderness , offensive vaginal discharge، intact membrane .
4-Urinary retention due to retroverted uterus
5-Acute cholecystitis ......left upper quadrant abdominal pain following fatty meal, nausea and vomiting, Murphy's sign positive.
immunological test of pregnancy used in all of the following except
1/H.mole
2/Ectopic pregnancy
3/Gestational trophoplast disease
4/ choriocarcinoma
5/APH
17 Regarding prolonged pregnancy one of the following is incorrect
A. non reactive non stress test is indication for expectant management
B. sweeping of the membrane between 41-42 weeks is important
C. calculation of gestational age from early visit is important for prevention
D. when the patient reach 42 week the delivery is mandatory
E. CS is indicated in case of fetal distress
Complete abortion no diagnosis if
1)absence vaginal bleeding
2)reteind tissue in US
3)stop pain
4)contracts uterus
5)abortion after 8 week
26.. hyperextension...
A. face presentation
B. breech
C. Shoulder
D. Vertex
E. Footling
REGARDING COMPLICATIONS OF HYPEREMESIS GRAVIDARUM,, ALL ARE TRUE EXCEPT ::
A/Acute renal injury may require dialysis
B/Wernicke encephalopathy due to thiamine deficiency
C/Liver function test are abnormal and result in permanent liver damage
D/Ketonuria due metabolic acidosis
E/Thyroid function tests are abnormal & return after HG resolves.
Q33/Bimanul belvic examination reveals cervix tenderness?
1-missed abortion
2-threatened abortion
3-ectobic pregnancy
4-molar pregnancy
5-noremal pregnancy
1). One of following is the most common for chromosomal abnormalities that associated with miscarriage :
A/ down syndrome
B/ trisomy 16
C/ triploidy
D/turner syndome
E/translocation
According to labour. One of the following is true
1_ partogram is used in third stage of labour
2_ partogram contains only fetal information
3_ variable deceleration due to cord compression.
4-softnes uterus is sign of placenta separation.
5/..
37/pregnant women delivered 5050gm baby in risk of:
a_olighydromina
b_maternal risk of shoulder dystocia
c_the baby at risk of Neonatal hyperglycemia
d_The woman had excellent level of blood sugar
e_non of above
the most effective anesthetic procedure for pregnant woman in the second stage is :
A-Intravenous pethidine
B-Intravenous morphine
C-sympthatic trunk block
D-paracervical block
E-pudendal nerve block✨
Clinical features of complete Hydatidiform mole all except:
A_Vaginal bleed
B_Lower abdominal pain
C_Excessive Vomiting of pregnancy
D_Expulsions grape like vesicles per vaginam
E_History of quickening *
31 _ Regarding the criteria of OVD what is not recommended
A- Adequate anesthesia
B- Experienced personnel
C-Check the position
D- Empty the bladder
E- Tocolytics
A pregnant woman presents to the hospital with cervical dilation 5cm. After two hours, the dilation remains 5cm. She has 4 uterine contractions in 10 mins and they were 42, 40, 45 and 47 successively. After additional two hours it remains 5cm. The best option is
A-cesarean section
B-operative delivery
C-inductiom with pictoin
22- The c.s indicated in twin pregnancy except:
Transverse presention of first twin
Vertex presention *
Conjoined twin
Previous two cs
Breech presention of first twin
