board exam ob-gyn

Bexam.1.The antidote for Magnesium sulfate toxicity is

a.Calcium gluconate* c.Diazepamb.Ca Channel blocker d.Midazolam

MPL 0.5William’s ObstetricsRecall

2.Which of the following is utilized for medical treatment of ectopic pregnancy?a.dexamethasone c.methotrexate*b.vincristine d.adriamycin


3.Of the following, which is most consistently associated with low birthweight infants?

a.placenta previa c.diabetes mellitusb.maternal ht.of <5 ft d.smoking in pregnancy*


4.A 23 year old G1 at 35 weeks age of gestation comes in for severe headache and visual blurring. On prenatal check-up 1 week prior, her BP was noted to be 130/85 mmHg from her usual 110/70. On examination, BP was now at 160/110 mmHg, FHT 140/min, no contractions after ten minutes of observation. Cervix was 1cm, 30% effaced,intact membranes, station-2. Most likely diagnosis is-

a.chronic hypertension c.mild preeclampsiab.severe preeclampsia* d.chronic hypertension with

superimposed preeclampsiaMPL 0.5William’s ObstetricsApplication

5.One of the maternal hazards of prolonged fetal death in utero is-a.hemorrhege form placental abruptionb.disseminated intravascular coagulation*c.hypertensive disordersd.placental retention from calcification


6.Cervicovaginal fibronectin is used as a predictor of which condition?a.preclampsia c.preterm labor*b.fetal growth restriction d.PROM


7.A G2P1 with 4 weeks missed period presents with one week duration of vaginal bleeding and hypogastric pains. She also has watery vaginal discharge

before consultation. IE findings- 1 to 2 cm dilated with ruptured BOW. What is the diagnosis?

a.inevitable abortion* c.incomplete abortionb.imminent abortion d.missed abortion

MPL 0.5William’s ObstetricsApplication

8. The initial maternal immunologic response to a primary rubella infection is the elaboration of:

a.IgG c.IgM*b.IgA d.IgD


9.The vein which is most commonly involved in pelvic thrombophlebitis is:a.femoral c.pelvicb.saphenous d.ovarian*


10.In diamnionic monochorionic monozygotic twinning, the division occurs at this time after fertilization-

a.within 72 hours c.8 daysb.4-8 hour* d.after formation of embryonic

discMPL 0.33William’s Obstetrics p767Recall

11.Which is a cause of polyhydramnios?a.esophageal atresia* c.prematurityb.renal agenesis d.abruption

MPL 0.5Williams Obstetrics p.1128Recall

12. Which of the following is an example of Buttram and Gibbons Class III abnormality of the reproductive tract?

a.vaginal hypoplasia c.bicornuate uterusb.unicornuate uterus d.uterine didelphys*

MPL 0.33Williams Obstetrics p.916Recall

13. A patient was diagnosed to have high risk gestational trophoblastic tumor. This means that the patient has which of the following?

a.disease duration of 10 weeksb.pretherapy hCG of 89,000 IU/ml*

c.antecedent pregnancy terminated at 20 weeksd.no previous chemotherapy

MPL 0.33William’s Obstetrics p.836Comprehension

14.On examining a pregnant patient with the ultrasound, the clinician noted that the lower pole of the placenta was at the edge of the internal os. This type of placenta previa is-

a.low lying c.marginalis*b.partialis d.totalis

MPL 0.5William’s Obstetrics p 630Comprehension

15.A nullipara was admitted on active labor at 5 cms and ruptured bag of waters. IE after 2 hours despite good contractions was 6 cms. This means that she has this disorder-

a.prolonged latent phase c.prolonged deceleration phaseb.arrest of dilatation d.protracted active phase of

dilatationMPL 0.33William’s Obstetrics p.441 Comprehension

16. A patient diagnosed to have asymptomatic bacteriuria is one who hasA. persistently multiplying bacteria in the urine but no symptoms *B. 100,000 organisms/ml in culture specimen with pyuriaC. a sterile urine culture with frequency and urgencyD. microscopic hematuria and colony count of 50,000/ml

