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which of the following is incorrect :

a-continuous ctg with maternal scar

b-early cord clamping is a part of active management

c-android pelvis is associated with inc risk of malformations

A:b

Answer is C (malpresentation not malformation)

Which one of the following true about tt secondary postpartum hemorrhage(something like that ) :-

1) Ergometrine

2) steroid is the first tt to start with it

3) It's the bleeding that starts 24hr after delivery to 6 weeks postpartum

4) T it doesn't occur after CS

A: 4

Answer is 3

whats false about bregma :

a-Located in posterior fontanelle

b-Drug of choice in syphilis treatment

c-Erythromycin

d- Gentamycin

‫الخيارات ابدا ماكانت هيك هههههه‬


Answer ia A
all absolute contraindication of IUCD except :

a- Active PID

b- unexplained vaginal bleeding

c- History of ectopic pregnancy

d- trophoblastic malignant tumor

e- Uterine anomaly.

A : c ( not sure ), yes it is C cause Hx of ectopic is relative

46 _Regarding the accurate estimation of gestational age, all of the following are true except:

a-The ultrasonic estimation at 32 weeks of gestation is usually inaccurate

b- In the presence of lactation, ultrasonic estimation is recommended

c- It is best done by measuring the crown rump length in the second trimester

A:a

Answer is C

All of the following can be used in controlling PPH except:

a-PG E2

b-PG F2a

c-Misoprostol

d-Oxytocin

e- Ergometrin

Answer is A (PGE2 causes vasodilation)


_ Mismatch:
Answer : Brow-mentovertical
This is not a mismatch

True about Venous thromboembolism:


Answer : Warafrin execrered in breast milk
Wrong, it is not excereted in breast milk

Most common malpresentation:


Answer : Complete breech???
Wrong, MC is FRANK BREEECH

False about Preterm labor :


a-Erythromycin indicated in PROM
b-NSAID not recommended after 32
c-Weekly steroids between 28-34
Answer: C (it is not weekly, and I think u don’t need to know the dosage regimen in 5th year, but
it is either single dose, or 4 dosess 12 h apart of dexa, or 2 doses 24 h apart of beta)

Correct about APH :


Answer :Placenta abrubtion diagnosed with US (mybe there was choice like
that)
NEVER, it is not from the criteria to dx it
All cause ectopic preg except :
a-COCP
b-mini pills
c-IUCD
A:?
Answer is A

Uterus after delivery is :


a-Boggy
b-Firm
Answer : ?

Answer is B

False about labor :


a-True labor is suppressed by epidural anesthesia
b-No cervical changes in false
c-the first stage ends with full cervical dilation
d- the third stage is the delivery of the placenta and membranes
e- episiotomy is indicated in all primigravida
A:a(?)
Might be e
All can be transmitted by vaginal delivery except :
a-HIV
b-HSV2
c-toxoplasmosis
d-Chlymdia
e-Gonorrhea
A:?
Answer is C
A

(E)

Regarding cervical incompetence, all the following are true except


a. Can be caused by multiple pregnancy
b. Can be diagnosed by ultrasound
c. Is a cause of preterm labour
d. Can be caused by cone biopsy of the cervix
e. Best treated in the 2nd trimester of pregnancy
Answer is A

Which of the following statements regarding malpresentation and


malposition are incorrect
a. Persistent occipito-posterior position in the second stage of
labor is delivered by cesarean section
b. Footling breach are best delivered by cesarean section
c. The use of vacuum is contraindicated in face presentation
d. Both polyhydramnios and oligohydramnios increase the risk of
breech presentation
e. Traction forceps are used for delivery of the after-coming head
in breech presentation
Answer: A

20. Which of the following is true about diabetes in pregnancy


a. Risk of polyhydramnios is lower if it diabetes is controlled
b. OGTT should be performed if glycosuria occur before 16 weeks
of gestational age
c. The best way to control diabetes is with two doses of soluble
insulin
d. During labor serum glucose must be maintained between 6-8
mmol/L
e. If the patient’s HbA1c is 11%, the pregnancy must be aborted
Answer: A
A couple presented with infertility, semen analysis shows a count
of 14 million, motility 20% and morphology of 24%. The most
appropriate action is
a. Varicocolectomy
b. Insemination with donor sperm
c. Clomiphene citrate
d. IVF
e Intrauterine insemination with washed husband sperm
Answer: E

36. All of the following are true about genital prolapse except
a. It is found in 25% of multiparous females
b. It is the main cause of stress incontinence
c. Procidentia is prolapse of the uterus through the introitus
d. More common in Asians than Blacks
Answer:

All are true

46. A 38 week pregnant female presents with abdominal pain and


moderate vaginal bleeding. Her cervix is 5 cm dilated. CTG shows
mild contractions and obstetric US is normal. What is the next
best step of management?
a. Emergency CS
b. AROM oxytocin
c. Prostaglandins
d. Expectant management
Answer: B

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