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Obstetrics & Gynecology Question bank OBSTETRICS & GYNECOLOGY nd Mutah University - Medical School 2 Edition Prepared by: Ammar Adaileh , Tareq Abu Lebdah & Baseel Bzoor 1 Contents 6th year-2020 ....................................................................................................................................... 4 5th year-2020 ..................................................................................................................................... 23 6th year-2019 ..................................................................................................................................... 42 5th year - 2019 ................................................................................................................................... 47 2018 .................................................................................................................................................... 52 5th year - 2017 ................................................................................................................................... 59 2016 .................................................................................................................................................... 66 2015 ................................................................................................................................................... 70 5th year - 2012 ................................................................................................................................... 41 2011 .................................................................................................................................................... 55 5th Year – 2011 ................................................................................................................................ 112 2010 .................................................................................................................................................. 120 4TH Year - 2006 .............................................................................................................................. 131 2006 .................................................................................................................................................. 136 2007 .................................................................................................................................................. 141 Collection 1 ...................................................................................................................................... 149 Collection 2 ...................................................................................................................................... 157 Collection 3 ...................................................................................................................................... 174 Collection 4 ...................................................................................................................................... 177 Questions labeled by subjects ......................................................................................................... 194 Anatomy & Emberyology ........................................................................................................................... 195 Physiology of menstruation & dysmenorrhea ........................................................................................... 201 Puberty and menopause ............................................................................................................................ 207 Amenorrhea and galactorrhea ................................................................................................................... 213 Abnormal bleeding from the genital tract ................................................................................................. 220 INFERTILITY ................................................................................................................................................ 225 Contraception ............................................................................................................................................ 231 INFECTION OF THE FEMALE GENITAL TRACT AND VULVAL LESIONS .......................................................... 200 Uterine fibroids & endometriosis .............................................................................................................. 248 Cancer cervix, endometrial carcinoma....................................................................................................... 254 choriocarcinoma & sarcoma ...................................................................................................................... 254 Ovarian tumors and vulaval cancer ........................................................................................................... 261 2 Clinical and operative gynecology ............................................................................................................. 267 Normal pregnancy ..................................................................................................................................... 270 Changes, diagnosis, ANC and physiology ................................................................................................... 270 Bleeding in early pregnancy ....................................................................................................................... 274 Ante-partum hemorrhage.......................................................................................................................... 281 Hypertensive disorders of pregnancy4 ...................................................................................................... 285 Medical disorders of pregnancy ................................................................................................................. 289 Normal labor .............................................................................................................................................. 293 Malpresentations and twins ...................................................................................................................... 299 Abnormal labor complications of the 3rd stage, AUA, Obstructed labor, contracted pelvis & lacerations 303 Puerperium and neonatology .................................................................................................................... 310 Operative obstetrics .................................................................................................................................. 317 Exams ......................................................................................................................................................... 323 Exam 1 ......................................................................................................................... 323 Exam 2 ......................................................................................................................... 325 Exam 3 ......................................................................................................................... 327 Exam 4 ......................................................................................................................... 329 ** آخر تعديل عىل هذا امللف مت بتارخي 27 \7\ 2020 عن طريق طارق آبولبدة. حيث مت اضافة مناذج امتحاانت س نة 2020 لطلبة الس نة السادسة )دفعة 2014( وطلبة الس نة الرابعة )2016( 3 6th year –2020 Done by: Ibrahim Ghayyadah & Tareq abu-libdeh 1. Delay in the second stage of labor may be due to the followings, except: a. Rigid perineum b. An umbilical cord one time around the neck of the fetus c. Mento- anterior face presentation d. An effective epidural analgesia e. Maternal exhaustion 2. A 17-year-old girl attends the gynaecology clinic with her mother as being referred from her general physician. The girl has primary amenorrhea. On examination, the secondary sexual characteristics are absent. Reviewing the ordered investigations, she has low FSH/LH and estradiol, with normal T4, prolactin and testosterone. The most likely diagnosis is: a. Gonadal dysgenesis b. Congenital absence of uterus c. Androgen insensitivity d. Kallman’s syndrome e. Turner syndrome 3. A 35-year-old patient with idiopathic hyperprolactinemia attended gynaecology clinic. You prescribed Cabergoline treatment. Dosage of cabergoline for management of hyperprolactinemia is: a. 0.5-1.0 mg once daily b. 0.5-1.0 mg once daily c. 0.5-1.0 mg twice weekly d. 0.5-1.0 mg on alternate days e. 1.0 mg every fortnight 4. A 35 weeks’ pregnant diabetic, presented to the emergency room complaining of a decrease in the fetal movements since one day. The patient is very worried as she googled that fetal movements reflect its well being and asked for a test to check her baby. The doctor on call ordered a non-stress test which was nonreactive. What should be your next step? a. Induction of labor b. Cesarean section c. Repeat non-stress test after one hour d. Proceed to biophysical profile e. Do contraction stress test 5. A 31-year-old primigravida at her 22 weeks’ gestation, came to clinic after doing maternal serum alpha-fetoprotein and it was high. She started taking folic acid in her second month of pregnancy. Which of the following is the most appropriate next step in management? a. Repeat the test b. Perform amniocentesis for chromosomal abnormality c. Perform amniocentesis to evaluate alpha-fetoprotein
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