MPL 0.25William’s p1253Comprehension

17. Pigmentation of the face during pregnancy is considered asA. an indication of increased androgen from a male fetusB. an temporary state rapidly regressing postpartumC. a benign but persistent condition *D. an indication for immediate hydroxyquinone application

MPL 0.33Williams Obstetrics p.1430Comprehension

18. A 25 year old consulted for vaginal spotting and sharp pelvic pain. History revealed 6 weeks amenorrhea. Pregnancy test was positive. Physical exam elicited cervical wriggling tenderness with a vague mass and tenderness in the left adnexal. Posterior vaginal fornix was full and bulging. BP was 100/60mmHg, PR 96/min. What should be done next to this patient?

A. culdocentesisB. immediate exploration *C. emergency TVSD. blood transfusion

MPL 0.25William’s Obstetrics p890-91

Application

19.A 6 year old had difficulty in voiding and was brought for consult.Inspection revealed agglutination of the labia minora with the translucent vertical line pathognomonic for adhesive vulvitis. What should be done?

A.observationB.testosteroneC.scalpel incisionD.topical estrogen*

MPL 0.5Comprehensive Gynecology p.277Application

20. A preeclamptic patient at 34 weeks was rushed to the ER because of severe abdominal pain. The best evidence to support the clinician’s suspicion of abruption can be obtained from -

A. physical examination *B. ultrasonographyC. culdocentesisD. abdominal tap

MPL 0.5William’s Obstetrics p. 591Application

21. A 33 year old parturient had postpartum atony and as a consequence developed symptomatic anemia. Which can benefit her best?

A. fresh whole bloodB. whole bloodC. packed RBC*D. fresh frozen plasma

MPL 0.33Williams Obstetrics p.1310Application

22. A woman on her 32nd week of gestation was admitted for threatened preterm labor. Tocolytic management was initiated with magnesium sulfate. Which of the following needs to be monitored closely while on tocolysis?

A. SGOTB. GlucoseC. Blood pressure *D. Potassium

MPL 1.0Williams Obstetrics p714Application

23.Despite multiple oxytocic administration, continuous bleeding was still noted in a woman on the 4th stage of labor. Which should be done first?

a.begin transfusionb.manual exploration of uterine cavityc.inspect vagina and cervixd.bimanual compression*

MPL 0.33Williams Obstetrics p639Application

24. A 20 yo primigravid at 39 weeks came in due to labor pains. This patient was a diagnosed case of rheumatic heart disease. When should she receive the initial dose of ampicillin-gentamicin?

A. about 2-3 hours after admissionB. prior to amniotomyC. after the first internal examinationD. 30 minutes prior to anticipated delivery *

MPL 0.25Williams Obstetrics p 1189-91Application

25. A puerperal woman was rushed to the ER because of profuse bleeding. On examination, a sac-like structure was seen out of the introitus with the placenta still attached. A crater-like depression was noted on abdominal palpation. Which of the following is part of good management?

A. immediate removal of the placenta before replacementB. give oxytocin to facilitate replacementC. administer fluids and magnesium sulfate for uterine relaxation *D. do a vaginal hysterectomy

MPL 0.25Williams Obstetrics p.643Aplication

26. A 17 yo primigravid on her 28th week consulted for the first time at the OPD. PE revealed pale palpebral conjunctivae. Hgb was 9.2g/dl. How much elemental iron (mg/dl) does this patient require?

A. 100B. 200 *C. 300D. 400


27. A 32 yo G1P0 sought her first prenatal check up at 9 weeks AOG. Family history is positive for DM (father). When should she have her GCT?A. at termB. 32-36 weeksC. 28-32 weeksD. 24-28 weeks *


28. A pregnant woman consulted because of itchy reddish wheal-like rashes. The lesions were first seen in the abdomen eventually spreading to the rest of the body. She denied having any allergies to food or drugs. What treatment is appropriate?

