All OB-GYN MCQs (Second rearranged Edition 2011).

298 Pages·2011·1.4 MB·English

ALL
OB-GYN
MCQs

Second rearranged Edition
2011

By:
Hala Thamer Alrugaib
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All OB-GYN MCQs Second rearranged Edition 2011
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All OB-GYN MCQs Second rearranged Edition 2011
Part I: Basics In OB-GYN:
1. History and Examination in OB-GYN:...........................................................................5
2. Anatomy of the female genital tract, bony pelvis and fetal skull:...............................6
3. Labor and Fetal Surveillance and Mechanism of Labor:..............................................9
4. Embryology of Female genital tract, Malformations, intersexuality and Puberty:....18
5. Physiology of Menstrual Cycle:...................................................................................24
6. Physiological Changes During pregnancy:..................................................................29
7. Reproductive Biology:.................................................................................................37
8. Antenatal Care:...........................................................................................................38
9. Fetal assessment:.......................................................................................................44
10. The Neonates:.............................................................................................................46

Part II: Obstetric & Postpartum Complications:
11. Multiple Pregnancy:....................................................................................................47
12. Bleeding in early pregnancy:..........................................................................................
Abortions:..............................................................................................................52
Ectopic pregnancies:..............................................................................................59
13. Antepartum Hemorrhage:..........................................................................................64
14. Rh isoimmunization and ABO incompatibility:...........................................................71
15. Postpartum Hemorrhage and Coagulation disorder:.................................................74
16. Instrumental deliveries, C-section and Vaginal Birth After C-section (VBAC):...........77
17. Premature Labor and PROM:.....................................................................................83
18. Prenatal Infections:....................................................................................................89
19. IUGR and IUFD:...........................................................................................................92
20. Post-term and IOL:......................................................................................................95
21. Abnormal Presentation and Breech:..........................................................................98
22. Puerperium and Puerperal Sepsis:...........................................................................103

Part III: Medical Complications in Pregnancy:
23. Hypertensive Disorders in Pregnancies:...................................................................107
24. Diabetes in Pregnancy:.............................................................................................116
25. Anemia and Thyroid Diseases in Pregnancy:............................................................122
26. Cardiovascular Diseases:..........................................................................................123
27. Urinary Tract Diseases in pregnancies:....................................................................125
28. General Questions:...................................................................................................126

Part IV: Gynecology:
29. Contraception:..........................................................................................................129
30. Infections of the lower genital Tract:.......................................................................136
31. Pelvic Inflammatory Disease (PID):...........................................................................139
32. Infertility and Hirsutism:...........................................................................................142
33. Amenorrhea:.............................................................................................................149
34. Incontinence & Genital Prolapse:.............................................................................154
35. Menopause:..............................................................................................................158
36. Abnormal Uterine Bleeding:.....................................................................................161
37. Dysmemorrhea & PMS & Endometriosis:................................................................165
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All OB-GYN MCQs Second rearranged Edition 2011
Part V: Oncology:
38. General Oncology:....................................................................................................169
39. Uterine Fibroids (Leiomyomas):...............................................................................170
40. Benign and Malignant Ovarian cancer:....................................................................174
41. Uterine carcinoma:...................................................................................................178
42. Cervical cancer:.........................................................................................................180
43. Gestational Trophpblastic Diseases (GTD):..............................................................182

424 Exams:............................................................................................................................184

425 Exams:
Mid-Cycle:.........................................................................................................................203
Final:..................................................................................................................................206

426 Exams:
Mid-Cycle:.........................................................................................................................214
Mid-Cycle:.........................................................................................................................229
Final:..................................................................................................................................246

427 Exams:
Mid-Cycle:.........................................................................................................................256
Final:..................................................................................................................................268

428 Exams:
Mid-Cycle:.........................................................................................................................276
Final:..................................................................................................................................290

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All OB-GYN MCQs Second rearranged Edition 2011
History and Examination in OB-GYN:

1. The Expected date of delivery of a human pregnancy can be calculated:
A. From a change in the patient's weight.
B. As 10 lunar months after the time of ovulation.
C. As 40 weeks after last menstrual period.
D. As 280 days from the last full moon.
E. As 36 weeks after the last menstrual period.

2. The last menstrual period was June 30. the expected date of delivery (EDD) is
approximately:
A. March 23.
B. April 7.
C. March 28.
D. April 23.
E. March 7.

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All OB-GYN MCQs Second rearranged Edition 2011
Anatomy of the female genital tract, bony
pelvis and fetal skull:

1. Uterine Cervix:
A. Is the portion of the uterus below the isthmus
B. External OS cell lining is columnar epithelium
C. Laterally is attached to the round ligament
D. The cervical canal is covered with stratified squamous epithelium
E. Can be dilated with dilators without the need of anesthesia

2. The main support of the uterus is provided by
A. The round ligament
B. The cardinal ligament
C. The infandilo-pelvic ligament
D. The integrity of the pelvis
E. The broad ligament

3. The most important muscle in the pelvic floor is:
A. Bulbo cavernousus.
B. Ischio-cavernosus.
C. Levator ani.
D. Superficial transverse Perineal muscle.
E. Deep transverse Perineal muscle.

4. The pelvis includes which of the following bones:
A. Trochanter, hip socket, ischium, sacrum & pubis.
B. Ilium, ischium, pubis, sacrum & coccyx.
C. Ilium, ischium & pubis.
D. Sacrum, Ischium, ilium & pubis.
E. Trochanter, sacrum, coccyx, ilium & pubis.

