END OF POSTING OBS AND GYNAE 2015

SINLGE BEST

1 Concerning development

A) Growth spurt---breast development---pubic hair----menstruation---axillary hair

B) Growth spurt---breast development---axillary hair---menstruation---pubic hair

C) Growth spurt---breast development ---pubic hair---axillary hair----menstruation ANS

D) Growth spurt---breast development---axillary hair---pubic hair---menstruation

E) Growth spurt---breast development---menstruation---pubic hair---axillary hair

2 a 26 yrs. old p1+0 SC in ANC clinic how will you manage

A. Folic acid
B. Ferrous sulphate
C. Delivery should be done at 36wks after record of foetal maturation
D. Prophylactic antibiotic for UTI

3 in prevention of unsafe abortion

A. Health policies are not needed

B. Family planning is the way forward
C. Parental education is mandatory
D. Legalization is not helpful
E. Use of contraception is the way forward ANS

4effect of pyelonephritis in pregnancy

A. PPROM
B. Anaemia
C. IUGR
D. Preterm labour

5 mandatory investigations at booking

A. HIV screening
B. Cervical smear
C. Heamogram ANS
D. Rubella

6 Concerning Vesico Vaginal Fistula

a) Surgical repair is done 2-3 months after diagnosis is made ANS

B) long catheter drainage for 12-14 weeks is required for spontaneous closure, 6-8wks

C)the woman starts leaking urine immediately following prolonged labour

7 the following are ass with female genital mutilation

A. Prolonged labour
B. Obstructed labour
C. Urinary retention ANS
D. Need to give anterior episiotomy

8Concerning Cervical Incompetence

a) It is a common cause of 1st trimester abortion

b) May be congenital

c) May be diagnosed by passage of 8cm dilator ANS

d) it is associated with painless premature labour

e) all of the above

9risk factor for perineal tear except

A. Primigravida
B. Direct ocipitoposterior position
C. Prolonged labour ANS
D. Foetal weight 4kg and above
E. Precipitate labour

10 the ffg are complications of pre eclampsia except

A. Micro angiopathic haemolytic anaemia

B. Leukopenia ANS
C. Thrombocytopenia
D. Liver rupture
E. Cerebral oedema

11 concerning placenta previa

A. There is abnormal presentation at term ANS

B. Manage conservatively at 38 weeks with mild bleeding
C. Fetus is more at risk than mother
D. Manage

12 these are complication of pre eclampsia

 A. Micro angiopathic haemolytic anemia
B. Leucopenia ANS
C. Thrombocytopenia
D. Liver rupture

13

14

15 the most common cause of perinatal mortality in multiple gestation

A. IUGR
B. PPrematurity ANS
C. Congenital defect
D. PROM

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17

18 initiation of puberty is primarily controlled by the maturity of the following

A.. CNS

A. Pituitary gland
B. Ovary
C. All of the above ANS

D. None of the above

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27following abdominal surgery there is loss of sensation to the skin on the lateral side of the foot
and foot drop, which nerve is most likely damaged

A. Common peroneal nerve

B. Pudendal nerve
C. Obturator nerve
 D. Femoral nerve
E. Great saphenous

28which of the ffg is the most sensitive for iron deficiency in pregnancy

A. Serum transferrin
B. Serum ferritin ANS
C. Serum TIBC
D. Serum iron
E. Blood film

29

30 Late complication of pregnancy include the ffg

A. Constipation
B. Heartburn
C. Ptylism
D. Emesis
E. Mal-positioning

31 bromocryptin…..hyperprolactinaemia

32 renalblood flow inc in pregnancy

33

34which of the ffg regarding teenage pregnancy is correct

A. Sexual abuse is not related

B. They should be allowed to keep pregnancy
C. Abortion or adoption is an option ANS
D. Early marriage is not a risk factor

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36

37

38

39) the best method for monitoring labour

A. A)) frequency of contraction

B. B) B) duration of contraction
C. C) Dilatation of the cervix ANS
D. D) Amount of analgesia the px required
E. E) From the time of membrane rupture

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41

42risk factor for ectopic pregnancy

A. Previous IUCD use ANS

B. Commoner in px with infertility
C. Commonest site is the isthmus

43

44The ffg are complications of inserting a veress needle through the umbilicus in a thin patient.

A) Bowel perforation ANS

B) Injury to the liver
C) Injury to the ureters
D) Injury to the inferior epigastric vessels
E) Vascular injury

45

46

47 concerning vaginal discharge

A) Bacteria vaginosis is the commonest cause ANS

B) Candidiasis is not sexually transmitted
C) Trichomoniasis can be treated with amoxycilin
D) Chlamydia can be treated with
E) Gonorrhoea crosses placenta

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50concerning EMLSCS

A. Time of decision should not be more than 90mins from presentation

B. Has more advantage compared to classical ANS
C. VBAC can be done after 2 LSCS
D. Always done at night

MCQ

51 A 28yr old woman presents at 30wks with fundal ht of 50cm. Which of the ffg statements
concerning polyhydramnios is true?

A) Acute hydramnios always leads to labour prior 2 28wks F

B) D incidence of associated mal4mations is approx. 3% F 20%

C) Maternal oedema, esp. of d lower extremities n vulva re rare.