A. antibiotics

B. estrogen creamC. corticosteroids *D. lindane


29. A pregnant woman on her 1st trimester of pregnancy was exposed to a neighbor with german measles. What is the initial step in the management?

A. active immunizationB. immunoglobulinsC. antiviral therapyD. ask history of past infection *


30. A G1P0 PU 32 weeks was brought to the ER because of severe headache and blurring of vision. BP was 170/110 mm Hg. Fundic height was 30 cms, FB on the left, FHT 157/min . There was also grade II bipedal edema, edema of hands and face. What should be done first?

A. Load MgSO4 *B. Give HydralazineC. Do immediate CSD. Administer Diazepam IV


31. A G5P4 PU 39 weeks was in active labor for 3 hours. IE showed cervix 7 cm dilated, fetal head at station -1 to 0. Suddenly, fetal head rate decelerated and maternal blood pressure dropped from 120/80 mmHg to 90/60 mmHg. On doing IE, the presenting part appeared to retract. What is the most probable diagnosis?

A. Abruptio placentaB. Spontaneous uterine rupture *

C. Acute cord torsionD.Uterine atony

MPL 0.5Williams Obstetrics p.650Analysis

32. Immediately after an apparently normal labor and delivery, the mother suddenly manifested with dyspnea and went into convulsions. Blood pressure likewise dropped sharply from 120/80 mmHg. Cardiopulmonary arrest rapidly ensued. What is the probable cause?

A. Cerebrovascular accidentB. EclampsiaC. Amniotic fluid embolism *D. Postpartum cardiomyopathy


33. A G2P1 PU 31 weeks came to the clinic with complaints of watery vaginal discharge. After noting some fluid pooling at the culdesac, the clinician requested for an ultrasonographic examination. What information can be derived from an UTZ pertinent to management?

A. Demonstration of site of bag ruptureB. Confirmation of fetal maturityC. Assessment of AFV *D. Detection of fetal meconium staining

MPL 0.33Williams ObstetricsAnalysis

34. As part of management during observation period, the clinician advised a patient with a growth restricted infant to obtain adequate bed rest. Which position can best benefit or augment fetal growth?

A. SupineB. Half recliningC. ProneD. Lateral recumbent *

MPL 0.5Williams ObstetricsAnalysis

35. During clinical pelvimetry, the ischial spines were noted to be prominent, thesidewalls convergent and the sacrosciatic notch is narrow. Of the following, what is the most common consequence of these findings?

A. This promotes cord prolapseB. There is increase likelihood for transverse arrest of fetal head *C. Extreme posterior asynclitism is favoredD. Production of abnormal presentation is facilitated


36. Anticipating a large baby, the patient’s legs were removed from the stirrups and sharply flexed upon her abdomen. What will be the effect of this maneuver?

A. Increase pelvic dimensionB. Facilitate bearing down effortC. Rotates symphysis pubis toward maternal head *D. Dislodges the posterior shoulder


37. A primigravid was brought to the ER by the attending midwife after 10 hours of labor. Apparently she has been bearing down for 2 hours already. Exam showed that the fetal scalp is visible at the introitus without separating the labia. The sagittal suture was at AP diameter. The mother appeared weakened by her efforts to bear down. What is the best management?

A. Strong fundal pressureB. Outlet forceps extraction *C. Cesarean sectionD. Await vaginal delivery


38. To deliver a foot in the vagina in cases of frank breech presentation, why is it important for the clinician to push a fetal knee away from the midline?

A. This facilitates spontaneous flexion so that foot can be grasped *B. The maneuver will facilitate descent of fetal breechC. This will push the umbilical cord out of the wayD. This will initiate rotation to occiput anterior


39. A woman consulted due to increased vaginal discharge with musty odor most pronounced after coitus with her husband.She appeared distressed as this is the first time she experienced this. Her pap smear 1 month prior was normal. She denied pruritus, dyspareunia, or any missed priod. Howevere, she recently had a bout of AURI which was treated with an antibiotic regimen. Exam showed a thin homogenous, grayish, white discharge with a pH of 5.5. Which of the following most likely predisposed her to this type of vaginitis?

