1. Mod de punctare: A3 Punctajul: 10CM The following signs and symptoms should be reported immediately as a potential danger signal in a pregnant woman: a) [x] vaginal bleeding b) [x] severe headache c) [ ] swelling of the ankles and feet d) [x] blurring of vision e) [ ] constipation ------2. Mod de punctare: A3 Punctajul: 10CM Preterm labor is important because it commonly results in death of the infant due to: a) [ ] abruptio placentae b) [ ] birth trauma c) [ ] jaundice d) [x] hyaline membranes disease e) [x] periventricular hemorrhages ------3. Mod de punctare: A3 Punctajul: 10CM The following congenital anomalies are associated with increased quantities of amniotic fluid: a) [x] duodenal atresia b) [x] anencephaly c) [ ] renal agenesis d) [x] spina bifida e) [ ] urethral hypospadias ------4. Mod de punctare: A3 Punctajul: 10CM It is important to treat patients with asymptomatic bacteriuria in pregnancy because: a) [ ] the patient is seriously ill b) [ ] one third will develop septic shock during pregnancy c) [ ] one third will develop cystitis during pregnancy d) [x] one third will develop acute pyelonephritis during pregnancy e) [x] it increases risk of preterm birth ------5. Mod de punctare: A3 Punctajul: 10CM What antibiotics are contraindicated in pregnancy: a) [x] tetraciclin b) [ ] ampicilin c) [x] levomicetine d) [ ] penicilline e) [ ] cefasoline ------6. Mod de punctare: A3 Punctajul: 10CM What can be used for pregnancy dating: a) [x] last menstrual period b) [x] ultrasound examination c) [x] the first movement of fetus d) [x] palpation of uterus in early pregnancy e) [ ] palpation of uterus in the third trimester ------7. Mod de punctare: A3 Punctajul: 10CM Choose the correct statements regarding chorioamnionitis: a) [ ] it causes all cases of preterm labor b) [x] it usually follows preterm rupture of membranes c) [x] should be treated with combination of antibiotics d) [ ] it only occurs in patients with vaginitis e) [ ] the most frequent sign is backache ------8. Mod de punctare: A3 Punctajul: 10CM Which complications are common if diabetes is not well controlled? a) [x] fetal macrosomia b) [x] preeclampsia c) [ ] oligohydramnios d) [x] polihydramnios e) [ ] premature delivery ------9. Mod de punctare: A3 Punctajul: 10CM Clinical criteria of chorioamnionitis include: a) [ ] headache and backache b) [ ] vaginal bleeding c) [x] fetal tachycardia d) [x] purulent vaginal discharge e) [x] fever more than 38C ------10. Mod de punctare: A3 Punctajul: 10CM Which patients are at high risk of preterm labor? a) [ ] patients who book early in pregnancy b) [x] patents with twin pregnancy c) [x] patients living in low socio-economic circumstances d) [x] patients with bacterial vaginosis e) [x] patients with a history of preterm labor in previous pregnancy ------11. Mod de punctare: A3 Punctajul: 10CM Which of the following are at high risk of cord prolapse? a) [x] a patient with breech presentation b) [ ] a patient with cephalic presentation c) [ ] a patient with a post term pregnancy d) [x] a patient who ruptures her membranes when the fetal head is still palpable 4/5 of the pelvic brim e) [x] a patient with severe polyhidramnios ------12. Mod de punctare: A3 Punctajul: 10CM Management of patient with premature prelabor rupture of membranes include: a) [ ] bimanual exploration of the cervix b) [x] prophylactic administration of antibiotics c) [x] administration of corticosteroids d) [x] transfer to a maternity with neonatological intensive care unit e) [x] estimation of gestational age as accurate as possible ------13. Mod de punctare: A3 Punctajul: 10CM Normal maternal adjustments in pregnancy include: a) [x] rise in cardiac output b) [x] hemodilution c) [x] decrease of diastolic pressure d) [x] increase in plasma volume e) [ ] decrease in red blood cell mass ------14. Mod de punctare: A3 Punctajul: 10CM The causes of oligohydramnios are: a) [x] fetal growth retardation b) [x] renal agenesis c) [x] preeclampsia d) [ ] neural tube defects e) [x] prelabor rupture of membranes ------15. Mod de punctare: A3 Punctajul: 10CM The causes of polyhydramnios are: a) [x] maternal diabetes b) [x] absence of esophagus c) [x] neural tube defects d) [ ] preeclampsia e) [ ] renal agenesis ------16. Mod de punctare: A3 Punctajul: 10CM The fetus with postmaturity syndrome has the following: a) [x] loss of subcutaneous fat b) [ ] short fingernails c) [x] dry, peeling skin d) [x] long fingernails e) [ ] abundant vernix caseosa ------17. Mod de punctare: A3 Punctajul: 10CM Indications for a cesarean section include: a) [x] previous cesarean section b) [x] placenta previa c) [x] fetal distress d) [ ] cervical cerclage e) [x] cord prolapse ------18. Mod de punctare: A3 Punctajul: 10CM What is indicated for prevention of respiratory distress syndrome in premature neonates: a) [ ] heparin b) [ ] oxitocin c) [x] dexamethasone d) [ ] magnesium sulphate e) [x] betamethasone ------19. Mod de punctare: A3 Punctajul: 10CM Which of the circumstances increases the risk of a multiple pregnancy: a) [x] family history of multiple pregnancy b) [ ] primiparity c) [x] induction of ovulation with clomiphen citrate d) [ ] maternal age more than 30 years e) [x] in vitro fertilization ------20. Mod de punctare: A3 Punctajul: 10CM Progesterone in pregnancy is produced in: a) [ ] posterior hypophysis b) [x] corpus luteum c) [ ] adrenal gland d) [x] placenta e) [ ] adenohypophysis ------21. Mod de punctare: A3 Punctajul: 10CM Select correct statements regarding premature delivery: a) [x] pregnancy term 22-37 weeks b) [x] weight of the newborn 500 - 2500 g c) [ ] pregnancy term 28-37 weeks d) [x] length of the newborn 25 - 45 cm e) [ ] length of the newborn 25 - 49 cm ------22. Mod de punctare: A3 Punctajul: 10CM In which situations labor induction is contraindicated: a) [x] previous cesarean section b) [x] transversal lay c) [ ] preeclampsia d) [x] estimated fetal weight more than 4500 gr e) [ ] postdate pregnancy ------23. Mod de punctare: A3 Punctajul: 10CM Risk of what complications is increased in multiple pregnancy: a) [x] polyhydramnios b) [x] fetal growth restriction c) [ ] macrosomia d) [x] postpartum hemorrhages e) [x] prematurity ------24. Mod de punctare: A3 Punctajul: 10CM Ultrasound criteria of the oligoamnios are: a) [x] determination of an maximum vertical sac less than 2 cm b) [ ] determination of an vertical sac less than 5 cm c) [x] amniotic liquid index less than 5 cm d) [ ] amniotic liquid index less than 7 cm e) [ ] amniotic liquid index less than 10 cm ------25. Mod de punctare: A3 Punctajul: 10CM What are the components of Apgar score a) [x] frequency of respiration b) [x] fetal heart rate c) [ ] fetal weight d) [x] muscular tonus e) [x] skin color ------26. Mod de punctare: A3 Punctajul: 10CM Which dimensions of the pelvis can be appreciated through external pelviometry: a) [x] bispinarum distance b) [ ] diagonal conjugate c) [x] bitrochanteric distance d) [x] bicristarum distance e) [x] external conjugate ------27. Mod de punctare: A3 Punctajul: 10CM The newborn status is determined by: a) [x] Apgar score b) [ ] Vitlingher scale c) [x] Silverman score d) [ ] Glasgow scale e) [ ] Boshop score ------28. Mod de punctare: A3 Punctajul: 10CM Which of the following are risk factors for uterus rupture? a) [ ] threatened preterm labor b) [x] transversal situs of the fetus c) [x] previous cesarean section d) [ ] hydramnios e) [x] contracted pelvis ------29. Mod de punctare: A3 Punctajul: 10CM What complications are caused by infections during pregnancy: a) [ ] postpartum hemorrhages b) [x] fetal malformations c) [x] preterm deliveries d) [x] early neonatal sepsis e) [ ] placenta previa ------30. Mod de punctare: A3 Punctajul: 10CM What statements are correct regarding management of prelabor preterm rupture of membranes: a) [ ] Corticosteroids are contraindicated because of increased risk of infection b) [x] prophylactic antibiotic of choice is Eritromicine c) [ ] broad spectrum antibiotics are the best option d) [ ] immediate induction of labor improve perinatal outcomes e) [x] expectant management decrease perinatal mortality and morbidity ------31. Mod de punctare: A3 Punctajul: 10CM The aim of routine USG exam at 18-20 weeks of gestation is to determine: a) [x] gestational age of pregnancy b) [ ] fetal lay and presentation c) [x] localization of placenta d) [ ] biophysical profile e) [x] congenital anomalies of the fetus ------32. Mod de punctare: A3 Punctajul: 10CM Indications for selective ultrasound exam after 21 weeks of gestation are: a) [x] diabetes b) [x] placenta previa c) [x] suspected fetal growth restriction d) [x] vaginal hemorrhage e) [ ] maternal age >30 years ------33. Mod de punctare: A1 Punctajul: 10CS Protective bacterium in normal vagina is: a) [ ] Peptostreptococcus b) [x] Lactobacillus c) [ ] Gardenella vaginalis d) [ ] E. coli e) [ ] Candida ------34. Mod de punctare: A1 Punctajul: 10CS According to WHO, anemia in pregnancy is diagnosed, when hemoglobin is less than: a) [ ] 10.0gm% b) [x] 11.0gm% c) [ ] 12.0gm% d) [ ] 9.0gm% e) [ ] 8.0 gm% ------35. Mod de punctare: A1 Punctajul: 10CS Which of the following is most sensitive for the detection of iron in pregnancy: a) [ ] serum iron b) [x] serum ferritin c) [ ] serum transferrin d) [ ] serum iron bending capacity e) [ ] iron excretion rate ------36. Mod de punctare: A1 Punctajul: 10CS In pregnancy, which type of anemia is less common? a) [x] vitamin B12 anemia b) [ ] folic acid anemia c) [ ] iron + folic acid anemia d) [ ] iron deficiency anemia e) [ ] hemolytic anemia ------37. Mod de punctare: A1 Punctajul: 10CS Most common cause of maternal anemia in pregnancy: a) [ ] acute blood loss b) [x] iron deficiency c) [ ] gastro-intestinal blood loss d) [ ] hemolytic anemia e) [ ] thalassemia ------38. Mod de punctare: A3 Punctajul: 10CM Placenta previa is characterized by following: a) [x] painless bleeding b) [x] causeless bleeding c) [x] recurrent bleeding d) [ ] presents after first trimester e) [x] often bleeding starts mildly ------39. Mod de punctare: A1 Punctajul: 10CS A primigravida at 37 week of gestation admitted to labour room with central placenta previa with heavy bleeding per vaginum. The fetal heart rate was normal at the next time of examination. The best management option for her is: a) [ ] expectant management b) [x] cesarean section c) [ ] induction and vaginal delivery d) [ ] induction and forceps delivery e) [ ] blood transfusion ------40. Mod de punctare: A3 Punctajul: 10CM In which situations expectant management of placenta previa before 34 weeks of pregnancy is contraindicated? a) [x] evidence of fetal distress b) [x] fetal malformations c) [ ] mother in a hemodynamically stable condition d) [x] women in