5. The joint between the two pubic bones is called the:
A. Sacroiliac joint.
B. Pubis symphysis.
C. Sacrococcygeal joint.
D. Piriformis.
E. Intervertebral joint

6. The greatest diameter of the fetal head is:
A. Occipitofrontal.
B. Occipitomental.
C. Suboccipit bregmatic.
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All OB-GYN MCQs Second rearranged Edition 2011
D. Bitemporal.
E. Biparietal.

7. Molding of the fetal head:
A. Usually cause brain damage.
B. Becomes progressively easier as gestational age increase.
C. Increase the difficulty of delivery.
D. Does NOT have time to occur in breech delivery.
E. Does not happen when maternal pelvis is adequate.

8. The main blood supply of the vulva is:
A. Inferior hemorrhoidal artery.
B. Pudendal artery.
C. Ilioinguinal artery.
D. Femoral artery.
E. Inferior Hypogastric artery.

9. The following are typical in the female bony pelvis EXCEPT:
A. Has a transverse diameter of the inlet greater than the antero-posterior
diameter.
B. Has an obstetric conjugate of 11-12 cm.
C. Is funnel shaped.
D. Has an obtuse greater sciatic notch.
E. Has a pubic angle greater than 90 degrees.

10. Regarding fetal head, Choose the CORRECT answer:
A. Can be delivered vaginally in persistent occipito-mental Presentation.
B. Will show Spalding's sign within 12 hours of Intrauterine death.
C. Can be delivered vaginally in persistent brow presentation.
D. Is likely to be a vertex presentation when the head is deflexed.
E. Considered to be engaged when the Biparietal diameter passes the level
of the pelvic inlet.

11. The ovarian artery is a branch of:
A. Common iliac artery.
B. Internal iliac artery.
C. Aorta.
D. Hypogastric artery.
E. Sacral artery.

12. The normal lining of the fallopian tube is:
A. Squamous epithelium.
B. Transitional epithelium.
C. Cuboidal epithelium.
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All OB-GYN MCQs Second rearranged Edition 2011
D. Columnar epithelium with cilia.
E. Fibrous connective tissue.

13. The cilia of the fallopian tube has the following function:
A. Remove the zona pellucida which surrounds the ovum.
B. Transport the ovum towards the uterus.
C. Enhance the rapid division of the zygote.
D. Transport the ovum towards the peritoneal cavity.
E. Has a bactericidal function to prevent peritoneal function
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All OB-GYN MCQs Second rearranged Edition 2011
Labor and Fetal Surveillance and Mechanism of
Labor:

1. Hyperextension of the fetal head is found in:
A. Vertex presentation
B. Face presentation
C. Shoulder presentation
D. Breach presentation
E. Hydrocephalic baby

2. Stages of labor
A. The first stage commences at the time of membrane rupture
B. The cervix dilates at consistent rate of 3 cm per hour in the first stage
C. The third stage end with the delivery of the placenta and membranes
D. Forceps or ventose may be useful in slow progress of the late 1st stage
E. Syntometrine is a combination of oxytocin and Ergometrine which is
used in the treatment of secondary postpartum haemorrhage (PPH)

3. All the following characteristics are applied to a pelvis favorable to vaginal
delivery EXCEPT:
A. Sacral promontory can not be felt.
B. Obstetric conjugate is less than 10 cm.
C. Ischial spines are not prominent.
D. Subpubic arch accepts 2 fingers.
E. Intertuberous diameter accepts 4 knuckles on pelvic exam.

4. In the fetus:
A. The coronal suture lies between the two parietal bones.
B. The umbilical artery normally contains one artery and two veins.
C. Fetal lie describes the long axis of the fetus to the long axis of the mother.
D. Entanglement of the umbilical cord is common in diamniotic twins.
E. The anterior Fontanelle is usually closed by the time of labor.

5. Which of the following terms best describes the pelvic type of small posterior
saggital diameter, convergent sidewalls, prominent ischial spines, and narrow
pubic arch?
A. Android.
B. Gynecoid.
C. Anthropoid.
D. Platypelloid.
E. Mixed.

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All OB-GYN MCQs Second rearranged Edition 2011
6. The second stage of labor involves:
A. Separation of the placenta.
B. Effacement of the cervix.
C. Expulsion of the placenta.
D. Dilation of the cervix.
E. Expulsion of the fetus.

7. Which is true?
A. Position – cephalic.
B. Station – level of ischial spines.
C. Presentation – flexion.

8. A pelvic inlet is felt to be contracted if :
A. The anterio-posterior diameter is only 12 cm.
B. The transverse diameter is only 10 cm .
C. Platypelloid pelvis.
D. The mother is short.
E. The patient had a previous C-section.

9. During clinical pelvimerty, which of the following is routinely measured:
A. Bi-ischeal diameter.
B. Transverse diameter of the inlet.
C. Shape of the pubic arch.
D. Flare of the iliac crest.
E. Elasticity of the levator muscles.

10. At term, the ligaments of the pelvis change. This can result in:
A. Increasing rigidity of the pelvis.
B. Degeneration of pelvic ground substance.
C. Decreasing width of the symphysis.
D. Enlargement of the pelvic cavity.
E. Posterior rotation of the levator muscles.

11. During clinical pelvimetry, which of the following is routinely measured:
A. True conjugate.
B. Transverse diameter of the inlet.
C. Shape of the pubic arch.
D. Flare of the iliac crest.
E. Elasticity of the levator muscles.

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