A.autoinoculation from her AURIB.coital activity with the husbandC.intake of antibiotics*D.alkaline pH of 5.5

MPL 0.33Comprehensive Gynecology p.670-72Analysis

40. A 20 year old, primigravid , PU 39 weeks, presented at the ER in labor for 3 hours.PE revealed multiple vesicular lesions in the vulva and perineal area. IE showed 3 cm cervical dilatation, 50% effaced, (+) BOW, cephalic , station -1. Clinical pelvimetry was adequate. What is the best route of delivery?

A. Cesarean section *B. vacuum extractionC. Outlet forceps extractionD. Spontaneous vaginal delivery

MPL 0.5Williams Obstetrics p.1496-97Analysis

41.Damage to these muscles during vaginal delivery may cause rectal incontinence-

A.CoccygeusB.Deep transverse perinealC.External and internal sphincter ani*D.Bulbocavernosus

MPL 0.5Williams ObstetricsRecall

42. The most accurate ultrasonic parameter for fetal aging in the first trimesteris-

a.biparietal diameter

b.crown-rump length*c.head circumferenced.femur length


43.A woman who had three pregnancies, all of which were aborted is a-A.nulligravidB.nulliparaC.multipara*D.primipara

MPL 0.5Williams ObstetricsComprehension

44.A second degree perineal laceration involves up to the-A.skin and mucosaB.fascia and muscles*C.anal sphincterD.rectal mucosa

MPL 0.5Williams ObstetricsComprehension

45.One of the followinbg becomes the new source of endometrium after delivery-A. placental implantation siteB. decidua veraC. decidua basalis*D. decidua serosa


46.The earliest age of gestation when fetal sex can be identified by gross examination of the external genitalia is at-

A.10 weeksB.12 weeksC.14 weeks*d.16 weeks


47.This is the midline brownish black pigment that is observed in pregnant patients-

A.striae gravidarumB.linea nigraC.melasmaD.chloasma gravidarum

MPL 1.0

Williams ObstetricsRecall

48.How many weeks does it take for the entire endometrium to regenerate after delivery?

A.1B.2C.3*D.4


49.The female pelvis has an inlet that is commonly-A.androidB.platypelloidC.gynecoid*D.anthropoid


50.A 24 year old patient on her 35th week of gestation has a hemoglobin level of 11.8 g/dl. What should be done for her?A. request for blood transfusionB. double daily dose of iron supplement*C. continue daily iron supplementation until puerperiumD. order for a peripheral smear

MPL 0.5Williams ObstetricsApplication

51.The third stage of labor commences –A. when cervix is fully dilatedB. after epissiorraphyC. after delivery of the fetus*D. after expulsion of placenta


52.This division /phase of labor is most sensitive toanalgesia and maternal sedation-

A.preparatory division*B.dilatational divisionC.pelvic divisionD.deceleration phase


53.The relation of the fetal parts to one another determines the-A.presentation

B.lieC.attitude*D.station

MPL 0.5Williams Obstetrics Recall

54.Rina, a ramp model, pergnant for the first time on her 6th week AOG needs to gain how much weight in pounds for the whole duration of her pregnancy?

A.10B.14C.18D.20*

MPL 0.5Williams ObstetricsApplication

55. On histopath, a placenta is found to have dense stroma containing round cells with granular and vacuolated cytoplasm with vascular and eccentric nuclei. In terms of age, this placenta is most probably-

A.8 weeksB.14 weeksC.24 weeksD.40 weeks


56.If a neonate has increased IgM antibodies, it means that-A.this was passively transferred from the motherB.the neonate has congenital infection*C.this is a healthy normal newbornD.the baby was born post term


57.Amniotic fluid pocket of <1 cm vertical dimension is suggestive of-A.oligohydramnios*B.normohydramniosC.borderline oligohydramniosD.polyhydramnios


58.What CTG finding can be anticipated if the mother develops chorioamnionitis during labor?