labour e) [x] dead baby ------41. Mod de punctare: A3 Punctajul: 10CM In placenta previa expectant management is not done in case of: a) [x] active labour b) [x] anencephaly c) [x] dead baby d) [x] severe placenta previa e) [ ] premature fetus ------42. Mod de punctare: A3 Punctajul: 10CM Termination of pregnancy in placenta previa is indicated in: a) [x] active bleeding b) [x] active labour c) [ ] gestational age < 34 weeks with live fetus d) [x] sévère fetal malformation e) [ ] unstable lie ------43. Mod de punctare: A1 Punctajul: 10CS All the following are indications for termination of pregnancy in antepartum hemorrhage EXCEPT: a) [ ] > 37 weeks b) [ ] dic syndrom c) [x] transverse lie d) [ ] continuous bleeding e) [ ] fetal distress ------44. Mod de punctare: A3 Punctajul: 10CM Savita is a 32 weeks pregnant woman diagnosed with severe antepartum hemorrhage. Vitals are unstable with BP 80/60. Which of the following are next steps in management? a) [ ] careful observation b) [x] blood transfusion c) [ ] medical induction of labour d) [x] immediate cesarean section e) [ ] expectant management ------45. Mod de punctare: A1 Punctajul: 10CS A 32 weeks pregnant woman presents with mild uterine contractions and on examination her vitals are stable and placenta previa is present. Best management is: a) [ ] bed rest + dexamethasone b) [x] bed rest + nifedipine and dexamethasone c) [ ] bed rest + sedation d) [ ] immediate cesarean section e) [ ] careful observation ------46. Mod de punctare: A1 Punctajul: 10CS A hypertensive pregnant woman at 34 weeks comes with history of abdominal pain, vaginal bleeding and loss of fetal movements. On examination the uterus is hard (increased tonus). Fetal heart sounds are absent. The most likely diagnosis is: a) [ ] placenta previa b) [ ] hydramnios c) [ ] premature labour d) [x] abruptio placenta e) [ ] active labour ------47. Mod de punctare: A3 Punctajul: 10CM What conditions can cause DIC during pregnancy? a) [ ] diabetes mellitus b) [x] amniotic fluid embolism c) [x] intrauterine death d) [x] abruptio placenta e) [x] coagulation disorders ------48. Mod de punctare: A1 Punctajul: 10CS Which of the following is not used in DIC? a) [ ] fresh frozen plasma b) [x] epsilon amino caproic acid c) [ ] blood transfusion d) [ ] intravenous fluids e) [ ] cryoprecipitate ------49. Mod de punctare: A1 Punctajul: 10CS An elderly multiparous woman was admitted with strong labour pains. The patient suddenly goes in shock with cyanosis, respiratory disturbances and pulmonary edema. The most likely clinical diagnosis is: a) [ ] rupture of uterus b) [ ] congestive heart failure c) [x] amniotic fluid embolism d) [ ] concealed hemorrhage after trauma e) [ ] stroke ------50. Mod de punctare: A1 Punctajul: 10CS After how many days of ovulation embryo implantation occurs? a) [ ] 3-5 days b) [x] 7-9 days c) [ ] 10-12 days d) [ ] 13-15 days e) [ ] >15 days ------51. Mod de punctare: A3 Punctajul: 10CM What is true about CIN: a) [x] premalignant lesion b) [x] hpv predisposes c) [x] pap smear can detect it d) [ ] malignant lesion e) [x] occurs at squamo-columnar junction ------52. Mod de punctare: A1 Punctajul: 10CS In a cervix low grade squamous intraepithelial lesion (LSIL) in Bethesda system includes: a) [x] CIN I b) [ ] CIN II c) [ ] CIN III d) [ ] squamous metaplasia e) [ ] carcinoma in situ (CIS) ------53. Mod de punctare: A3 Punctajul: 10CM Cone biopsy is indicated in the following conditions: a) [x] indefinite diagnosis on colposcopy b) [x] CIN-III c) [ ] cervical metaplasia d) [x] microinvasive carcinoma e) [ ] cervical erosion (ectopy) ------54. Mod de punctare: A1 Punctajul: 10CS Treatment of choice of stage III CIN in 40-year-old female is: a) [x] hysterectomy b) [ ] laser coagulation c) [ ] cryocoagulation d) [ ] cone excision e) [ ] repeat pap smear after 6 months ------55. Mod de punctare: A3 Punctajul: 10CM True statements about cervical cancer are: a) [x] 90% associated with HPV b) [ ] nulliparity is a risk factor c) [x] multiparity is a risk factor d) [x] more frequent in immunocompromised patients e) [x] smoking is a predisposing factor ------56. Mod de punctare: A3 Punctajul: 10CM Predisposing factors for cervical cancer are: a) [x] multiple sex partners b) [x] genital warts c) [x] hpv 16,18 d) [ ] virginity e) [ ] late menarche ------57. Mod de punctare: A3 Punctajul: 10CM Risk factor for cervical cancer are: a) [x] HPV b) [x] smoking c) [ ] late menarche d) [ ] nulliparity e) [x] early start of sexual life ------58. Mod de punctare: A3 Punctajul: 10CM High risk HPV for cervical cancer are: a) [x] HPV 16 b) [x] HPV 18 c) [ ] HPV 21 d) [ ] HPV 31 e) [ ] HPV 36 ------59. Mod de punctare: A1 Punctajul: 10CS Carcinoma cervix extends to lateral pelvic wall. The stage would be: a) [ ] stage I b) [ ] stage II A c) [ ] stage II B d) [x] stage III e) [ ] stage IV ------60. Mod de punctare: A3 Punctajul: 10CM Lymph nodes (LN) involved in cervical cancer: a) [ ] inguinal LN b) [x] obturator LN c) [x] hypo-gastric LN d) [x] external iliac LN e) [ ] femoral LN ------61. Mod de punctare: A1 Punctajul: 10CS A 55-years-old lady presenting to out patient department with post-coital bleeding for 3 months has a 1 x 1cm nodule on the anterior lip of cervix. The most appropriate investigation to be done subsequently is: a) [ ] pap smear b) [x] punch biopsy c) [ ] endocervical curettage d) [ ] colposcopy e) [ ] cone biopsy ------62. Mod de punctare: A3 Punctajul: 10CM Best methods of treatment of carcinoma in situ of cervix are: a) [x] simple hysterectomy b) [x] conisation c) [ ] laser vaporization d) [ ] cryosurgery e) [ ] total hysterectomy ------63. Mod de punctare: A1 Punctajul: 10CS In microinvasive cervical cancer, treatment of choice is: a) [ ] conization b) [ ] laser c) [x] simple hysterectomy d) [ ] radical hysterectomy e) [ ] total hysterectomy ------64. Mod de punctare: A3 Punctajul: 10CM Treatment of cervical cancer stage IB includes: a) [x] surgery b) [ ] laser vaporization c) [x] radiotherapy d) [ ] cryotherapy e) [ ] leep ------65. Mod de punctare: A3 Punctajul: 10CM Treatment of stage IIa cervical cancer includes: a) [ ] radical hysterectomy b) [x] radical hysterectomy with removal of pelvic lymph nodes c) [ ] total abdominal hysterectomy with bilateral salpingo-oophorectomy d) [x] radiation therapy e) [ ] hormonal replacement therapy ------66. Mod de punctare: A3 Punctajul: 10CM Karyotyping of fetus can be done through all of the following invasive methods: a) [x] amniocentesis b) [x] cordocentesis c) [x] chorionic villous sampling d) [ ] fetal skin biopsy e) [ ] amnioscopy ------67. Mod de punctare: A3 Punctajul: 10CM Prenatal diagnosis at 16 weeks of pregnancy can be performed using all of the following: a) [x] amniotic fluid b) [x] maternal blood c) [x] chorionic villi d) [ ] fetal blood e) [ ] fetal skin biopsy ------68. Mod de punctare: A3 Punctajul: 10CM Monitoring of B-HCG is useful in management of: a) [x] hidatiform mole b) [x] choriocarcinoma c) [x] ectopic pregnancy d) [ ] endodermal sinus tumor e) [ ] preeclampsia ------69. Mod de punctare: A1 Punctajul: 10CS The best time to do chorionic villous sampling is: a) [ ] between 6-8 weeks b) [ ] between 7-9 weeks c) [ ] between 9-11 weeks d) [x] between 11-13 weeks e) [ ] between 13 -16 weeks ------70. Mod de punctare: A3 Punctajul: 10CM Chorionic villous sampling is done to diagnose: a) [x] phenylketonuria b) [x] down's syndrome c) [ ] neural tube defect d) [x] thalassemia/sickle cell anemia e) [ ] osteogenesis imperfect ------71. Mod de punctare: A3 Punctajul: 10CM True statements about amniocentesis are: a) [x] it carries risk of miscarriage b) [ ] always done as a blind procedure c) [x] done between 14-20 weeks d) [x] chromosal abnormality can be detected e) [ ] done between 8-12 weeks ------72. Mod de punctare: A1 Punctajul: 10CS Amniocentesis is done at: a) [ ] 10-12 weeks b) [x] 14-20 weeks c) [ ] 20-24 weeks d) [ ] 24-28 weeks e) [ ] >34 weeks ------73. Mod de punctare: A1 Punctajul: 10CS What is the earliest gestational age when detection of fetal heart activity can be achieved be USG: a) [x] 6.0-6.5 weeks b) [ ] 6.5-7 weeks c) [ ] 7.1-7.5 weeks d) [ ] 8 weeks e) [ ] 9 weeks ------74. Mod de punctare: A1 Punctajul: 10CS What is the finding seen earliest in USG: a) [x] yolk sac b) [ ] fetal heart activity c) [ ] chorion d) [ ] placenta e) [ ] embryo ------75. Mod de punctare: A1 Punctajul: 10CS Earliest detectable congenital malformation by USG is: a) [x] anencephaly b) [ ] spina bifida c) [ ] meningocele d) [ ] cystic hygroma e) [ ] oesofageal atresia ------nd 76. Mod de punctare: A3 Punctajul: 10CM 2 trimester USG is done for: a) [x] sex determination b) [x] to guide amniocentesis c) [x] gestational age estimation d) [x] diagnosis of congenital defects e) [ ] determination of fetal presentation ------77. Mod de punctare: A3 Punctajul: 10CM USG fetal growth parameters are: a) [x] biparietal diameter b) [x] head circumference c) [ ] transcerebeller diameter d) [x] femur length e) [x] abdominal circumference ------78. Mod de punctare: A1 Punctajul: 10CS Doppler ultrasound in pregnancy detects: a) [ ] cardiovascular malformation b) [ ] neural tube defects c) [ ] abdominal masses d) [x] IUGR e) [ ] fetal sex ------79. Mod de punctare: A1 Punctajul: 10CS Late deceleration at CTG indicates: a) [ ] head compression b) [ ] cord compression c) [x] fetal hypoxia d) [ ] breech presentation e) [ ] placental insuficiency ------80. Mod de punctare: A1 Punctajul: 10CS Early deceleration at CTG denotes: a) [x] head compression b) [ ] cord compression c) [ ] placental insufficiency d) [ ] fetal distress e) [ ] breech presentation ------81. Mod de punctare: A3 Punctajul: 10CM Biophysical score includes: a) [x] fetal movements b) [x] respiratory movements c) [ ] placental localization d) [ ] uterine artery wave form e) [x] CTG ------82. Mod de punctare: A1 Punctajul: 10CS A young woman with 6 weeks amenorrhoea presents with signs of acute abdomen. Pregnancy test is positive, but USG shows empty uterus. Most likely diagnosis is: a) [ ] ovarian cyst b) [x] ectopic pregnancy c) [ ] complete abortion d) [ ] septic abortion e) [ ] pelvic abscess ------83. Mod de punctare: A1 Punctajul: 10CS A woman presents with amenorrhoea of months duration; lower abdominal pain, facial pallor, fainting and shock. Most likely diagnosis is: a) [ ] ruptured ovarian cyst b) [x] ruptured ectopic pregnancy c) [ ] threatened abortion d) [ ] septic abortion e) [ ] pelvic abscess ------84. Mod de punctare: A1 Punctajul: 10CS Young lady presents with acute abdominal pain and history of 1½ months amenorrhoea and positive pregnancy test. On USG examination there is collection of fluid in the punch of Douglas and no gestational sac in