Question: A 34 year old woman who never had fits or high BP developed fits 6h after delivery of a term healthy child. What is the most likely diagnosis?
a. Eclampsia
b. Preeclampsia
c. Epilepsy
d. Pulmonary embolism
e. Pregnancy induced HTN
Answer: (a)
Question: A 30 year old lady who already has one child through a prv C-section demands a reversible contraception. She presently experiences heavy and painful periods. What is the most appropriate contraceptive you will recommend for her?
a. COCP
b. POP
c. Implanon
d. Danazol
e. Mirena
f. IUCD
Answer: (e)
Question: A 32 year old woman comes with intermenstrual bleeding. Her last cervical smear was 1 year ago and was negative. What test would you recommend for her initially?
a. Colposcopy
b. Cervical smear
c. Endocervical swab
d. Transvaginal US
e. Pelvic CT
Answer: (b)
Question: A 20 year old woman has had abdominal pain in the LIF for 6 weeks. Over the past 48h, she has had severe abdominal pain and has a fever of 39.1C. Pelvic US shows a complex cystic 7 cm mass in the LIF. What is the most likely diagnosis?
a. Endometriosis
b. Dermoid cyst
c. Ovarian ca
d. Tubo-ovarian abscess
e. Ectopic pregnancy
Answer: (d)
Question: A woman is 16 weeks pregnant and she is worried about an abnormal chromosomal anomaly in her child. What is the definitive investigation at this stage?
a. Amniocentesis
b. CVS
c. Parents karyotyping
d. Coomb’s test
e. Preimplantation genetic diagnosis
Answer: (a)
Question: A 28 year old lady with a fam hx of CF comes for genetic counselling and wants the earliest possible diagnosis test for CF for the baby she is planning. She is not in favor of termination. What would you recommend for her?
a. CVS
b. Amniocentesis
c. Preimplantation genetic dx
d. Chromosomal karyotyping
e. Maternal serum test
f. Reassure
Answer: (c)
Question: A 39 year old woman in her 36th week GA with acute abdominal pain is rushed for immediate delivery. Her report: BP=110/60mmHg, Hgb=low, bilirubin=22, AST=35, Platelets=60, APTT=60, PT=30, Fibrinogen=0.6. What is the cause?
a. Pregnancy induced hypertension
b. DIC
c. HELLP syndrome
d. Acute fatty liver
e. Obstetric cholestasis
Answer: (b)
Question: A 36 weeks pregnant woman presents with sudden onset of uterine pain and bleeding, uterus is tender, no previous LSCS. What is the most appropriate cause?
a. Preeclampsia
b. DIC
c. Placental abruption
d. Placenta previa
e. Ectopic pregnancy
f. Missed abortion
g. Ectropion
Answer: (c)
Question: A 28 weeks pregnant woman presents with uterine bleeding after sexual intercourse. What is the most appropriate cause?
a. Preeclampsia
b. DIC
c. Placental abruption
d. Placenta previa
e. Ectopic pregnancy
f. Missed abortion
g. Ectropion
Answer: (g)
Question: A 6 week pregnant woman presents with abdominal pain. She has previous hx of PID. What is the most likely diagnosis?
a. Preeclampsia
b. DIC
c. Placental abruption
d. Placenta previa
e. Ectopic pregnancy
f. Missed abortion
g. Ectropion
Answer: (e)