A.sinusoidal patternB.bradycardiaC.tachycardia*D.variable decelerations

MPL 0.5Williams Obstetrics

Comprehension

59.A pregnant mother developed UTI. Which of the following antibiotics is safest to give?

A.erythromycin*B.tetracyclineC.chloramphenicolD.sulfonamides


60.A woman on her 41st week of pregnancy had a BPS with the following findings during the 30 minutes test-sustained breathing movement of 45 secs, five simultaneous limb and trunk movements, 2 episodes of arm flexion and extension, 3 episodes of fetal heart rate accelerations each for 15 secs with fetal movement, amniotic fluid pocket of 3 cms in 2 perpendicular planes. What should be done for this patient based on the BBS score?

A.induce labor immediatelyB.repeat BPS after a week*C.Do CSD.Repeat test on same day

MPL 0.5Williams Obstetrics p/1104Analysis

61.Shortly before hospital discharge, a puerperal patient asked when she should start protecting herself from subsequent pregnancy. If she has no intention to fully breast feed, protection should be advised ____ weeks after delivery.

A.1-2B.2-4C.6-8*D.9-11


62.Two pregnant women were admitted at the same time both for induction of labor with oxytocin. Patient A was at 27 weeks AOG IUFD while patient B was postterm at 42 weeks, EFW 2,700 grams. Both cervices were closed. Which patient will probably be delivered first?

A. Patient A because the baby is smaller B. Patient B because the term uterus has more oxytocin receptors*C. Both will deliver at about the same time since oxytocin dose is the

sameD. It is impossible to predict


63.In attending the a delivery, the clinician observed that with each contraction the fetal head already distends the perineum and opens the introitus to a diametr of 6 cms.What should the clinician do?

A.hyperflex the mother’s thighsB.catheterize the bladderC.administer anesthesiaD.perform Ritgen manuever*

MPL 0.25Willaims Obstetrics p.217Application

64.A pregnant 85 lbs woman sought her very first prenatal consult. Being underweight, the physician formulated a good nutritional surveillance for her. Which of the following constitute a sound part of the plan?

A.ensure she force feeds herself everydayB.serially weigh her to achieve appropriate weight gain*C.monthly hgb and hct determinationD.give 60 mg iron tablets 3x a day

MPL 0.33Williams Obstetrics p.228Analysis/Synthesis

65.During CTG intrapartum monitoring, minimal variability was noted with one episode of deceleration (15 beats below the baseline) after a contraction in a 10 minute period of observation. Which of the following is an appropriate next step?

A.do amnioinfusionB.place the patient on left lateral recumbent*C.prepare for immediate D.perform scalp bllod pH determination


66.If a pregnant woman on her 24 weeks of gestation was accidentally administered oxytocin in her IVF instead of the antibiotic prescribed for her, what will be the effect on her pregnancy?

A.she will have tetanic uterine contractionsB.her cervix will effaceC.no labor pains is likely tio set in *D.there will be immediate lactation


67.On performing the third Leopold’s manuever, the cephalic prominence is palpated on the left lower quadrant and the fetal heart tones is maximally heard at the right lower quadrant, which of the following can be concluded?

A.the head is already engagedB.the vertex is presenting*C.the head is extendedD.the presenting part is sinciput

MPL 0.33Williams obstetrics p.299-300Analysis

68.On physical examination of a pregnant woman, the clincian detected a 2/6 systolic murmur intensifying during inspiration. What should be done for this patient with regards this finding?

A.cardiology referralB.ECGC.no intervention needed*D.echocardiogram

MPL 0.5Wiliams Obstetrics p.1184Application

69.Which of the following is a component of a good plan for conducting labor and delivery?

A.pain reliever every 3 hoursB.strict bed confinement from 2 cms onC.hourly internal examinationD.IV hydration for lengthly labor*

MPL0.33Williams Obstetrics p.314Analysis/synthesis

70.On the second postpartum day, a parturient developed a temperature of 39.0C pertinent PE included breast that were edematous,tender,firm and nodular.What must be done for this patient?