uterus. Diagnosis is: a) [x] ectopic pregnancy b) [ ] ruptured persisted follicle c) [ ] threatened abortion d) [ ] twisted ovarian cyst e) [ ] pelvic abscess ------85. Mod de punctare: A3 Punctajul: 10CM True statements about tubal pregnancy are: a) [x] prior tubal surgery is a risk factor b) [x] prior tubal pregnancy is a risk factor c) [x] prior PID/Chlamydia infection is the most frequent cause d) [x] IUD predisposes to tubal pregnancy e) [ ] COC predisposes to tubal pregnancy ------86. Mod de punctare: A1 Punctajul: 10CS Ectopic pregnancy is most commonly associated with: a) [ ] endometriosis b) [ ] congenital tubal anomalies c) [ ] tuberculosis d) [x] tubal inflammatory diseases e) [ ] retroverted uterus ------87. Mod de punctare: A3 Punctajul: 10CM Most common manifestations of ruptured ectopic pregnancy includes: a) [x] vomiting b) [x] vaginal bleeding c) [x] abdominal pain d) [ ] headache e) [x] fainting ------88. Mod de punctare: A3 Punctajul: 10CM Modern diagnostic aids to diagnose ectopic pregnancy includes: a) [x] HCG b) [x] transvaginal USG c) [ ] AFP d) [ ] gravindex e) [ ] culdocentesis ------89. Mod de punctare: A3 Punctajul: 10CM Most important investigations for ectopic pregnancy: a) [x] trans-vaginal USG b) [x] serial βHCG levels c) [ ] Doppler USG d) [ ] progesterone e) [ ] culdocentesis ------90. Mod de punctare: A3 Punctajul: 10CM In which of the following conditions, the medical treatment of Ectopic pregnancy is contraindicated: a) [ ] sac size is 3 cm b) [ ] blood in pelvis is 70 ml c) [x] presence of fetal heart activity d) [ ] previous ectopic pregnancy e) [x] hCG >1500mIU/ml ------91. Mod de punctare: A1 Punctajul: 10CS A hemodynamically stable nulliparous patient with ectopic pregnancy has adnexal mass 2.5x3cms and a Beta HCG titer of 1500 miu/ml. What modality of treatment is suitable for her: a) [ ] conservative management b) [x] medical management c) [ ] laparoscopic surgery d) [ ] laparotomy e) [ ] repeat HCG after 48 hrs ------92. Mod de punctare: A1 Punctajul: 10CS A 20year-old woman has been brought to casualty with severe abdominal pain, BP 70/40 mm Hg, pulse rate 120/min and a positive urine pregnancy test. She should be managed by: a) [x] immediate laparotomy b) [ ] laparoscopy c) [ ] culdocentesis d) [ ] resuscitation and Medical management e) [ ] conservative management ------93. Mod de punctare: A1 Punctajul: 10CS Which of the following methods of treatment is not done in ectopic pregnancy: a) [ ] salpingectomy b) [x] salpingo-oophorectomy c) [ ] salpingostomy d) [ ] resection of involved segment e) [ ] salpingotomy ------94. Mod de punctare: A3 Punctajul: 10CM Management of unruptured tubal pregnancy includes: a) [x] methotrexate b) [ ] prostaglandins c) [ ] hysterectomy d) [x] laparoscopic salpingostomy e) [x] salpingectomy ------95. Mod de punctare: A1 Punctajul: 10CS Which statement is not true about ectopic pregnancy: a) [ ] previous ectopic is greatest risk b) [x] COC increase risk c) [ ] increased risk with pelvic infections d) [ ] increased risk with IVF e) [ ] IUD use increases the risk ------96. Mod de punctare: A1 Punctajul: 10CS A 22 old, sexually active female presents with 8 weeks amenorrhea and severe pain in left lower abdomen. On USG, there was a thick endometrium with a mass in lateral adnexa. The most probable diagnosis is: a) [x] ectopic pregnancy b) [ ] torsion of dermoid cyst c) [ ] tubo-ovarian mass d) [ ] hydrosalpinx e) [ ] ruptured ovarian cyst ------97. Mod de punctare: A3 Punctajul: 10CM Diagnostic methods not useful in case of tubal pregnancy: a) [ ] pelvic examination b) [ ] USG c) [ ] HCG d) [x] hysterosalpingography e) [x] hysterocontrastoscopy ------98. Mod de punctare: A1 Punctajul: 10CS What is the treatment of choice of un-ruptured tubal pregnancy with serum b-HCG titer of 2000 IU/ml: a) [x] single dose of methotrexate b) [ ] variable doses of methotrexate c) [ ] expectant management d) [ ] laparoscopic salpingostomy e) [ ] laparotomy ------99. Mod de punctare: A3 Punctajul: 10CM Treatment of endometriosis include: a) [x] medroxyprogesterone acetate b) [x] tibolone c) [x] OCP d) [x] danazol e) [ ] methotrexate ------100. Mod de punctare: A3 Punctajul: 10CM Treatment of endometriosis include: a) [ ] estrogen b) [x] progesterone c) [x] OCP d) [x] danazol e) [x] GnRH ------101. Mod de punctare: A3 Punctajul: 10CM Drugs used in endometriosis are: a) [ ] testosterone b) [x] danazol c) [x] GnRH d) [x] progesterone e) [ ] estrogen ------102. Mod de punctare: A1 Punctajul: 10CS Best investigation to establish the diagnosis of endometriosis is: a) [x] laparoscopy b) [ ] USG c) [ ] X-ray d) [ ] CT scan e) [ ] seric hormone ------103. Mod de punctare: A1 Punctajul: 10CS True statement regarding adenomiosis is: a) [ ] most common in nullipara b) [ ] progestin are agents of choice for medical management c) [x] presents with menorrhagia, dysmenorrhea, and an enlarged uterus d) [ ] more common in young women e) [ ] hormone independent disease ------104. Mod de punctare: A3 Punctajul: 10CM Drugs for treatment of primary dysmenorrhea are: a) [ ] bromocriptine b) [x] ibuprofen c) [x] mefenamic acid d) [x] norethisterone and ethinyl estradiol e) [ ] estrogen ------105. Mod de punctare: A1 Punctajul: 10CS A 20-year-old woman gives a history of sharp pain in the lower abdomen for 2-3 days every month approximately 2 weeks before the menses. The most probable etiology for her pain is: a) [ ] endometriosis b) [ ] dysmenorrhea c) [ ] pelvic tuberculosis d) [x] mittelschmerz e) [ ] PID ------106. Mod de punctare: A1 Punctajul: 10CS Which is the treatment of choice for premenstrual syndrome? a) [x] SSRI b) [ ] progesterone c) [ ] estrogens d) [ ] anxiolytics e) [ ] tamoxifen ------107. Mod de punctare: A1 Punctajul: 10CS Hysteroscopy means visualization of: a) [ ] genital tract b) [ ] fallopian tube c) [x] uterine cavity d) [ ] cervix e) [ ] abdominal cavity ------108. Mod de punctare: A3 Punctajul: 10CM Hysteroscopy can diagnose: a) [x] Asherman's syndrome b) [x] septate uterus c) [ ] adenomyosis d) [x] TB endometritis e) [ ] pregnancy ------109. Mod de punctare: A3 Punctajul: 10CM Hysteroscopy is used in evaluation and treatment of: a) [x] uterine synechiae b) [x] abnormal vaginal bleeding c) [x] infertility d) [ ] recurrent still birth and abortions e) [ ] PID ------110. Mod de punctare: A3 Punctajul: 10CM Asherman's syndrome can be diagnosed by: a) [x] hysterosalpingography b) [x] saline sonography c) [ ] endometrial culture d) [x] hysteroscopy e) [ ] bimanual examination ------111. Mod de punctare: A1 Punctajul: 10CS Best gas used for creating pneumoperitonium at laparoscopy is: a) [ ] N2 b) [ ] O2 c) [x] CO2 d) [ ] N2O e) [ ] O3 ------112. Mod de punctare: A1 Punctajul: 10CS Laparoscopy is contraindicated in: a) [ ] ectopic pregnancy b) [ ] PID c) [ ] endometriosis d) [x] peritonitis e) [ ] genital endometriosis ------113. Mod de punctare: A3 Punctajul: 10CM Occurrence of ovulation is indicated by: a) [x] LH b) [ ] FSH c) [ ] estradiol d) [x] progesterone e) [ ] cortisol ------114. Mod de punctare: A1 Punctajul: 10CS Which of the following methods for assessment of female infertility can best predict timing of ovulation: a) [ ] BBT b) [ ] Fern Test c) [ ] spin barkeit phenomenon d) [x] LH e) [ ] vaginal secretion ------115. Mod de punctare: A1 Punctajul: 10CS Best indicator of ovarian reserve is: a) [x] FSH b) [ ] estradiol c) [ ] LH d) [ ] FSH/LH ratio e) [ ] progesterone ------116. Mod de punctare: A1 Punctajul: 10CS Luteal phase defect is best diagnosed by: a) [ ] serum progesterone levels b) [ ] endometrial biopsy c) [x] basal body temperature d) [ ] ultrasonography e) [ ] serum estradiol ------117. Mod de punctare: A1 Punctajul: 10CS Transcervical endometrial resection is used in: a) [ ] endometriosis b) [x] DUB c) [ ] carcinoma endometrium d) [ ] Submucous fibroid e) [ ] asherman syndrome ------118. Mod de punctare: A3 Punctajul: 10CM Indications of rectal examination in gynecology are: a) [x] in cases with mullerian agenesis b) [x] in virgin females c) [x] to differentiate rectocele from enterocele d) [ ] for staging of ovarian malignancy e) [ ] in cases of recto-vaginal fistula ------119. Mod de punctare: A3 Punctajul: 10CM What are the treatment indications for performing the endometrial curettage: a) [x] to stop uterine haemorrhages b) [x] to destroy intrauterine synaechiae c) [x] to remove the gestational sac and its fragments d) [x] to remove intrauterine devices e) [ ] to diagnose tuberculous endometritis ------120. Mod de punctare: A3 Punctajul: 10CM What complications could possibly arise when performing the endometrial curettage: a) [x] uterine perforation b) [x] secondary amenorrhea c) [x] pseudo-ducts formation d) [ ] uterine prolapse e) [ ] dyspareunia ------121. Mod de punctare: A3 Punctajul: 10CM Endoscopic methods of investigation used in gynaecology are the following: a) [x] colposcopy b) [ ] colonoscopy c) [x] culdoscopy d) [x] hysteroscopy e) [x] laparoscopy ------122. Mod de punctare: A3 Punctajul: 10CM Which solutions are used during the detailed colposcopy? a) [x] 3% Lugol solution b) [ ] KMnO4 solution c) [x] 3% Acetic acid solution d) [ ] 6% H2O2 solution e) [ ] 0.9% NaCl solution ------123. Mod de punctare: A3 Punctajul: 10CM The following pathological conditions can be diagnosed with the use of hysteroscopy: a) [x] endometrial polyp b) [ ] ectopic pregnancy c) [x] submucosal uterine myoma d) [x] endometrial hyperplasia e) [ ] intramural myoma ------124. Mod de punctare: A3 Punctajul: 10CM What are the indications for diagnostic hysteroscopy: a) [x] uterine haemorrhages of unknown origin b) [x] infertility of unknown origin c) [x] determination of the uterine scar status d) [ ] examination of the amniotic fluid e) [ ] diagnosis of adenomyosis ------125. Mod de punctare: A3 Punctajul: 10CM What are the indications for emergency laparoscopy: a) [x] ectopic pregnancy b) [x] ovarian apoplexy c) [x] suspected uterine perforation d) [ ] genital endometriosis e) [x] distortion of subserosal fibroid ------126. Mod de punctare: A3 Punctajul: 10CM What are the indications for elective laparoscopy: a) [x] tubo-peritoneal infertility b) [x] genital endometriosis c) [x] polycystic ovary syndrome d) [ ] ovarian apoplexy e) [ ] ectopic pregnancy ------127. Mod de punctare: A3 Punctajul: 10CM Absolute contraindications for laparoscopy are the following: a) [x] terminal patient b) [x] sepsic shock c) [x] haemorrhagic shock d) [ ] adhesions in the pelvic cavity e) [ ] obesity ------128. Mod de punctare: A1 Punctajul: 10CS Imaging investigation method most frequently used in obstetrics and gynaecology is: a) [ ] hysterosalpingography b) [ ] radiopelvigraphy with double contrast c) [x] echography d) [ ] X-ray