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Obstetrics and Gynaecology (O
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Obstetrics and Gynaecology (O
1
Which is not required for the diagnosis of pregnancy induced hypertension?
A
systolic BP rise of > 30mmHg above pre pregnancy level
B
diastolic BP rise of > 15mmHg above pre pregnancy level
C
an absolute BP of >140/90
D
proteinuria
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✅ Correct Answer: 4
2
Which is not a risk factor for preeclampsia?
A
molar pregnancy
B
multigravida
C
age < 20 years
D
multiple pregnancy
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✅ Correct Answer: 2
3
Which is not accurate with regard to management of Eclampsia?
A
seizures are usually self terminating if left untreated but will recur
B
magnesium sulphate 4gm should be given over 15 minutes for seizure control, then infused at 1gm per hour C. D. magnesium sulphate does not lower BP
C
the desired BP is a diastolic BP of 90mmHg
D
magnesium sulphate does not lower BP
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✅ Correct Answer: 4
4
Which would be consistant with a seizure due to eclampsia?
A
there is status epilepticus
B
no proteinuria or hypertension
C
focal neurological signs
D
it responds to benzodiazapines
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✅ Correct Answer: 4
5
Which is not a risk factor for an ectopic pregnancy?
A
fertility treatment
B
IUD in situ
C
Endometriosis
D
Family history
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✅ Correct Answer: 4
6
At what bHCG would the chance of an ectopic pregnancy be 90% if a transvaginal ultrasound showed anempty uterus?
A
500
B
900
C
1200
D
1600
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✅ Correct Answer: 3
7
At what bHCG can you reliably see an intrauterine pregnancy with a transabdominal ultrasound?
A
4000
B
5000
C
5500
D
6500
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✅ Correct Answer: 4
8
Which is incorrect with regards to ectopic pregnancy?
A
incidence in the standard population is 20/1000
B
the incidence of a hetertopic pregnancy in the standard polulation is 1:4000
C
the presence of abdominal or pelvic pain is the most sensitive symptom or sign
D
the ectopic rate is subsequent pregnancies is 10%
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✅ Correct Answer: 4
9
Which is incorrect with regards to Rhesus isoimmunisation?
A
The chance of a Rh-ve mother developing antiD antibodies to a Rh+ve fetus is less than 20% (even if not given antiD)
B
Anti D must be given within 24 hours to have any substantial effect C. The risk of maternofetal transfusion is very small in a first trimester abortion and thus a smaller dose of anti D could be give
C
The risk of maternofetal transfusion is very small in a first trimester abortion and thus a smaller dose of anti D could be given
D
The IgM anti D antibodies cannot cross the placenta but the IgG antibodies can
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✅ Correct Answer: 2
10
Which is incorrect with regards to anti D?
A
it is given IV
B
The Kleihauer test is done to determine to quantify the fetomaternal hemorrhage and thus the amount of anti D required
C
If the mother’s serum has antiD antibodies detected in her serum at 24-48 hours after injection then the dosage is adequate
D
If given from 3-10 days after fetomaternal transfusion is still has some effect
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✅ Correct Answer: 1
11
with regards to the different categories of abortion which is incorrect?
A
in an incomplete abortion the cervix may be open or closed
B
in an inevitable abortion the cervix is open
C
in a complete abortion the cervix is closed and bleeding and pain minimal
D
in a threatened abort the cervix is open
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✅ Correct Answer: 4
12
Which statement is incorrect?
A
in the normal pregnancy the bHCG increases by 66% every two days
B
the bHCG should plateau at when it reaches 1-2 million at 20 weeks gestation
C
the current serum test can detect bHCG at 2-3 days post implantation
D
a falling bHCG does not rule out the chance of rupture in an ectopic pregnancy
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✅ Correct Answer: 2
13
Which is not a true statement with regards to a normal pregnancy?
A
the resting heart rate increases by 15-20 beats / min by the end of the third trimester
B
the blood volume increases by 45%
C
polycythemia develops
D
there is a leucocytosis up to 18 000
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✅ Correct Answer: 3
14
Which statement is incorrect with regards to radiation exposure to the fetus?
A
the minimum exposure known to cause risk o the fetus is <0.1Gy (1000microGy)
B
a CXR and Pelvic Xray are well below the minimum toxic level
C
a VQ scan falls well below the toxic level
D
a CT abdomen falls well below the toxic level
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✅ Correct Answer: 4
15
Which is not true with regards to placental abruption and trauma in pregnancy? C.
A
it is the most common cause of death if the mother survives
B
the incidence in minor trauma is up to 5% and up to 50% in major trauma
C
it can occur up to 4 hours post accident
D
It is characterized by pelvic pain uterine contractions and vaginal bleeding
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✅ Correct Answer: 3
16
Which statement is incorrect with regards to dysfunctional uterine bleeding
A
it is very rare in the teenage years
B
it is usually due to anovulatory cycles
C
oestrogen is used acutely to slow bleeding by contracting the uterine arteries
D
cyclical progesterone is used if it is a chronic problem
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✅ Correct Answer: 1
17
Which three must be present to make the diagnosis of PID?
A
temp >38.3, abdo pain, vaginal discharge
B
temp > 38.3, abdominal pain, cervical excitation
C
adnexal tenderness, vaginal discharge and increased CRP
D
abdominal pain, cervical excitation and adnexal tenderness
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✅ Correct Answer: 4
18
Which agent is not one recommended in the 2000 antibiotic guidelines for the treatment of outpatientsexually acquired PID?
A
Metronidazole 400mg b.d orally for 14 days
B
ceftriaxone 250 mg IM stat dose
C
augmenten duo forte 875/125 b.d orally for 14 days
D
doxycycline 100mg b.d orally for 14 days
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✅ Correct Answer: 3
19
The risk of infertility after a single episode of PID is approximately?
A
5%
B
10%
C
20%
D
25%
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✅ Correct Answer: 2
20
Non sexually acquired PID should be treated with doxycycline and what according to the 2000 AntibioticGuidelines?
A
metronidazole
B
ciprofloxacin
C
ceftriaxone
D
augmented duo forte
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✅ Correct Answer: 4
21
Which is an incorrect statement with regards to ovarian torsion?
A
70% of cases occur in women less than 30 years of age
B
20% of cases in women less than 30 are associated with pregnancy
C
it has an increased incidence in women receiving ovarian stimulation treatment
D
a tender mass is felt in 10% of cases
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✅ Correct Answer: 4
22
Which of the below is not consistent with trichamonas vaginitis?
A
flagella are seen on a wet prep
B
a strawberry cervix on examination
C
evidence of other sexually transmitted diseases
D
treated with doxycycline
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✅ Correct Answer: 4
23
Which is not a risk factor for vaginal candidiasis?
A
prepubertal .
B
diabetes
C
immunosuppression
D
pregnancy
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✅ Correct Answer: 1
24
Which is not true with regard to bacterial vaginitis?
A
prepubertal
B
diabetes
C
immunosuppression
D
it is not sexually transmitted
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✅ Correct Answer: 4
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