A.give analgesic and breast support*B.stop breastfeeding immediatelyC.give antistaphylococcal agentsD.give bromocriptine for 7 days


71. Which of the following events is associated with menstrual flow-A.withdrawal of progesterone*B.prolonged maintenance of estrogenC.withdrawal of LHD.prolonged maintenace of progesterone

MPL 0.25Comprehensive GynecologyComprehension

72.A 47 year old woman has poorly differentiated endometrial carcinoma and a uterine cavity that measures 10 cm in depth. The endocervix has stromal invasion of endometrial carcinoma but no other structure is involved. What is the stage of her disease?

A.IAB.IBC.IIAD.IIB*

MPL 0.5Comprehensive GynecologyApplication

73.Endoscopic procedure utilized to evaluate tubal disease-A.colposcopyB.laparoscopy*C.hysteroscopyD.hysterosalpingography

MPL 0.5Comprehensive GynecologyRecall

74.Tuberculosis of the genital tract invariably involves the-A.fallopian tubes*B.ovariesC.cervixD.vagina


75.A 26 year old G1P1 had cervical intraepithelial neoplasia involving the entire thickness of the cervical epithelium. This is best managed by-

A.cryosurgeryB.electrocauteryC.conization*D.hysterectomy


76.A 25 year old woman and her husband use natural family planning as their method of contraception. Her menstrual cycle length range from 26 to 32 days. She does not measure her basal body temperature. The time of her maximum or peak fertility with the first day of her menses defined as day 1 would be between cycle days-

A.hari 1-14B.hari 8-14C.hari 8-21*D.hari 14-21


77.The drug of choice for vaginal trichomoniasis is-A.tetracyclineB.fluconazoleC.cefoxitinD.metronidazole*


78. This type of myoma insinuates itself between the leaves of the braod ligament-

A.parasiticB.serosalC.interstitialD.intraligamentary*

MPL 0.5Comprehensive gynecologyRecall

79.The tumor marker HCG is positive in this tumor-A.embryonal carcinomaB.choriocarcinoma*C.endodermal sinus tumorD.adenocarcinoma


80.Uterine bleeding excessive in amount and duration of flow occuring at regular intervals is-

A.menorrhagia*B.metrorrhagiaC.polymenorrheaD.menometrorrhagia


81.A 67 year old had episodes of vaginal bleeding 15 years after menopause.Biopsy reveals cystic endometrial hyperplasia. Transvaginal sonogram reveals asolid adnexal mass of 4 cm diameter. She is not on hormonal replacementtherapy. Most likely cause of bleeding is-

A.sertoli-leydig tumorB.granulosa cell tumor*C.serous cystadenocarcinomaD.endodermal sinus tumor

MPL 0.5Comprehensive GynecologyAnalysis

82.A 40 year old housewife complains of foul smelling vaginal discharge. On examination, discharge was greenish-gray in color, foul-smelling and frothy. Primary consideration is-A.YeastB.Trichomoniasis*C.ChlamydiaD.Bacterial vaginosis


83.A 36 year old G2P2 has amenorrhea of 11 months with hot flushes.Examination reveals a small uterus. If this is a case of premature ovarian failure, which finding is applicable?A.biphasic basal body temperatureB.endometrial hyperplasiaC.elevated FSH >40 iu/ml*D.tonically raised LH


84. Contraindication to hormonal replacement therapy-A.history of pulmonary thromboembolism*B.hot fluches, insominia in a 50 y.o with irregular mensesC.history of fibrocystic disease of the breastD.elevated serum lipids


85.Which of these is the most likely site for implantation of endometriosis-A.omentumB.appendixC.bladder mucosaD.Peritoneum of cul-de-sac*

MPL 0.5Comprehensive gynecologyRecall

86.Which disease of the vulva is best treated with wide excision?A.hidradenitis suppurativa*B.invasive vulvar cancerC.angiomaD.contact dermatitis


87. The ovarian tumor that most commonly causes precocious puberty is-A.teratomaB.luteomaC.granulosa cell tumor*D.sertoli leydig tumor


88. A woman with this type of pelvis is more prone to urethrocoele because of more force of the fetal head on this area during descent in labor-A. platypelloidB. anthropoidC. gynecoid*D. android

MPL 1.0Comprehensive Gynecology p571Comprehension

89. Stage III vaginal cancer means extension of lesion up to-A. vaginal wallB. subvaginal tissueC. pelvic wall*D. rectal mucosa

MPL 0.33Comprehensive gyncelogy p.1028Comprehension

90.On endometrial biopsy, glycogen-rich subnuclear vacuoles were seen in the base of the cells lining the glands. What does this mean?