examination e) [ ] CT ------129. Mod de punctare: A3 Punctajul: 10CM What should be avoided for the purpose of conducting a cytological examination: a) [x] sexual intercourses 24-48 h prior to the examination b) [x] intravaginal treatment c) [x] menstruation period d) [x] manual examination prior to the procedure e) [ ] specula examination ------130. Mod de punctare: A3 Punctajul: 10CM What are the indications for the fractional dilation and curettage: a) [x] endometrial or cervical canal cancer suspicion b) [x] cervical canal polyp c) [x] menopausal haemorrhages d) [ ] pregnancy suspicion e) [ ] adenomyosis ------131. Mod de punctare: A1 Punctajul: 10CS Small for gestational age fetus is defined when: a) [x] birth weight is below the tenth percentile of the average of gestational age b) [ ] birth weight is below the 20 percentile of the average of gestational age c) [ ] birth weight is below the 30 percentile of the average of gestational age d) [ ] weight of baby is less than 1000 gm e) [ ] weight of the baby is less than 1500 gn ------132. Mod de punctare: A3 Punctajul: 10CM IUGR is seen in: a) [x] rubella b) [x] syphilis c) [x] CMV d) [x] chicken pox e) [ ] HPV ------133. Mod de punctare: A3 Punctajul: 10CM True statements about symmetrical IUGR with respect to asymmetrical IUGR: a) [x] worse prognosis b) [ ] neurological defects c) [ ] head larger than abdomen d) [x] less common e) [ ] total number of cells is normal ------134. Mod de punctare: A3 Punctajul: 10CM IUGR can be detected by USG by: a) [x] ↓Fetal weigh b) [x] ↓BPD c) [x] ↑HC/AC d) [x] ↓Head circumference e) [ ] ↑Amniotic fluid volume ------135. Mod de punctare: A1 Punctajul: 10CS Best parameter for ultrasound evaluation of IUGR is: a) [ ] placental membrane b) [ ] length of femur c) [x] abdominal circumference d) [ ] BPD e) [ ] head circumference ------136. Mod de punctare: A1 Punctajul: 10CS Birth weight of a baby can be increased by: a) [x] cessation of smoking b) [ ] aspirin c) [ ] Ca and vitamin D supplementation d) [ ] bed rest e) [ ] O2 therapy ------137. Mod de punctare: A1 Punctajul: 10CS A large baby is born with which complication in pregnancy: a) [x] gestational diabetes b) [ ] gestational hypertension c) [ ] cardiac disease d) [ ] anaemia e) [ ] hepatosis of pregnancy ------138. Mod de punctare: A1 Punctajul: 10CS Caudal regression syndrome is seen in babies of mother having: a) [ ] PIH b) [ ] cardiac disease c) [ ] anaemia d) [x] gestational diabetes e) [ ] hepatosis of pregnancy ------139. Mod de punctare: A3 Punctajul: 10CM Hipoglycemia in new born is commonly seen in: a) [x] IUGR b) [ ] mother with hypothyroidism c) [ ] Rh incompatibility d) [x] macrosomia e) [ ] hiperthyroidism ------140. Mod de punctare: A3 Punctajul: 10CM Intrauterine fetal distress is indicated by: a) [ ] acceleration of 15/min b) [x] deceleration of 30/min c) [x] variable deceleration 5-25/min d) [x] fetal HR<80/min e) [x] fetal HR 160-180/min ------141. Mod de punctare: A1 Punctajul: 10CS A pregnant lady with persistent late, variable decelerations with cervical dilatation of 6 cm shifted to operational theatre for surgery. Which of the following is not done in management: a) [x] supine position b) [ ] O2 inhalation c) [ ] I.V. fluids d) [ ] subcutaneous terbutaline e) [ ] oxytocin stopped ------142. Mod de punctare: A1 Punctajul: 10CS Which is not done in case of IUGR? a) [ ] non stress test b) [x] oxytocin challenge test c) [ ] ultrasound biometry d) [ ] amniocentesis e) [ ] doppler studies ------143. Mod de punctare: A3 Punctajul: 10CM True statements regarding IUGR are: a) [ ] abdominal circumference (AC) is the least sensitive parameter for detection of IUGR b) [ ] in asymmetric IUGR head circumference/abdominal circumference(HC/AC) is reduced c) [ ] serial biparietal diameter (BPD) is the only important measurement in IUGR d) [x] AC indirectly reflects fetal liver size and glycogen storage e) [x] amniotic liquid volume is reduced ------144. Mod de punctare: A1 Punctajul: 10CS All are the risk factors associated with macrosomia, EXCEPT: a) [ ] maternal obesity b) [ ] prolonged pregnancy c) [ ] previous large infant d) [x] short stature e) [ ] diabetes ------145. Mod de punctare: A3 Punctajul: 10CM Macrosomia is associated with: a) [x] gestational diabetes mellitus b) [x] maternal obesity c) [ ] hipothyroidism d) [ ] hyperbilirubinemia e) [ ] preeclampsia ------146. Mod de punctare: A1 Punctajul: 10CS A baseline bradicardia of fetal heart: a) [ ] is a safe pattern b) [ ] is a pattern which indicates an increased risk of fetal distress c) [x] indicates severe fetal distress d) [ ] is usually caused by infection of the placenta and membranes e) [ ] it is usually caused by temporary compression of umbilical cord ------147. Mod de punctare: A1 Punctajul: 10CS Oligohydramnios can be defined as an amniotic fluid index of less than: a) [ ] 10 cm b) [ ] 7 cm c) [ ] 6 cm d) [x] 5 cm e) [ ] 2 cm ------148. Mod de punctare: A1 Punctajul: 10CS A reactive non-stress is considered when: a) [ ] a late acceleration is observed after each contraction b) [ ] a late acceleration is observed only once c) [ ] a late deceleration is observed after each contraction d) [x] at least two accelerations of fetal heart rate of 15 beats or more above the baseline or at least 15 seconds are observed during 20 minutes e) [ ] an acceleration of fetal heart rate of 15 beats or more above the baseline for at least 15 seconds is observed is observed during 20 minutes ------149. Mod de punctare: A1 Punctajul: 10CS Normal fetal scalp pH is considered: a) [ ] 7.35-7.45 b) [x] 7.25-7.35 c) [ ] 7.10-7.20 d) [ ] 7.00-7.10 e) [ ] 6.90-7.00 ------150. Mod de punctare: A3 Punctajul: 10CM What are the correct methods of intrauterine resuscitation? a) [x] suppressing uterine contractions and decreasing the uterine tone b) [ ] administering oxygen to the fetus by means of an intrauterine catheter c) [ ] infusing oxytocin in order to stimulate uterine contractions d) [ ] rubbing the patient's nipples so as to stimulate uterine contractions e) [x] turning the woman to lateral position and avoiding supine position ------151. Mod de punctare: A3 Punctajul: 10CM How should the fetal heart rate be monitored in labor? a) [x] a cardiotocograph (CTG) should be used in high risk labor b) [x] in low risk pregnancies a fetal stethoscope is adequate c) [ ] a doptone should be used in all high risk pregnancies d) [ ] the fetal heart rate does not need to be monitored in all low risk pregnancie e) [ ] if admission CTG is normal, fetal heart rate should not be monitored in labor ------152. Mod de punctare: A3 Punctajul: 10CM Biophysical profile includes the following components: a) [x] fetal respiratory movements b) [x] motor activity and fetal muscular tone c) [ ] level of chorionic gonadotropin in urine d) [x] amniotic fluid volume e) [x] non-stress CTG test ------153. Mod de punctare: A1 Punctajul: 10CS Oligohydramnios can be defined as a maximum vertical pocket of amniotic fluid of less than: a) [ ] 10 cm b) [ ] 7 cm c) [ ] 6 cm d) [ ] 5 cm e) [x] 2 cm ------154. Mod de punctare: A3 Punctajul: 10CM Indications for induction of labour are: a) [ ] placenta previa b) [x] prolonged pregnancy c) [ ] heart disease at term d) [ ] breech e) [x] intrauterine fetal death ------155. Mod de punctare: A3 Punctajul: 10CM Contraindications for induction of labour are: a) [x] severe hydrocephalus b) [x] contracted pelvis c) [x] uterine scar d) [x] transverse lie e) [ ] cephalic presentation ------156. Mod de punctare: A1 Punctajul: 10CS In Bishop score all are included EXCEPT: a) [ ] effacement of cervix b) [ ] dilation of cervix c) [ ] station of head d) [x] interspinal diameter e) [ ] position of cervix ------157. Mod de punctare: A3 Punctajul: 10CM Bishop's score includes: a) [x] dilation of cervix b) [x] effacement c) [x] cervical softening d) [ ] condition of os e) [x] position of head ------158. Mod de punctare: A3 Punctajul: 10CM All of the following are used for induction of labour: a) [ ] PG F2 α tablet b) [x] PG E1 tablet c) [x] PG E2 gel d) [x] misoprostol e) [x] mifepristone ------159. Mod de punctare: A3 Punctajul: 10CM Indicate the drugs used for cervical ripening: a) [x] prostaglandin E2 b) [ ] ritodrine c) [ ] progesterone d) [x] misoprostol e) [ ] atropine ------160. Mod de punctare: A3 Punctajul: 10CM Artificial rupture of membranes is contraindicated in: a) [ ] placenta previa marginalis b) [x] HIV infected c) [x] genital active herpes infection d) [ ] twins e) [x] vasa previa ------161. Mod de punctare: A3 Punctajul: 10CM Which of the following methods for induction of labour should not be used in patient with previous lower segment caesarean section: a) [x] prostaglandin gel b) [x] prostaglandin tablet c) [ ] stripping of the membrane d) [ ] oxytocin e) [x] misoprostol ------162. Mod de punctare: A3 Punctajul: 10CM Which cardinal movement occur during labour: a) [x] flexion b) [x] extension c) [x] internal rotation d) [x] descent e) [ ] asynclitisms ------163. Mod de punctare: A3 Punctajul: 10CM Duration of latent phase of labour is affected by: a) [x] early use of conduction anaesthesia b) [x] unripe cervix c) [ ] hypertonic uterine contraction d) [ ] pre-eclampsia e) [x] excessive sedation ------164. Mod de punctare: A1 Punctajul: 10CS A female at 37 weeks of gestation has mild labour pains for 10 hours and cervix is persistently 1 cm dilated but not effaced. What will be the next appropriate management? a) [x] sedation and wait b) [ ] augmentation with oxytocin c) [ ] cesarean section d) [ ] amniotomy e) [ ] augmentation with prostaglandins ------165. Mod de punctare: A3 Punctajul: 10CM Commonest causes of non - engagement at term, in primipara are: a) [x] CPD b) [ ] hydramnios c) [ ] IUGR d) [ ] breech e) [x] occipitoposterior position ------166. Mod de punctare: A3 Punctajul: 10CM Which is not included in Active management of III stage of labour? a) [ ] uterotonic within 1 minute of delivery b) [x] immediate clamping, cutting and ligation of cord c) [ ] gentle massage of the uterus d) [ ] controlled cord traction e) [x] spasmolytic within 1 minute of delivery ------167. Mod de punctare: A1 Punctajul: 10CS During active labour average cervical dilation per hour in primipara is : a) [x] 1.2 cms b) [ ] 1.5 cms c) [ ] 1.7 cms d) [ ] 2 cms e) [ ] 0,5 cms ------168. Mod de punctare: A1 Punctajul: 10CS Ritgen maneuver is done: a) [ ] in shoulder dystocia b) [ ] for delivery of head in breech presentation c) [ ] for delivery of legs in breech d) [x] for delivery of head in normal labour e) [ ] for delivery of hands in breech presentation ------169. Mod de punctare: A1 Punctajul: 10CS During the active phase of labour, the minimum effective dilation of the cervix in