MCQ

1. Meiosis

a) mitosis produce diploid daughterb) meiosis produed 4 haploid

daughterc) DNA replication occurs at second

meiosisd) 5% spontaneous miscarriage

caused by chromosomal abnormality

e) Trisomy most common is trisomy 21, down syndrome

2. Regarding the lower segment of the uterus

a) resembles/corresponds to isthmus in the non-gravid uterus

b) bordered by external os inferiorlyc) most interlocking muscle is hered) lower segment caesarean section

done heree) has less vascular supply

3. Maternal mortality

a) Perinatal mortality is until day 42 of delivery

b) Stillbirth is within 24 hours before delivery

c) Accident is an indirect cause

4. Maternal infection & neonatal complication

a) Toxoplasma -Cerebral calcification

b) HPV -Laryngeal wart

c) Chlamydia -Ophthalmia neonatorum

d) Parvovirus B19 -Immune typed hydrops

fetalise) Rubella -

Cataract

5. Regarding fetal assessment

a) CRL measurement exclude limb measurement

b) Lecithin-sphingomyelin ratio is used to measure lung maturity

c) fetal movement perceived by mother is included in the biophysical profile

d) BPD is reliable for dating in 3rd trimester

e) X-ray is used to determine maturity in 3rd trimester by determine the bone ossification

6. What is/are true

a) patient with CPD has well fit presenting part in cervix

b) OP position cause patient to bear down early even not fully dilated

c) primary dysfunctional labour is defined as poor progress in latent phase of labor

d) secondary arrest is when dilatation stops to progress at 5 cm

7. In pregnancy

a) Lower border of normal Hb in pregnancy is 10g/dl according to WHO

b) Decreased TIBC in IDAc) Iron requirement is 1000g daily

d) iron supplement is routinee) Parenteral iron is contraindicated

in thalassemia

8. Placenta previa

a) higher risk for abruption placentab) most common in teenage

pregnancyc) fetal health is at risk before

maternal health is compromisedd) previous C-section for PP is a risk

for placenta percretae) high head at term is common

presenting feature

9. true regarding asthma in pregnancy

a) Delivery need to be induced at 38 weeks

b) Prostaglandin F2A cause intense bronchoconstriction

c) injection of corticosteroid needed during delivery in patient who use betamethasone inhaler

d) IUGR is a complicationof severe asthma

e) worsened by pregnancy

10. Regarding menorrhagia

a) Defined as blood loss >80ml/cycleb) Commonly caused by coagulation

defectc) endometrial biopsy is indicated if

endometrial lining is thickenedd) Mirena is an option of treatmente) Common histology finding is

proliferative

11. 28 years old couple, recently married trying to conceive for 3 months, has regular menses secondary to dysmenorrheal. What is the best predictive method for ovulation

a) basal body temperatureb) day 21 progesteronec) meittelschmerz cyclical paind) ovulation predictor kite) spinnbarkheit cervical mucus

change

12. Endometrial ca.

a) Most common complaint is post-coital bleeding

b) Most common subtype is endometrioid

c) oral contraceptive is a risk factord) Progesterone as palliative

treatmente) Prognosis similar to cervical ca for

stage to stage

13. Pelvic organ prolapsed mx

a) Post colporraphy for cystoceleb) Vaginal pessary for not completed

familtc) sacral colporexy and mesh for vault

prolapsed) Hystero colporhexy for preserving

uteruse) mesh to prevent recurrent

prolapse

OBA

1. G4 P3 , 40 years old just delivered 4.1 kg baby, use forceps, PV bleeds 10 pads, uterus well contracted at 16 weeks size. Most likely diagnosis

a) Genital traumab) Retained placentac) Uterine atonyd) Uterine inversione) Uterine rupture

2. Young women presented with sudden abdominal pain, history of irregular menses, LMNP?, UPT negative

a) PIDb) Ectopic pregnancyc) Abortiond) Torsion ovarian cyst

3. 33/G3 P2 @33wks POA with h/o caesarean section came with PV bleed associated with abdominal pain. Further PE/Ix revealed BP of 160/100, PR 110, afebrile, abdomen slightly tender. CTG revealed fetal bradycardia. Most likely diagnosis

a) Bleeding vasa previab) Placenta previac) Placental abruptiond) Preterm labor

4. You were called by staff nurse labor room for newborn with ambigious

genitalia. What is the reliable investigation.

a) Karyotypeb) Serum ACTHc) Serum Cortisold) Serum Dehydroepiandrosteronee) Serum testosterone

5. 26 aerobic teacher married for 30 years, failed conceive, no dysmenorrhea, no dyspareunia, had irregular menses, workout 3 hours per day, BMI 17, history of appendicectomy at 12 years old. No known medical illness.What relevant investigation you would like to perform.

a) HSGb) Serum androgenc) Serum

hydroxyandrostenedioned) Serum FSH/LHe) Serum testosterone

6. 28 y.o, 3rd wife of 48 years old male, 6 years of marriage, no vasectomy yet. After 3 days of induction with clomiphene citrate, she came with abdominal pain, UPT –ve

a) Acute appendicectomyb) OHSS c) ectopic pregnancyd) twisted ovarian cyst

7. 40, primigravida, 8 weeks POA wants to knoe her risk of having down’s syndrome baby but not keen for invasive prenatal screening. What can be offered to her?

a) 1st trimester serum biochemical screening

b) 1st trimester nuchal translucencyc) combined 1st trimester serum

and nuchal thicknessd) quadruple screening test in 2nd

trimester

8. Irregular menses. LMP 12 weeks ago. PE: central obesity, hair on upper lip and chest. What further investigation you would like to do?

a) UPT/ Serum LH, serum FSHb) UPT , serum testosteronec) UPT, serum TSH, serum LH,

serum FSHd) UPT, serum prolactin, serum TSH,

serum androgen, serum LH, serum FSH

e) UPT, serum testosterone, serum TSH

9. 60 y.o, postmenopausal with 9 children, c/o PV bleeding for 2/12, K/C/O DM, not on HRT, husband is lorry driver with prostate ca. on U/S, Normal size uterus with ET of 4 mm. Most possible dx?

a) Atrophic vaginitisb) cervical polypc) cervical cad) endometrial cae) Submucous fibroid

OSCE1. Picture of uterine artery

embolization procedurea. Name the procedure (2)b. List 4 complication (8)

2. Picture f anencephalya. What is the dx (3)b. What is the hormone

present in the amniotic fluid (3)

c. When can the earliest diagnosis be made antenatally (2)

d. What can be offered to the mother when the diagnosis is made (2)

3. Forcepa. Pre-requisite (6)b. 2 severe complication (4)

4. Picture of uterus and ovary with pathology. Fibroid + endometrial ca??

a. Give 2 differential diagnosis (4)

b. Name the surgical procedure (2)

c. List 4 symptoms she might have (4)

5. Picture of colposcopy cervix, whitish discolouration and abnormal vessels

a. Describe (2)b. What 2 HPV subtypes

associated (4)c. 2 risk factors for this

condition (4)