A.the woman is in her late luteal phaseB.ovulation has occurred*C.she is progesterone deficientD.mestruation is about to set in

MPL 0.33Comprehensive gynecology p.104Comprehension

91.Which theory of endometriosis best explains remote sites if the disease such as in the spinal cord, nasal septum or lungs?

A.iatrogenic disseminationB.coelomic metaplasiaC.immunologic changesD.lymphovascular metastasis*

MPL 0.33Comprehensive GynecologyComprehension

92.Which is an abnormal semen parameter?A.white cell count of 105 per mlB.sperm morphology 31%*C.sperm count 40 x 105 per mlD.progressive motility in 65%

MPL 0.33

Comprehensive GynecologyComprehension

93.A 32 year old has been having her regular pap testing for the last ten years. Her latest result however revealed low grade SIL.What is the next step to do?

A.colposcopic examinationB.repeat smear in 4 months*C.conizationD.laser ablation

MPL 0.33Comprehensive Gynecology p.873Application

94.A 19 year old was brought to the ER because of acute pain. There was also vaginal spotting. Examination revealed a small tender adnexal mass. Based on her LMP, she is on day 25 of her cycle. Pregnancy test was negative. What is the most likely diagnosis?

A.ectopic pregnancyB.acute salpingitisC.ruptured corpus luteum*D.ruptured endometrial cyst

MPL 0.33Comprehensive Gynecology p.509Analysis

95.A 28 year old nulligravid with primary infertility and cyclic pelvic pain was diagnosed to have endometriosis. She was placed on hormonal treatment. However, while on this drug, syhe developed acne,hirsutism, and deepening of the voice. What is a better alternative?

A.laparoscopic fulgurationB.GnRH agonist*C.progesterone injectablesD.Oral contraceptives

MPL 0.33Comprehensive gynecology p.546Analysis

96.A 35 year old consulted because of vesicular lesions in the vulva. She related that several days prior to the appearance of the vesicles, she felt numbing sensation over her vulvar skin. Which is the best treatment?

A.metronidazoleB.acyclovir*C.doxycylineD.penicillin


97.A 17 year old consulted because of lower abdominal pain of 3 days duration described as constant and dull.On speculum exam, purulent vaginal discharge was noted. Patient was febrile at 38.5 C. Perinent finding on internal exam: tenderness with motion of the uterus and cervix. Which is the most pressing reasoin for admitting this patient?

A.purulent dischargeB.feverC.tenderness on IED.age*


98.A woman consulted because of spontaneous milky discharge and missed period of 8 weeks. Pregnancy test was negative. Prolactin levels after appropriate blood collection was 35 ng/ml. What should be the next step in the work-up?

A.repeat prolactin in a quiet roomB.CT scan of the brainC.Cone view of the sella turcicaD.TSH determination*


99.A patint was diagnosed to have squamous cell cervical cancer. Clinical evaluation revealed that the disease has involved the upper third of the vagina. Parametrial tissues were indurated. However, there was no evidence of pelvic wall involvement. What is the best treatment for her?

A.radiotherapyB.chemoradiation*C.RHBLNDD.chemotherapy


100. A 19 year old consulted because of primary amenorrhea. On clinical evaluation,the patient was found to have breast development but absent uterus. Which of the following can best help arrive at diagnosis?

A.progesterone challenge testB.GnRH level determinationC.Karyotyping*D.Gonadal biopsy


board exam ob-gyn

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