BATCH 23 MEDICAL UST #دفعة الدكتور حسن العريفي

Module 4

Module 2

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40- The investigation of choice in a 60 years old woman with postmenopausal bleeding is: A. Pap smear B. Fractional curettage C. Transvaginal ultrasound E. Calposcopy D. CA 125 estimation.

Which of the following is the best treatment for a suspected dermoid cyst-and the majority of the ovary of the same side is involved-found in an 18-year-old nulliparous woman? A. Total abdominal hysterectomy B. Complete oophorectomy C. Ovarian cystectomy laparoscopically. D. Observation and follow up E. Starts courses of chemotherapy

16-A 32-year-old G2P1presents at 35 weeks of gestation, complaining of leaking per vagina. A sample of pooled fluid seen in the vaginal vault & fern pattern on microscopic evaluation. The patient has a temperature of 104°F and PR = 102 bpm, and her fundus is tender on palpation. What is the next appropriate step in the management of this patient? A. Terminate the pregnancy. B. Advice antenatal fetal surveillance. Administer tocolytics drugs. D. Place emergency cerclage. E. Administer antibiotics 17-A woman with 34 weeks of pregnancy is admitted due to first episode of painless attack of bleeding yesterday. O/E: Hb 11g%, BP 120/70 mmHg, uterus relaxed, and cephalic floating. FHS regular. Next line of management is: A. Cesarean section B. Induction of labor. C. Maternal and fetal observation D. Maternal blood transfusion E. Tocholytic administration

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3-- A primigravid women(143cm height) admitted to the labor room at term. Despite strong contractions, the dilatation after she progresses 1 cm only after 3 hours from admission, abdominal examination reveal a floating (non-engaged head), tense uterus and F.H.R about 100 bpm and passage of green meconium. a-What is your diagnosis? WHAt is the cause of this condition? C-What is your next step and why?

13 -Interstitial uterine myomas most often cause menorrhagia due to: A- Secondary degeneration B.-Rupture into endometrial cavity C.-Pressure necrosis D Inhibition of uterine contractility E. Prolapse

26- The correct statement of thyrotoxicosis in pregnancy A. Hyperthyroidism occur in 2% of pregnancies B. Thyroid stimulating antibodies are risk factor for Graves disease. C. Propylthiouracil (PTU) don't cross the placenta barrier. D. Beta blocker are not useful in treatment of thyrotoxicosis. E. FT4,FT3, TSH are increases in thyrotoxicosis

28-In which of the following pregnancy related phenomena there is no evidence of immunological basis on the fetus : A. Idiopathic thrombocytopenia puerpera. B. Transient neonatal thyrotoxicosis. C. Complete heart block. D. Neonatal weight more than 4.5 kg. E. Neonatal lupus erythematous.

Polyhydramnios is associated with all EXCEPT: A. Chorioangioma of placenta. B. Maternal diabetes. CHydatiform mole. D. Hydropesfetalis. / E. Tracho-osephagal fistula.

3-Regarding cervical ectropion, which one of the following statement is true; A. It develops under the influence of pill use. B. It indicates premalignant changes. C. Pregnancy play role in its improvement. D. Should be treated by cervical conization. E. It is due to the presence of squamous epithelium on the cervix

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