primigravida should be at the rate of: a) [x] 0.5 cm/hour b) [ ] 1 cm/hour c) [ ] 1.5 cm/hour d) [ ] 2 cm/hour e) [ ] 2,5 cm/hour ------170. Mod de punctare: A3 Punctajul: 10CM True statement concerning active phase of labour: a) [x] starts when the cervix is 3-5 cms dilated b) [ ] cervix dilates at the rate of 0.35-0,4 cms/hour c) [ ] epidural analgesia slows the progress d) [x] oxytocin should not be used e) [ ] fetal malposition slows the active phase of labor ------171. Mod de punctare: A1 Punctajul: 10CS The latent phase of the first stage of labour is: a) [ ] the period of time the cervix takes to dilate from 3 cm to full dilatation b) [ ] the period of time from the onset of labour to full dilatation c) [x] the period of time from the onset of labour to 3 cm cervical dilatation d) [ ] the period of time the cervix takes to dilate from 3 cm to 8 cm dilatation e) [ ] the period of time after full dilatation ------172. Mod de punctare: A1 Punctajul: 10CS What is the name given to the first oblique line on the partogram? a) [ ] the action line b) [x] the alert line c) [ ] the normal cervical dilation line d) [ ] the danger line e) [ ] the average line ------173. Mod de punctare: A1 Punctajul: 10CS What is the name given to the second oblique line on the partogram? a) [x] the action line b) [ ] the alert line c) [ ] the normal cervical dilation line d) [ ] the danger line e) [ ] the transition line ------174. Mod de punctare: A1 Punctajul: 10CS How often should the fetal heart rate be monitored during the first stage of labor in low risk pregnancies? a) [ ] every 3 hours during the latent phase b) [ ] every 2 hours in the latent phase c) [ ] hourly in the active phase d) [x] every 30 minutes in the active phase e) [ ] every 15 minutes in the active phase ------175. Mod de punctare: A1 Punctajul: 10CS Meconium staining of the liquor is commonest in: a) [x] patients with postterm labor b) [ ] patients in term labor c) [ ] patients in preterm labor d) [ ] patients whose fetuses move a lot during pregnancy e) [ ] patients with fetuses > 4000 gr ------176. Mod de punctare: A1 Punctajul: 10CS Meconium staining of the liquor: a) [ ] is uncommon b) [x] occurs in 10-20 % of patients c) [ ] occurs in 30-40% of patients d) [ ] occurs in half of patients e) [ ] occurs in most patients ------177. Mod de punctare: A1 Punctajul: 10CS What is the correct management when the liquor is meconium stained? a) [x] monitor the fetal heart rate carefully b) [ ] deliver the fetus immediately by cesarean section c) [ ] give the patient an oxitocin infusion to shorten the labor d) [ ] give tocolitics e) [ ] administer antibiotics ------178. Mod de punctare: A1 Punctajul: 10CS The active phase of the first stage of labor is: a) [x] the period of time the cervix takes to dilate from 3 cm to full dilatation b) [ ] the period of time from the onset of labor to full cervical dilatation c) [ ] the period of time from the onset of labor to 3 cm cervical dilatation d) [ ] the period of time during which the cervix becomes effaced e) [ ] the period of time during which the cervix becomes ripen ------179. Mod de punctare: A1 Punctajul: 10CS A patient presents in established labor with regular contractions. On vaginal examination the cervix is 5 cm dilated. Where her cervical dilatation should be noted on the partogram? a) [x] on the alert line opposite 5 cm cervical dilatation b) [ ] on the action line opposite 5 cm cervical dilatation c) [ ] at the beginning of the latent phase of labor opposite 5 cm cervical dilatation d) [ ] at the end of latent phase of labor opposite 5 cm cervical dilatation e) [ ] on the vertical line at the beginning of the active phase of labor opposite 5 cm cervical dilatation ------180. Mod de punctare: A1 Punctajul: 10CS When does a patient have adequate and effective uterine contractions? a) [ ] if she has 2 or more contractions every 10 minutes with each contraction lasting 30 seconds or longer b) [ ] if she has 3 or more contractions every 10 minutes with each contraction lasting 60 seconds or longer c) [x] if she progresses normally during labor d) [ ] if she has pain with every contraction e) [ ] if the uterus is relaxed between each contraction ------181. Mod de punctare: A1 Punctajul: 10CS Cephalo-pelvic disproportion due to a small pelvic inlet should be diagnosed when: a) [ ] there is no further dilatation of the cervix b) [x] there is 3/5 or more of the fetal head palpable above the pelvic brim and 2+ or more moulding is present c) [ ] there is 2/5 or less of the fetal head palpable above the pelvic brim and 1+ moulding is present d) [ ] the measurement of pelvic inlet are assessed as small during a pelvic examination e) [ ] one hour passed after full dilatation ------182. Mod de punctare: A1 Punctajul: 10CS When does the second stage of labor begin and end? a) [ ] from the time the patient has an urge to bear down until the infant is completely delivered b) [x] from the time the cervix is fully dilated until the infant is completely delivered c) [ ] from the beginning of the active phase until the cervix is fully dilated d) [ ] from the beginning of the active phase until the infant is completely delivered e) [ ] from the time the cervix is fully dilated until delivery of the fetus and placenta ------183. Mod de punctare: A1 Punctajul: 10CS What position in the second stage of labor should be discouraged: a) [x] the dorsal position b) [ ] the lateral position c) [ ] the squatting position d) [ ] the sitting position (in the special chair) e) [ ] the kneeling position ------184. Mod de punctare: A1 Punctajul: 10CS The third stage of labour starts when: a) [ ] the cervix is dilated to 3 cm b) [ ] the cervix is fully dilated c) [ ] the anterior shoulder of the infant is delivered d) [x] the infant is born e) [ ] the placenta is delivered ------185. Mod de punctare: A3 Punctajul: 10CM What positions in the second stage of labor should be encouraged: a) [ ] the dorsal position b) [x] the lateral position c) [x] the squatting position d) [x] the sitting position (in the special chair) e) [x] the kneeling position ------186. Mod de punctare: A3 Punctajul: 10CM A pregnant woman diagnosed with idiopathic cholestasis of pregnancy. This condition is associated with: a) [x] intense itching b) [x] 10-100 fold increase in cholic acid followed by chenodoxycholic acid c) [ ] serum indirect bilirubin is increased d) [x] increase levels of alkaline phosphatase e) [x] dyslipidemia is present ------187. Mod de punctare: A3 Punctajul: 10CM Best diagnostic tests for cholestasis of pregnancy is to determine the level of: a) [ ] serum bilirubin b) [x] bile acid c) [ ] serum alkaline phosphatase d) [x] serum transaminase e) [ ] urine acetone ------188. Mod de punctare: A3 Punctajul: 10CM True statements about idiopathic cholestasis of pregnancy are: a) [ ] deep jaundice is present b) [x] pruritus is the first symptom c) [x] maximum incidence during iii trimester d) [x] increase liver transaminase e) [ ] hepatic necrosis present ------189. Mod de punctare: A3 Punctajul: 10CM Cholestasis of pregnancy is characterized by: st a) [ ] commonly occur in 1 trimester of pregnancy b) [ ] increased maternal mortality c) [x] increased perinatal mortality d) [x] recurrence in subsequent pregnancy e) [x] generalized pruritus ------190. Mod de punctare: A3 Punctajul: 10CM True statements regarding cholestasis in pregnancy are: a) [x] recurs in subsequent pregnancy b) [x] ursodeoxyholic acid relieves pruritus c) [x] mild jaundice occurs in majority of patients d) [x] pruritus may precedes laboratory findings e) [ ] serum alkaline phosphatase is most sensitive indicator ------191. Mod de punctare: A3 Punctajul: 10CM Treatment of Intrahepatic cholestasis of pregnancy consists of: a) [ ] folic acid b) [x] ursodeoxycholic acid (UDCA) c) [x] dexametason d) [ ] vitamin E e) [ ] penicillin ------192. Mod de punctare: A3 Punctajul: 10CM Which is true about fatty liver of pregnancy? a) [x] common in third trimester b) [x] micro-vesicular fatty changes c) [ ] lysosomal injury is the cause d) [ ] recurrence is very common e) [ ] alcohol is the main cause ------193. Mod de punctare: A1 Punctajul: 10CS A pregnant woman is HbsAg positive and anti Hbe Ag positive. Risk of transmission of Hepatitis B in child is: a) [x] 20% b) [ ] 50% c) [ ] 0 d) [ ] 90% e) [ ] 70% ------194. Mod de punctare: A1 Punctajul: 10CS A pregnant woman is diagnosed to be HBs Ag positive. Which of the following is the best way to prevent infection to the child? a) [ ] hepatitis vaccine to the child b) [x] full course of hepatitis B vaccine and immunoglobulin to the child c) [ ] hepatitis B immunoglobulin to the mother d) [ ] hepatitis B immunization to mother e) [ ] breastfeeding is contraindicated ------195. Mod de punctare: A3 Punctajul: 10CM Which of the following statements concerning viral hepatitis in pregnancy are true? a) [ ] hepatitis B core antigen status is the most sensitive indicator of positive vertical transmission of the disease b) [ ] hepatitis B is the most common form of hepatitis after blood transfusion c) [x] the proper treatment of infants born to infected mothers includes the administration of hepatitis B immunoglobulin as well as vaccine d) [ ] patients who develop chronic active hepatitis are an increased risk of fetal malformations e) [x] hepatitis B is not a contraindication for breastfeeding ------196. Mod de punctare: A3 Punctajul: 10CM In a female with appendicitis in pregnancy treatment of choice is: a) [x] surgery at earliest b) [ ] abortion with appendectomy c) [ ] surgery after delivery d) [x] before 20 weeks is recommended laparoscopy e) [x] after 20 weeks is recommended laparotomy (incision should be made at Mc Burnay Point) ------197. Mod de punctare: A1 Punctajul: 10CS All of the following conditions are risk factors for urinary tract infections in pregnancy EXCEPT: a) [ ] diabetes b) [x] hypertension c) [ ] sickle cell anemia d) [ ] vesico-ureteral reflux e) [ ] calculi ------198. Mod de punctare: A3 Punctajul: 10CM Following antibiotics are safe to treat UTI in the 3-rd trimester of pregnancy: a) [ ] erythromycin b) [x] ampicillin c) [ ] co-trimoxazole d) [ ] ciprofloxacin e) [x] cephalosporin ------199. Mod de punctare: A3 Punctajul: 10CM True statements about asymptomatic bacteriuria in pregnancy: a) [x] incidence is up to 8 % b) [x] if untreated, progresses to pyelonephritis c) [ ] early and prompt treatment prevents malformations in fetus d) [x] increase chance of premature infant e) [x] increase risk of small for gestational age fetus ------200. Mod de punctare: A1 Punctajul: 10CS With regards to acute pyelonephritis in pregnancy all of the following are true, EXCEPT: a) [x] pregnancy decrease the risk b) [ ] most