D) Esophageal atresia is accompanied by polyhydramnios in nearly 10% of cases F 40%

E) Complications include placenta abruptions, uterine dysfunction and PPH T

52infective genital ulcers

Herpes simplexT

HIV T

Chlamydia T

Syphilitic T

gonorrhoea F

53 the ffg are features of adenomyosis

A. Dyspaeuria T
B. infertility T

54 external chepalic version in breech presentation

A. Is offered to all women if there is no contraindication T

B. Has reduced the cesatian section rate by 50%T

55 concerning adolescent reproductive health

A. Presence of leucorrhoea is normal T

B. Leucorrhoea may be preceded by menarche F
C. Leucorrhoea may precede menarche by as much as 5yrs F

56: Adult sexual and reproductive health

A) 2° dysmenorrhea is commonF

B) leukorrea is normal F

C) Leukorrea can precede menarche by as much as 1yr T

D) Its difficult 2 treat STI's bcz of l8 presentations.T

E) ?
57bactera vaginosis

A. Occurs in females of all ages T

B. is always sexually transmittedF
C. Can be diagnosed with high vaginal swabs for culture T
D. Vaginal ph is more than 4.5 T
E. Is strongly ass with development of pidT

58genuine stress iincontinencee of urine

A. Can be caused by damage to pubovesical ligamentT

B. Is more common in post menopausal womenT
C. Can be diagnosed clinicallyT
D. Improves during pregnancyF
E. Can be distinguished from urge incontinence by cystometry T

59hormone replacement therapy

A. Should be given to all postmenopausal woemen F

B. Is an effective contraceptiveF
C. Increasese the size oof fibroidT
D. Can be given to women who had breast cancer F
E. Should be given to all women with hot flush and nihgt sweat F

60progesterone only pills

A. Increased risk of ectopic pregnancy T

B. Has poor cycle control T
C. There is endometrial decidualizationT
D. Inhibits ovulationT
E. Supresses lactation F

61risk factor for cervical cancer

A. Low socio economic status T

B. SmokingT
C. Circumscition in the male partner F
D. Ffemale genital mutilation T

62 which of the ffg is properly matched

A. TSH
B. FSH
C. Oestrogen
D. Prolactin
E. Gnhrh

63 bilateral tubal ligation methods

 A. Pomeroys method T
B. Packlands methodT
C. Lovine method T
D. Mechanical clip T

64 concerning PCOS

A. FSH is increased F
B. Polcycystic ovary must be present F
C. Infertility T
D. Familial dispositon T

65hormones secreted by the placenta

A. Alpha fetoprotein F
B. Human placenta lactogen T
C. Cortisol F
D. Corticotrophin releasing hormone F
E. Oestriol(E3) T

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67which of the ffg are correctly matched

A. Vertex – suboccipitobregmatic T9.5

B. Face ---submentobregmatic T
C. Vertex ---- sub occipiitto frontalF
D. Brow ---- mentovertex T13
E. Face ---- occipitofrontal F

68 a primiparous woman was admitted at 32 weeks gestation with vaginal bleeding greater than
500ml her symphisiofundal hight is 36 cm on abdominal examination the uterus is tender and fetal
parts aredifficult to palpate her blood pressure is 110/60 and fetal heart can nott be heard with
sonicaid how will you mamage

A. Immediate cs F
B. Resucutate then cs F
C. Amniotomy +induction with oxytocin T
D. Resuscitate and conservative management till delivery F
E. Synchronous blood transfusionT

69routine pregnancy test

A. Measurement of beta hcgin urine F

B. Measurement of beta hcgin blood F
C. Detection of beta hcgin urine T
70 puerperium

Woman wiith mastitis is advised to stop breastfeeding in the affected breast T

The fundus of the uterus is felt just below the umbilicus afer 48 hours T

After 14 days the uterus should be felt abdominally F

71causes of heavy and irregular uterine bleeding

A. Fibroid F
B. Batholyn cyst F
C. Adenomyosis F
D. Myxedema T
E. hypertension

72calculating OCP

A. A woman that did IVF F

B. A woman that used OCP for 6 months prior tho this regnancy F
C. A woman with cycle length of 30-33 days F28
D. A woman that has breast fed for two monthsbefore this pregnancy F

73 gyneatrisia

A. Commonest cause of gynaetrisia in Nigeria is radiation F

B. Commonest cause of gynaetrisa in developed world is chemical vaginitis F
C. Congenital cause is more in developing countries F

742nd degree prolapse

A. Associated with decubitous ulcders

B. Vaginal hysterectomy in premenoa3usal women

75 good prognostic factor for VBAC

A. No prior vaginal delivery F

B. Non recuruin prior indication for CS in index pregnancy T
C. Fetal birth weight of 3.5 kg in index pregnancy T
D. Dilatation of >5cmT
E. Spontaneous contraction T

76 megaloblastic anemia

A. Mcv of 90fl F
B. Immediate response to parenteral vitamin b12 F
C. Pyridoxine theraphy T
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78causes of heavy regular menstral bleeding

A. Uterine fibroid T
B. AdenomyosisT
C. DUB T

79

802ndry dysmenhoraa is caused by

A. Endometrosis T
B. Adenomyosis T
C. Cervical stenosis T
D. Pid T
E. Ahsermans syndrome F
F. 81

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96. Mcq
D/D of ectopic pregnancy

A. Acute appendicitis T

B. Threatened abortionT

C. Torsion of ovarian cyst T

D. PID T

E. Incomplete abortionT

97risk factors for endometrial CA

A. Multiparity F
B. Use of OCP dimethylsterone F
C. Functional ovarian tumor

98 effect of progesterone only pill

A. Suppression of lactationF
B. Poor cycle controlT
C. Increase incidence of ectopic pregnancy t
D. Endometrial decidualization T
E. Do not inhibit ovulation F

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