O&G group A. (dec-march) MCQ 4. sequence of puberty a. thelarche,menarche,pubarcle,adrenache 5. regarding pueperium a.

bacterial vaginosis increase risk of pueperial pyrexia b. high fibre diet is not advised c. exclusive breast feeding is contraceptonal method d.ovulation resume as early as 3 week post partum e. antiseptic cream improve healing. 6. in managing patient with PPROM a. CRP is realible test to Dx chorioamnionitis b. corticosteroid is contraindicated c. VE os contraindicated d. risk of congenital pneumonia reduced by iving antibiotics intrpartum e. litmus test change blue to red confirmed leaking. 7. xingat soalan b. baseline FHR at term 100-160bpm c. baseline variability affected by sleep pattern and fetal activity d. s or more accerleration in 20-30 duration shows reactive CTG e. deceleration after contraction = early deceleration 8. xingat soalan b. sign of placenta separation is fundus of uterus become lobulated and approaching the umbilicus c. active Mx of 3rd stage are parenteral ergometrin following delivery of placenta 9. PID a. typically symptomatic b. associated with STD c. d. e. it can be treated surgically 10. Ix to be done in preterm contraction a. UFEME 11. midterm miscarriage e. progestron is the only Tx of choice

12. risk factor for endometrial Ca a. obesity b. abnormal glucose tolerance c. multiparity d. smoking e. unopposed estrogen 13. puberty a. telarche, menarche, puberche, adrenarche b. precorcious puberty is mostly constitutional c. adult type breast is Tanner B4 d. 14 years old with primary amenorrhea should be investigated e. GNRH is secreted in pulsatile manner 14. uterine fibroid a. usually symptomatic b. ultrasound is gold standard c. renal tract imaging should be done if fibroid large.

OBA 4. 36 y.o G3 at 33 week POA present with abd.pain and vaginal bleeding. Hx of c-sec 3 years ago BP: 160/100mmHg PR: 80bpm CTG: show fetal bradycardia Most likely diagnosis? a. abruption placenta b. bleeding placenta previa 5. 20 y.o sexually active high grade fever aginal discharge and suprapubic pain. On examination, vague tender Mass at rt iliac fossa. Ultrasound confirmed rt cystic mass measured 5x6cm with minimal fluid at POD. Fbc revealed increased twbc. Most likely dx? a. appendix b. ruptured ectopic pregncy c. ruptured ovarian mass F d. tubo-ovarian abscess e. twisted ovarian mass 6. 35 y.o POA 10 week. Heavy PV bleed+POC, os open . she is stable . vital signs are normal what to do next? a. VS US

b. wait spontaneous POC c. urgent ERPOC d.GXM e. IM synto 7. 28 y.o teacher LCB 5 years ago . severe progressive dysmenorhea and menorrhagia for 2 years. On abd.examination(x ingat) a. b. c. d. e. Brenner tumor Follicular cyst Endometrioma Mature cystic teratoma Serous cyst adenoma

8. mdm 22, 35 y.o P4 LCB 5 years ago came with complaint of sevre dysmenorhea and menorrhagia. On examination. No jaundice not pale, not cachexic. Bimanual examination tenderness deep uterine mass.. Most apporiate dx. a. adenomyosis b. endometriosis c. uterine sarcoma d. ovarian carcinoma 9. mdm ss 29 y.o teacher G2P1 10week POG, K/C/O DM type 2 on medication presented with PV spotting , severe nausea n vomiting for a weeks, did not noticed passing out POC, vital sign stable, not pale, a febrile, uterus at 14 week, adnexae mass palpable. a. ectopic pregnancy b. multiple pregnancy with threatened miscarriage c. missed miscarriage d. molar pregnancy e. pregnancy with fibroid 10. 28 y.o 18 week POG, 3+ glycosuria, no history of DM, action of this point? a. repeat dipstick b. RBS c. MOGTT d. BSP e. FBS

PMP 2. mdm s 37 y.o G4 P2+1 currently at 35 week 4 days POA. Present to AnE complain of leaking liquor more than 24 hours associated with abdominal pain. Past Obs 1) SVD term 7 years ago.

2) ELSCS at 32 weeks 5 years ago ANC 2weeks ago. 1. 2. 3. 4. 6 questions to be asked regarding current pregnanacy 2 question for past obs and reasons relevant PE on admission relevant invstigation and reason.

On examination, patient was pale, BP 110/70mmHG, PR 80bpm CTG 20 minutes fetal tachycardia 170bpm, presence of decelaration, 5:10 contraction 5. what is your mode of delivery 6. complication of the delivery 7. complication to the baby PMP3. Mdm Z, 30 y.o teacher, amenorrhea for 6 months, irregular menses for 8 years, married for 8 years have 1 child, 4 years old. 1. relevant question regarding presenting complaint (6M) 2. DDX (4M) Bp 130/ 80mmHg, Ht 152, wt 90kg, hirsutism, no mass, abd soft non tender. 3. 4. 5. 6. other clinical features relevant investigations with reason (5M) non- pharmacological advices (2M) 3 long term sequale of her condition