common isolate is e. coli c) [ ] higher incidence in the second half of pregnancy d) [ ] responds to amino glycosides e) [ ] more common in primigravida and young females ------201. Mod de punctare: A1 Punctajul: 10CS A 25-year-old primigravida at 20 weeks of pregnancy has the first episode of an asymptomatic bacteriuria. The risk of having pyelonephritis is: a) [ ] no risk with first episode b) [ ] less than 5% c) [ ] 15-20% d) [x] 25-40% e) [ ] more than 50% ------202. Mod de punctare: A1 Punctajul: 10CS Antibiotic of choice for urinary tract infection (UTI) during pregnancy in the third trimester is: a) [x] cephalosporins b) [ ] quinolones c) [ ] Co-trimoxazole d) [ ] tetracyclines e) [ ] penicillins ------203. Mod de punctare: A3 Punctajul: 10CM Which statements are correct regarding asymptomatic bacteriuria during pregnancy: a) [x] bacterial count is over 10^5/ml b) [x] overall incidence is 5-10% c) [x] it should be treated with appropriate antimicrobial agent d) [ ] risk of progression to pyelonephritis, if left untreated is rare e) [ ] bacterial count is over 10^3/ml ------204. Mod de punctare: A1 Punctajul: 10CS Hydrocephaly is best detected antenataly by: a) [ ] X-ray abdomen b) [ ] amniocentesis c) [ ] clinical examination d) [x] ultrasonography e) [ ] blood examination ------205. Mod de punctare: A1 Punctajul: 10CS Preconceptional intake of which of the following results in decreased incidence of neural tube defect: a) [ ] vitamin A b) [x] folic acid c) [ ] vitamin E d) [ ] vitamin C e) [ ] vitamin B1 ------206. Mod de punctare: A1 Punctajul: 10CS Anencephaly is best diagnosed using: a) [ ] maternal serum alpha-fetoprotein b) [ ] amniotic fluid alpha-fetoprotein c) [x] USG d) [ ] X-ray e) [ ] amniotic fluid chorionic gonadotrophin ------207. Mod de punctare: A1 Punctajul: 10CS Most common type of twin pregnancy is: a) [ ] vertex+transverse b) [x] both vertex c) [ ] vertex+breech d) [ ] both breech e) [ ] breech+ transverse ------208. Mod de punctare: A1 Punctajul: 10CS Twin peak sign is seen in: a) [ ] Monochorionic diamniotic b) [ ] Dichorionic monoamniotic c) [ ] Conjoined twins d) [x] Diamniotic dichorionic e) [ ] None of above ------209. Mod de punctare: A1 Punctajul: 10CS In multiple pregnancy, foetal reduction is done by: a) [x] KCl solution b) [ ] mifepristone c) [ ] PGF2-alpha d) [ ] methotrexate e) [ ] oxytocin ------210. Mod de punctare: A3 Punctajul: 10CM Correct statements about establishing the chorionicity in twin pregnancy is: a) [ ] same sex rule out dichorionicity b) [x] twin peak sign in dichorionicity c) [ ] thick membrane is present in mono-chorionic twins d) [ ] best detected after 16 weeks e) [x] best detected before 16 weeks ------211. Mod de punctare: A1 Punctajul: 10CS Which of the following statement about twinning is true? a) [ ] The frequencies of monozygosity and disygosity are the same b) [x] Division after formation of the embryonic disk result in conjoined twins c) [ ] The incidence of monozygotic twins varies with race d) [ ] A dichorionic twin pregnancy always denotes dizygosity e) [ ] Twinning causes no appreciable increase in maternal morbidity and mortality over singleton pregnancies ------212. Mod de punctare: A1 Punctajul: 10CS Monochorionic monoamniotic twin occurs if division occurs: a) [ ] before 24 hours b) [ ] 1-4 days c) [ ] 4-8 days d) [x] >8 days e) [ ] >10 days ------213. Mod de punctare: A1 Punctajul: 10CS Conjoined twins occurs if division occurs: a) [ ] before 24 hours b) [ ] 1-4 days c) [ ] 4-8 days d) [ ] >8 days e) [x] >14 days ------214. Mod de punctare: A1 Punctajul: 10CS A double headed monster is known as a: a) [ ] diplopagus b) [x] dicephalus c) [ ] craniophagus d) [ ] heteropagus e) [ ] toracophagus ------215. Mod de punctare: A3 Punctajul: 10CM Twin pregnancy predisposes to: a) [x] hydramnios b) [x] pregnancy induces hypertension c) [x] malpresentation d) [x] prematurity e) [ ] post-maturity ------216. Mod de punctare: A3 Punctajul: 10CM Indications of urgent delivery of the second baby in twins are: a) [x] abruptio placentae b) [x] cord proplapse of the second baby c) [x] inadvertent use of iv oxytocine with the delivery of the anterior shoulder of the first baby d) [ ] breech presentation of the second baby e) [ ] pregnancy induced hypertension ------217. Mod de punctare: A1 Punctajul: 10CS Absolute proof of monozygosity is determined by: a) [x] DNA finger printing b) [ ] intervening membrane layers c) [ ] sex of the babies d) [ ] reciprocal skin grafting e) [ ] ultrasound ------218. Mod de punctare: A1 Punctajul: 10CS Embryo reduction of multiple pregnancy is done at: a) [ ] 6-8 weeks b) [x] 9-12 weeks c) [ ] 13-15 weeks d) [ ] 16-18 weeks e) [ ] 19-22 weeks ------219. Mod de punctare: A1 Punctajul: 10CS A pregnant woman with fibroid uterus develops acute pain in abdomen with low-grade fever and mild leukocytosis at 28 weeks. The most likely diagnosis is: a) [ ] preterm labor b) [ ] torsion of fibroid c) [x] red degeneration of fibroid d) [ ] infection in fibroid e) [ ] hyaline degeneration ------220. Mod de punctare: A3 Punctajul: 10CM True statements about red degeneration of myoma uteri are: a) [x] it occurs commonly during pregnancy b) [ ] immediate surgical intervention is needed c) [x] caused by interference with blood supply d) [x] treated with analgesics e) [ ] calcification is a frequent feature ------221. Mod de punctare: A1 Punctajul: 10CS Red degeneration in uterine fiboid is most common in: a) [x] second trimester b) [ ] third trimester c) [ ] puerperium d) [ ] first trimester e) [ ] intrapartum ------222. Mod de punctare: A3 Punctajul: 10CM Methods of treatment of myoma uteri are: a) [x] myomectomy b) [ ] radiofrequency ablation c) [x] embolization of uterine artery d) [x] laser myomectomy e) [x] hysterectomy ------223. Mod de punctare: A1 Punctajul: 10CS A 29-year-old nulliparous women complains of severe menorrhagia and lower abdominal pain during last 3 months. On examination there was a 14 weeks size uterus with fundal fibroid. The treatment of choice is: a) [x] myomectomy b) [ ] GnRH analogs c) [ ] hysterectomy d) [ ] wait and watch e) [ ] embolization of uterine artery ------224. Mod de punctare: A3 Punctajul: 10CM Uterine fibromyoma is associated with: a) [x] endometriosis b) [ ] pelvic inflammatory disease c) [x] dysmenorrhea d) [ ] amenorrhea e) [x] heavy menstrual bleeding ------225. Mod de punctare: A3 Punctajul: 10CM Submucosal fibroid is detected by: a) [x] hysteroscopy b) [x] hystersalpingography c) [x] USG d) [ ] laparascopy e) [ ] manual examination ------226. Mod de punctare: A3 Punctajul: 10CM Drugs which reduce the size of myoma are: a) [x] GnRH agonists b) [x] danazol c) [ ] progesterone d) [x] mifepristone e) [ ] estrogens ------227. Mod de punctare: A3 Punctajul: 10CM Preferred management options in a 26-year-old woman with 7x8cm size fibroid are: a) [x] follow-up b) [ ] OCP c) [x] myomectomy d) [ ] hysterectomy e) [ ] danazol ------228. Mod de punctare: A3 Punctajul: 10CM True statements regarding fibroid uteri are: a) [x] estrogen dependent tumor b) [x] capsulated c) [x] can lead to red degeneration in pregnancy for which urgent surgery is required d) [ ] danazol used in treatment e) [ ] estrogen independent tumor ------229. Mod de punctare: A1 Punctajul: 10CS Malignant prevalence in uterine fibroids is: a) [x] 0.5% b) [ ] 1% c) [ ] 5% d) [ ] 10% e) [ ] 15% ------230. Mod de punctare: A1 Punctajul: 10CS Least common complication of uterine fibroids is: a) [ ] menstrual disorder b) [x] malignancy c) [ ] urinary retention d) [ ] degeneration e) [ ] torsion of fibroid ------231. Mod de punctare: A1 Punctajul: 10CS Which condition is not associated with myoma uteri? a) [x] amenorrhea b) [ ] pelvic mass c) [ ] infertility d) [ ] menstrual irregularity e) [ ] dysmenorrhea ------232. Mod de punctare: A1 Punctajul: 10CS What is the earliest most common presenting feature of anterior cervical fibroid: a) [x] urinary frequency b) [ ] bleeding c) [ ] acute abdomen d) [ ] constipation e) [ ] menstrual disorder ------233. Mod de punctare: A3 Punctajul: 10CM The indications for myomectomy in the case of uterine fibroids are: a) [x] associated infertility b) [x] recurrent pregnancy loss c) [x] heavy menstrual bleeding d) [ ] red degeneration e) [ ] constipation ------234. Mod de punctare: A1 Punctajul: 10CS External cephalic version is contraindicated in: a) [ ] primigravida b) [ ] flexed breech c) [ ] anemia d) [x] PIH e) [ ] twin pregnancy ------235. Mod de punctare: A1 Punctajul: 10CS The complication associated with internal podalic version for transverse lie is: a) [x] uterine rupture b) [ ] uterine atony c) [ ] cervical laceration d) [ ] vaginal laceration e) [ ] rupture of membranes ------236. Mod de punctare: A1 Punctajul: 10CS Ventuouse in 2nd stage of labour is contraindicated in: a) [ ] persistent occipito-posterior position b) [ ] heart disease c) [ ] uterine inertia d) [x] preterm labour e) [ ] myopia forte ------237. Mod de punctare: A3 Punctajul: 10CM Contraindications for vacuum extraction are: a) [x] prematurity b) [x] brow presentation c) [ ] fetal distress d) [x] floating head e) [x] undilated cervix ------238. Mod de punctare: A1 Punctajul: 10CS Which statement is true regarding ventouse: a) [x] minor scalp abrasions and subgaleal hematomas in new born are more frequent than forceps b) [ ] can be applied when foetal head is above the level of ischial spine c) [ ] maternal trauma is more frequent than forceps d) [ ] can not be used when fetal head is not fully rotated e) [ ] can be applied when the membranes are intact ------239. Mod de punctare: A3 Punctajul: 10CM True statements about vacuum extraction of the fetus are: a) [ ] can be used in non dilated cervix b) [x] can not be used in incompletely dilated cervix c) [ ] used in face presentation d) [ ] applied 3 cm posterior to anterior fontanel e) [x] applied 3 cm anterior to posterior fontanel ------240. Mod de punctare: A3 Punctajul: 10CM Outlet forceps means: a) [ ] head at station "0" b) [x] full cervical dilatation c) [x] rupture of membrane d) [ ] rotation >45 e) [x] head with sutura sagitalis in antero-posterior diameter of outlet ------241. Mod de punctare: A3 Punctajul: 10CM Which of the following statements are true for episiotomy? a) [ ] should be performed routinely in primipara b) [x] can be either mild-line or mediolateral c) [x] involvement of anal sphincter is classified 3rd-4th degree perineal tear d) [x] mid-line episiotomies bleed less and are easier to repair e) [x] mid-line episiotomy heals more quickly ------242. Mod de punctare: A1 Punctajul: 10CS All of the following statements are true for episiotomy, EXCEPT: a) [x] should be performed routinely in primipara b) [ ] can be either