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An 18-year-old girl presents with Iry amenorrhea. She reports vaginal bleeding following a hormone withdrawal test. The following conditions is most likely EXCLUDED:
Anonymous Quiz
46%
Mullerian agenesis.
21%
b. Hypothalamic amenorrhea.
4%
POI
8%
d. PCO
21%
e Turner syndrome.
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. The luteal phase of the menstrual cycle is associated with:
Anonymous Quiz
4%
a High luteinizing hormone level.
88%
b High progesterone levels.
4%
High prolactin level.
0%
d Excessive watery cervical secretion.
4%
Proliferative changes in the endometrium
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All the following are likely diagnoses in a 16-year-old girl with Iry amenorrhea but normal 2ry sexual characters EXCEPT:
Anonymous Quiz
24%
Androgen insensitivity syndrome a.
0%
b. Uterine agenesis.
68%
c. Kallman's syndrome.
4%
d. Vaginal atresia.
4%
e. Imperforate hymen.
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. The following are characteristics of Turner's syndrome EXCEPT:
Anonymous Quiz
92%
Secondary amenorrhea.
0%
Hypergonadotropic hypogonadism. b.
4%
C. Short stature.
0%
d. Streak ovaries.
4%
e. Wide carrying angle.
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A 68-year-old woman presents with vaginal dryness and dyspareunia. She is on no medications nor HRT. TVS is normal. PV shows loss of rugae. Most appropriate next step:
Anonymous Quiz
0%
Outpatient hysteroscopy to assess the endometrium.
35%
Transdermal continuous combined HRT
8%
Water based vaginal lubricants.
58%
Estrogen-containing vaginal pessaries.
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The effect of which hormone causes arborization on Fern test:
Anonymous Quiz
13%
Estrone.
75%
b Estradiol.
6%
Estriol
3%
d Progesterone.
3%
e Testosteron
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A patient with high FSH and LH levels and low AMH probably suffers from:
Anonymous Quiz
4%
Endometriosis
11%
PCOS
7%
Hypogonadotropic hypogonadism.
0%
Sheehan Syndrome.
78%
Premature ovarian failure
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Several follicles begin to grow in a menstrual cycle. Their ultimate fate is:
Anonymous Quiz
7%
Ovulation
13%
b Dominance.
3%
c. Cyst formation
63%
d. Atresia.
13%
e. Regression.
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1. The most important factor for placental separation from its implantation site:
Anonymous Quiz
6%
Maternal pushing a
12%
Gentle cord traction. b.
62%
Uterine smooth muscle contraction.
15%
d Hematoma formation between the uterine wall and placenta.
6%
e Fundal pressure by the ulnar border of the physician hand.
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2. The relation of the fetal long axis to that of the mother is termed:
Anonymous Quiz
88%
a Fetal lie
0%
b Fetal angle.
6%
Fetal attitude.
3%
d Fetal position.
3%
e. Fetal engagement.
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3. The following determine the relation of the fetal parts to one another:
Anonymous Quiz
13%
a Presentation of the fetus.
6%
b Lie of the fetus.
72%
Attitude of the fetus.
9%
d Position of the fetus.
0%
e Intention of the fetus
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4. In shoulder presentation, the portion of the fetus chosen for orientation is:
Anonymous Quiz
3%
a Head
6%
b. Breech.
0%
Ribs.
87%
d Scapula
3%
e Umbilicus.
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5. The following is the correct order for the cardinal movements of labor:
Anonymous Quiz
33%
a Descent, engagement, internal fixation, flexion, extension, external rotation, expulsion.
4%
b Descent, flexion, engagement, external fixation, extension, internal rotation, expulsion.
48%
C Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion,
4%
d. Engagement, flexion, descent, internal rotation, straightening, expulsion.
11%
Descent, engagement, flexion, external rotation, extension, restitution, internal rotation.
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6. Progress of first stage of normal labor is characterized by:
Anonymous Quiz
14%
a. Engagement of fetal head must occur before full cervical dilatation.
0%
b. Rate of cervical dilatation is the same throughout first stage.
71%
c. In primipara, effacement of the cervix occurs before dilatation.
4%
d. Duration till full cervical dilatation is usually less than 3 hours.
11%
e. Membranes should be intact till full cervical dilatation.
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7. A 20-year-old GIP0 at 39wks presents with severe abdominal pains. cx is closed, she is given sedation. 4hrs later, her pain stopped. Her cervix is closed. Most likely diagnosis is:
Anonymous Quiz
93%
False labor
7%
b. Prolonged latent phase.
0%
Prolonged active phase.
0%
d Arrest of latent phase.
0%
e Arrest of the active phase.
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8. According to Friedmann, the normal rate of active-phase labor in a multipara is:
Anonymous Quiz
10%
a 1cm/hr.
0%
b 1.2cm/hr.
0%
d. 2cm/hr.
86%
1.5cm/hr.
3%
e 3cm/hr
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9. Station 0 describes the relationship between which of the following:
Anonymous Quiz
0%
a BPD and the pelvic outlet
33%
b. BPD and the ischial spines.
15%
C The lowermost portion of the presenting fetal part and the pelvic inlet.
52%
d The lowermost portion of the presenting fetal part and the ischial spines.
0%
e When the head is seen at the vulval ring.
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10. The following about the importance of the level of the ischial spine is true, EXCEPT:
Anonymous Quiz
12%
a It is the level of the levator Ani.
60%
b The internal os of the cervix lie at this level.
8%
c. The obstetric axis changes its direction at this level.
12%
d. The head is considered engaged if the vault is felt at or below this level.
8%
e Forceps should not be applied when the fetal head is above that level.
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11. The interspinous diameter of a normal pelvis should be at least:
Anonymous Quiz
0%
a. 5.5 cm.
10%
b. 8.5 cm.
55%
C. 10.5 cm.
17%
d. 11.5 cm.
17%
e. 12.5 cm.