Question: A 33 weeks pregnant woman presents with vaginal bleeding, low Hgb, low plt, increased bilirubin, AST normal, APTT & PT increased. 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: (b)
Question: A 25 year old lady at her 28th week GA came for a checkup. Her BP=160/95mmHg, protein in urine=6g/d. What is the most likely diagnosis?
a. Essential HTN
b. Gestational HTN
c. Chronic HTN
d. Preeclampsia
Answer: (d)
Question: A 32 year old woman has a hx of spontaneous abortions at 6 weeks, 12 weeks, and 20 weeks. She is now keen to conceive again. Which of the following would you prescribe for the next pregnancy?
a. MgSO4
b. Aspirin
c. Warfarin
d. Mefenemic acid
e. Heparin
Answer: (b)
Question: A 6 year old child presents with hx of recurrent jaundice. Between the episodes he is totally fine. Mother gives hx of jaundice being brought about by ongoing infections. What is the most likely diagnosis?
a. Hereditary spherocytosis
b. G6PD deficiency
c. Thalassemia
d. Sickle cell disease
e. Congenital storage disorder
Answer: (b)
Question: A 42 year old woman who smokes 20 cigarettes/d presents with complaints of heavy bleeding and prolonged menstrual period. What is the most appropriate tx for her?
a. Tranexemic acid
b. COCP
c. Mefenemic acid
d. IUCD
e. Norethisterone
Answer: (d)
Question: A 17 year old senior school girl will complain of prolonged irregular menstrual period and heavy blood losses. What is the most appropriate tx for her?
a. Mefenemic acid
b. COCP
c. POP
d. IUCD
e. Mirena
Answer: (b)
Question: A 32 year old presents with heavy blood loss, Ultrasound: uterine thickness>14mm. What is the most appropriate tx for her?
a. Mefenemic acid
b. COCP
c. POP
d. IUCD
e. IU system (mirena)
Answer: (e)
Question: A 37 year old woman presents with heavy bleeding. Investigation shows subserosal fibroid=4cm and intramural fibroid=6cm. Which is the most appropriate tx?
a. UAE
b. Abdominal hysterectomy
c. Hysteroscopic Myomectomy
d. Vaginal Hysterectomy
e. Abdominal myomectomy
Answer: (e)
Question: A woman with sickle cell disease complains of heavy menstrual blood loss. What is the most appropriate tx?
a. COCP
b. Mirena
c. Depot provera
d. Copper IUS
e. Transdermal patch
Answer: (c)
Question:. A 70 year old woman is admitted with diarrhea, vomiting and dehydration. Examination: yellow visual halos in her eyes, ECG=bradycardia. She has a hx of chronic A-fib. Which drug causes the above mentioned side effects?
a. Nifedipine
b. Ramipril
c. Atenolol
d. Lithium
e. Digoxia
Answer: (e)