mild-line or mediolateral c) [ ] involvement of anal sphincter is more frequent with mid line d) [ ] mid-line episiotomies bleed less and are easier to repair e) [ ] mid-line episiotomy heals more quickly ------243. Mod de punctare: A1 Punctajul: 10CS Perineal tear should be repaired: a) [ ] 24 hrs later b) [ ] 48 hrs later c) [ ] 72 hrs later d) [x] immediately e) [ ] the next day after birth ------244. Mod de punctare: A3 Punctajul: 10CM Which of the following are always indications of cesarean section? a) [ ] placenta abruption b) [x] untreated stage of i ca cervix c) [x] active primary genital herpes d) [x] central placenta previa e) [x] cehhalopelvic disproportion ------245. Mod de punctare: A1 Punctajul: 10CS An absolute indication for LSCS in case of heart disease is: a) [x] coarctation of aorta b) [ ] eisenmenger syndrome c) [ ] Ebsteins anomaly d) [ ] pulmonary stenosis e) [ ] aortal stenosis ------246. Mod de punctare: A3 Punctajul: 10CM Which of the following are contraindications of vaginal delivery after previous Caesarean? a) [x] previous classical C/S b) [ ] no history of vaginal delivery in the past c) [ ] breech presentation in previous pregnancy d) [x] > 2 previous C/S e) [x] previous history of uterine rupture ------247. Mod de punctare: A3 Punctajul: 10CM Vaginal birth after caesarean section is contraindicated in: a) [x] previous classical section b) [x] suspected CPD c) [ ] no vaginal birth previously d) [x] previous uterine rupture e) [ ] post-term pregnancy ------248. Mod de punctare: A3 Punctajul: 10CM Which statements are true regarding forceps and vacuum delivery: a) [ ] vacuum requires more clinical skills than forceps b) [ ] vacuum produce more perineal lacerations c) [x] forceps is more associated with fetal facial injury d) [x] vacuum has more chance of formation of cephalo-hematoma e) [x] forceps requires more clinical skills than vacuum ------249. Mod de punctare: A3 Punctajul: 10CM Induction of labor by amniotomy can lead to the following complications: a) [x] cord prolapse b) [ ] abruptio placenta c) [ ] rupture of uterus d) [x] infection e) [ ] fetal distress ------250. Mod de punctare: A1 Punctajul: 10CS Zavenelli's manoeuver is done in: a) [x] shoulder dystocia b) [ ] deep transverse arrest c) [ ] retained placenta d) [ ] face presentation e) [ ] uterine inertia ------251. Mod de punctare: A1 Punctajul: 10CS In menstrual cycle increased level of LH (the LH surge) are due to: a) [ ] increased progesterone b) [x] increased estrogen c) [ ] increased FSH d) [ ] increased androgens e) [ ] decreased progesterone ------252. Mod de punctare: A1 Punctajul: 10CS The menstrual cycle is initiated by: a) [x] FSH b) [ ] estrogen c) [ ] LH d) [ ] Progesterone e) [ ] ACTH ------253. Mod de punctare: A3 Punctajul: 10CM The corpus luteum secretes: a) [x] estrogens b) [x] progesterone c) [x] inhibin d) [ ] hCG e) [ ] androgens ------254. Mod de punctare: A1 Punctajul: 10CS Maximum function of corpus luteum occurs: a) [ ] at ovulation b) [ ] immediately after ovulation c) [ ] 3 days after ovulation d) [x] 8-9 days after ovulation e) [ ] 14 days after ovulation ------255. Mod de punctare: A1 Punctajul: 10CS True statement about timing of LH surge: a) [ ] occur 12 hours before ovulation b) [x] occur 24 hours before ovulation c) [ ] occur 12 hour after ovulation d) [ ] occur 24 hour after ovulation e) [ ] occur at time of ovulation ------256. Mod de punctare: A3 Punctajul: 10CM Naturally occurring estrogen are: a) [x] estrone b) [x] estradiol c) [x] estriol d) [ ] diethylstilbesterol e) [ ] pregnanediol ------257. Mod de punctare: A1 Punctajul: 10CS The production of cervical mucus is stimulated by: a) [ ] progesterone b) [x] estradiol c) [ ] estriol d) [ ] pregnenolone e) [ ] relaxin ------258. Mod de punctare: A1 Punctajul: 10CS Ferning of cervical mucus depends on: a) [ ] FSH b) [ ] LH c) [x] estrogen d) [ ] progesterone e) [ ] androgen ------259. Mod de punctare: A1 Punctajul: 10CS Clomiphene citrate is: a) [ ] antiandrogen b) [ ] synthetic estrogen c) [x] antiestrogen d) [ ] GnRH analogue e) [ ] synthetic progestin ------260. Mod de punctare: A3 Punctajul: 10CM Clomiphene citrate is indicated in: a) [x] Stein - Leventhal Syndrome b) [ ] ovarian cyst c) [ ] Asherman's syndrome d) [ ] carcinoma of endometrium e) [x] anovulatory cycle ------261. Mod de punctare: A3 Punctajul: 10CM True statements about clomiphene citrate are: a) [x] can cause hyperstimulation syndrome b) [x] is used for ovulation induction c) [x] multiple pregnancies are seen in 3-8% cases d) [ ] used to treat Asherman's Syndrome e) [ ] is an antiandrogen ------262. Mod de punctare: A3 Punctajul: 10CM Side effects of clomiphene citrate include: a) [x] multiple pregnancy b) [x] can cause hyperstimulation syndrome c) [ ] constipation d) [ ] teratogenic effect on off-springs e) [x] multiple polycystic ovary ------263. Mod de punctare: A3 Punctajul: 10CM GnRH analogue may be administered the following conditions: a) [x] prostate Ca b) [ ] endometrial Ca c) [x] uterine myoma d) [x] precocious puberty e) [ ] cervical cancer ------264. Mod de punctare: A3 Punctajul: 10CM GnRH analogues are useful in: a) [x] endometriosis b) [ ] hyperprolactinemia c) [x] precocious puberty d) [x] myoma uteri e) [ ] uterine cancer ------265. Mod de punctare: A3 Punctajul: 10CM Which of the following statements are true about mifepristone: a) [x] also called RU-486 b) [x] used for termination of pregnancy c) [ ] acts on androgen receptors d) [ ] given only intravenously e) [x] used for myoma uteri ------266. Mod de punctare: A3 Punctajul: 10CM Pregnancy is confirmed by: a) [ ] morning sickness b) [ ] amenorrhea c) [x] fetal heart activity d) [x] fetal movement by examiner e) [x] fetal sac in USG ------267. Mod de punctare: A3 Punctajul: 10CM Signs positive in early pregnancy are: a) [x] Hegar's sign b) [ ] Palmer's sign c) [ ] Foodell's sign d) [x] Piskacek's sign e) [ ] Braxton's sign ------268. Mod de punctare: A1 Punctajul: 10CS Transvaginal USG can detect fetal cardiac activity as early as: a) [x] 6 weeks b) [ ] 7 weeks c) [ ] 8 weeks d) [ ] 10 weeks e) [ ] 11 weeks ------269. Mod de punctare: A1 Punctajul: 10CS In transvaginal ultrasound, earliest detection of gestation sac is possible by: a) [ ] 21 days after ovulation b) [ ] 21 days after implantation c) [ ] 28 days post ovulation d) [x] 14 days after ovulation e) [ ] 28 days after implantation ------270. Mod de punctare: A1 Punctajul: 10CS An expectant mother feels quickening at: a) [ ] 12-18 weeks b) [x] 18-20 weeks c) [ ] 21-24 weeks d) [ ] 25-28 weeks e) [ ] 29-32 weeks ------271. Mod de punctare: A1 Punctajul: 10CS Folic acid supplementation reduces the risk of: a) [x] neural tube defect b) [ ] toxemia of pregnancy c) [ ] placenta previa d) [ ] Down's syndrome e) [ ] anencephaly ------272. Mod de punctare: A1 Punctajul: 10CS Use of folic acid to prevent congenital malformation should be best initiated: a) [ ] during 1st trimester of pregnancy b) [ ] during 2nd trimester of pregnancy c) [ ] during 3rd trimester of pregnancy d) [x] before conception e) [ ] all pregnancy ------273. Mod de punctare: A1 Punctajul: 10CS Increased demand of following occurs in pregnancy except: a) [ ] folic acid b) [ ] iron c) [x] Vit B 12 d) [ ] zinc e) [ ] Vit E ------274. Mod de punctare: A1 Punctajul: 10CS Appropriate treatment of women having edema in pregnancy includes: a) [ ] salt restriction b) [ ] fluid restriction c) [ ] diuretics d) [x] bed rest e) [ ] legs bandage ------275. Mod de punctare: A3 Punctajul: 10CM Term delivery implies that the gestational age of the fetus calculated from the time of onset of menstrual period is: a) [x] 40 weeks b) [ ] 42 weeks c) [x] 280 days d) [ ] 260 days e) [ ] 296 days ------276. Mod de punctare: A1 Punctajul: 10CS Use of one of the following vaccination is absolutely contraindicated in pregnancy: a) [ ] hepatitis B b) [ ] cholera c) [ ] rabies d) [x] yellow fever e) [ ] Flu ------277. Mod de punctare: A3 Punctajul: 10CM Is true about lochia: a) [x] vaginal discharge for the first fortnight during puerperium b) [x] its reaction is alkaline tending to become acid towards the end c) [ ] it is caused by dysfunctional uterine bleeding d) [ ] it must be treated e) [x] the average amount of discharge for the first 5-6 days is estimated to be 250 ml ------278. Mod de punctare: A1 Punctajul: 10CS Put in correct order characteristics of lochia during puerperium: a) [x] rubra , serosa, alba b) [ ] serosa, rubra, alba c) [ ] alba, serosa, rubra d) [ ] alba, mucosa, serosa e) [ ] serosa, alba, rubra ------279. Mod de punctare: A3 Punctajul: 10CM Decreased lactation is seen in: a) [x] maternal anxiety b) [ ] antibiotic therapy c) [x] cracked nipples d) [x] breast abscess e) [x] bromocriptine therapy ------280. Mod de punctare: A3 Punctajul: 10CM Contraindication to breast feeding are: a) [ ] tuberculosis during pregnancy b) [x] bromocriptine theraby for mother c) [ ] heavy breast engorgement d) [x] Ca breast e) [ ] mother on domperidone ------281. Mod de punctare: A3 Punctajul: 10CM Contraindication for breast feeding are: a) [ ] hepatitis-B infection of mother b) [x] lithium treatment of mother c) [ ] acute bacterial mastitis d) [ ] hepatitis C infection of mother e) [x] abscess of the breast ------282. Mod de punctare: A3 Punctajul: 10CM Contraceptive methods in lactation mothers are: a) [x] barrier method b) [x] progesterone only pill c) [ ] oral contraceptive pills d) [x] lactational amenorrhea e) [x] IUD ------283. Mod de punctare: A1 Punctajul: 10CS Which contraceptive method is to be avoided in lactation mothers: a) [ ] barrier method b) [ ] progesterone only pill c) [x] oral contraceptive pills d) [ ] lactational amenorrhea e) [ ] IUD ------284. Mod de punctare: A1 Punctajul: 10CS Maria, a 30 year old woman develop a deep vein thrombosis in her left calf on fourth post operative day following cesarean section done for fetal distress. The patient is started on heparin and is scheduled to begin a 6 weeks course of warfarin therapy. The patient is a devoted mother who wants to breast feed her baby. What is the advice which is given to the patient: a) [ ] patient may continue breast feeding at her own risk b) [ ] patient should breast feed her baby if her INR is at <2.5 c) [ ] patient can breast feed her baby after 6 weeks course of warfarin is over d) [x] warfarin is not a contraindication during lactation e) [ ] warfarin is absolutely contraindicated during lactation ------285. Mod de punctare: A1 Punctajul: 10CS The uterus becomes pelvic organ after delivery in: a) [ ] 2 days b) [ ] 7 days c) [x] 14 days d) [ ] 21 days e) [ ] 30 days ------286. Mod de punctare: A1 Punctajul: 10CS Without breast feeding the first menstrual flow usually begins - weeks after delivery: a) [ ] 2-4 weeks b) [ ] 4-6 weeks c) [x] 6-8 weeks d) [ ] 8-10 weeks e) [ ] More than 10 weeks ------287. Mod de punctare: A1 Punctajul: 10CS Most common immunoglubulin secreted by mother in milk and colostrum is: a) [x] IgA b) [ ] IgG c) [ ] IgE d) [ ] IgD e) [ ] IgM ------288. Mod de punctare: A1 Punctajul: 10CS Most common cause of first trimester abortion is: a) [x] chromosomal abnormalities b) [ ] syphilis c) [ ] rubella d) [ ] rhesus isoimmunization e) [ ] cervical incompetence ------289. Mod de punctare: A1 Punctajul: 10CS Recurrent abortion in the first trimester is most often due to: a) [x] chromosomal abnormalities b) [ ] uterine anomaly c) [ ] hormonal disturbance d) [ ] infection e) [ ] Rh incompatibility ------290. Mod de punctare: A3 Punctajul: 10CM What drugs are used for first trimester medical abortion: a) [x] mifepristone b) [ ] atosiban c) [x] methotrexate d) [x] misoprostol e) [ ] ethacridine lactate ------291. Mod de punctare: A1 Punctajul: 10CS Mifepristone is not used in: a) [x] threatened abortion b) [ ] fibroid c) [ ] second trimester abortion d) [ ] molar pregnancy e) [ ] induction of labor ------292. Mod de punctare: A3 Punctajul: 10CM Methods of choice for first trimester termination of pregnancy are: a) [ ] dilatation and curettage b) [x] manual vacuum aspiration c) [x] mefepristone+misoprostole d) [ ] methotrexate+gemeprost e) [x] electrical vacuum aspiration ------293. Mod de punctare: A3 Punctajul: 10CM Causes of recurrent abortions are: a) [ ] TORCH infection b) [x] uterine pathology c) [x] thrombofilia d) [ ] herpes infection e) [ ] HIV infection ------294. Mod de punctare: A1 Punctajul: 10CS Most common cause of postpartum hemorrhage is: a) [ ] trauma b) [ ] uterine inversion c) [ ] retained products d) [x] uterine atony e) [ ] bleeding disorders ------295. Mod de punctare: A3 Punctajul: 10CM Complications of pregnancy increasing risk of postpartum hemorrhage are: a) [x] macrosomia b) [x] twin pregnancy c) [x] hydramnios d) [ ] gestational hypertension e) [ ] preterm birth ------296. Mod de punctare: A3 Punctajul: 10CM Atonic uterus is more common in: a) [x] twin pregnancy b) [ ] primigravida c) [x] multigravida d) [ ] breech delivery e) [x] hydramnios ------297. Mod de punctare: A3 Punctajul: 10CM Drugs used in the treatment of postpartum hemorrhages: a) [x] misoprostol b) [x] tranexamic acid c) [ ] mifepristone d) [x] carboprost e) [x] ergometrine ------298. Mod de punctare: A3 Punctajul: 10CM Postpartum hemorrhage could be a reasonable possibility in the following situations: a) [ ] oligoamnios b) [x] triplets c) [x] long labor d) [ ] breach presentation e) [x] thrombocytopenia ------299. Mod de punctare: A1 Punctajul: 10CS What drug is not used for treatment of postpartum hemorrhages: a) [ ] oxitocin b) [ ] syntometrine c) [ ] misoprostol d) [x] oestrogen e) [ ] tranexamic acid ------300. Mod de punctare: A1 Punctajul: 10CS What is the drug most commonly used in prevention of postpartum hemorrhage: a) [x] oxitocin b) [ ] syntometrine c) [ ] misoprostol d) [ ] ergometrin e) [ ] tranexamic acid ------301. Mod de punctare: A3 Punctajul: 10CM Massive postpartum hemorrhage may warrant following interventions: a) [x] hysterectomy b) [ ] thermal endometrial ablation c) [x] internal iliac artery ligation d) [x] balloon tamponade e) [x] uterine artery embolisation ------302. Mod de punctare: A1 Punctajul: 10CS B-Lynch suture is applied on: a) [ ] cervix b) [ ] vagina c) [ ] fallopian tube d) [x] uterus e) [ ] ovaries ------303. Mod de punctare: A3 Punctajul: 10CM True statements regarding postpartum hemorrhages are: a) [x] B-Lynch suture is applied b) [ ] shirodcar suture is applied c) [ ] atosiban used d) [x] more common in multipara e) [x] polyhydramnios is a risk factor ------304. Mod de punctare: A3 Punctajul: 10CM True statements regarding postpartum hemorrhages are: a) [x] misoprostol is used b) [ ] colloids are the first option for volume replacement c) [ ] most common cause is trauma d) [ ] multiple vaginal exams increase the risk e) [x] multiparity is a risk factor ------305. Mod de punctare: A1 Punctajul: 10CS Which drug is not used for treatment of postpartum hemorrhage: a) [ ] oxytocin b) [ ] ergometrine c) [ ] carboprost d) [x] ritodrin e) [ ] syntometrine ------306. Mod de punctare: A1 Punctajul: 10CS What clinical findings indicate that the bleeding is from a tear? a) [x] the bleeding consists of a continuous stream of bright red blood b) [ ] the uterus is atonic an abdominal palpation c) [ ] the lost blood do not form clots d) [ ] dark red clots of blood are passed when the uterus is rubbed up e) [ ] fragments of placenta are missing ------307. Mod de punctare: A1 Punctajul: 10CS What is the probable diagnosis in a patient that suddenly becomes shocked without any signs of vaginal bleeding during the third stage of labor and on abdominal examination the uterus cannot be palpated? a) [ ] an atonic uterus b) [ ] a ruptured uterus c) [x] an inverted uterus d) [ ] a cervical tear e) [ ] placenta acretta ------308. Mod de punctare: A1 Punctajul: 10CS What is the first step in the management of a postpartum hemorrhage when the placenta has already been delivered? a) [x] the uterus must be immediately rubbed up b) [ ] a rapid intravenous infusion of 40 units of oxytocin should be started c) [ ] the patient's bladder must be emptied d) [ ] the cause of bleeding must be looked for e) [ ] the hematocrit, hemoglobin and blood group should be determined ------309. Mod de punctare: A3 Punctajul: 10CM True statements about placenta accreta are: a) [x] seen more frequently in cesarean scar b) [ ] chorionic villi invade serosa c) [x] chorionic villi invade endometrium d) [ ] it is an etiological factor for amniotic fluid embolism e) [x] in most cases hysterectomy is the treatment of choice ------310. Mod de punctare: A3 Punctajul: 10CM Which are NOT the causes of placenta accreta? a) [ ] previous cesarean section b) [ ] previous currettage c) [ ] previous myomectomy d) [x] previous placenta previa e) [x] previous abruptio placenta ------311. Mod de punctare: A3 Punctajul: 10CM Placenta accreta is NOT associated with: a) [ ] placenta previa b) [x] multiple pregnancy c) [ ] multiparity d) [ ] uterine scar e) [x] uterine malformations ------312. Mod de punctare: A1 Punctajul: 10CS All of the following drugs are used for prevention and treatment of postpartum hemorrhages, EXCEPT: a) [ ] misoprostol b) [ ] oxytocin c) [x] mifepristone d) [ ] ergometrine e) [ ] carboprost ------313. Mod de punctare: A3 Punctajul: 10CM Coagulopathy is the cause of postpartum hemorrhage in the following conditions: a) [x] prolonged retention of dead fetus b) [x] preeclampsia c) [x] amniotic fluid embolism d) [x] abruptio placenta e) [ ] retention of placenta ------314. Mod de punctare: A3 Punctajul: 10CM The causes of postpartum hemorrhages are: a) [x] uterine hypotonia b) [x] soft canal ruptures c) [x] clotting disorders d) [ ] uterine hypertony e) [x] uterine inversion ------315. Mod de punctare: A3 Punctajul: 10CM Immediate serious complications of postpartum hemorrhages are: a) [x] collapse b) [x] shock c) [x] death d) [ ] Sheehan syndrome e) [ ] Simmons syndrome ------316. Mod de punctare: A3 Punctajul: 10CM Late serious complications of postpartum bleeding are: a) [x] Sheehan syndrome b) [ ] collapse c) [x] thromboembolic disease d) [ ] decortication e) [ ] chronical respiratory infection ------317. Mod de punctare: A3 Punctajul: 10CM The prophylaxis of bleeding during third stage of labor consists of: a) [x] oxytocin administration b) [x] controlled cord traction c) [x] the examination of placenta and membranes d) [ ] ice pack over the uterus e) [ ] routine bladder catheterization ------318. Mod de punctare: A3 Punctajul: 10CM Treatment of uterine atonia includes: a) [x] massage of the uterus b) [ ] massage of the uterus is contraindicated c) [x] bladder catheterization d) [x] administration of oxytocin e) [x] administration of misoprostol ------319. Mod de punctare: A3 Punctajul: 10CM Which drugs are used for prevention of postpartum hemorrhage: a) [x] oxytocin b) [x] ergometrine c) [ ] calcium gluconate d) [ ] ritodrin e) [x] syntometrine ------320. Mod de punctare: A3 Punctajul: 10CM Which oxytocic drugs may be given if there is a contraindication to the use of syntometrine? a) [ ] ergometrine b) [ ] a combination of oxytocin and ergometrine c) [x] oxytocin d) [x] prostaglandin E2 e) [x] misoprostol ------321. Mod de punctare: A3 Punctajul: 10CM What are infrequent causes of postpartum hemorrhage: a) [ ] cervical and vaginal tears b) [x] uterine inversion c) [x] DIC syndrome d) [x] coagulopathy e) [ ] uterine atonia ------322. Mod de punctare: A3 Punctajul: 10CM The treatment of a patient with a secondary postpartum hemorrhage will include: a) [x] ampicillin and metronidasole b) [x] oxytocin c) [x] red blood cells transfusion in severe anemia d) [x] removal of retained products of conception under general anesthesia e) [ ] tocolisis ------323. Mod de punctare: A3 Punctajul: 10CM Which of the following are risk factors for uterus rupture? a) [ ] threatened preterm labor b) [x] transversal situs of the fetus c) [x] previous cesarean section d) [ ] hydramnios e) [x] contracted pelvis ------324. Mod de punctare: A3 Punctajul: 10CM Surgical methods used for treatment of massive postpartum hemorrhages include: a) [x] uterine and ovarian arteries ligation b) [ ] McDonald suture c) [x] B-Lynch suture d) [x] hysterectomy e) [x] internal iliac artery ligation ------325. Mod de punctare: A1 Punctajul: 10CS The following statements are related to postpartum hemorrhages, EXCEPT: a) [x] it is always a preventable condition b) [ ] atonicity of the uterus is the commonest cause c) [ ] prophylactic oxytocine should be used routinely in the third stage of labor d) [ ] represent the leading cause of maternal mortality in developing countries e) [ ] uterine inversion is a rare cause ------326. Mod de punctare: A3 Punctajul: 10CM Major risk factors for preeclampsia are: a) [x] chronic hypertension b) [ ] primiparity c) [x] antiphosfolipid syndrom d) [x] previous eclampsia e) [ ] smoking ------327. Mod de punctare: A3 Punctajul: 10CM Risk factors for preeclampsia includes: a) [x] primiparity b) [ ] multiparity c) [x] obesity d) [ ] placenta previa e) [x] multiple pregnancy ------328. Mod de punctare: A1 Punctajul: 10CS What is NOT considered criteria of severe preeclampsia: a) [ ] severe headache b) [ ] persistent oliguria c) [x] level of fibrinogen over 5 g/liter d) [ ] thrombocytopenia < 100000 mm e) [ ] elevated liver enzymes ------329. Mod de punctare: A3 Punctajul: 10CM In preeclampsia impending signs of imminent eclampsia are: a) [x] blurred vision b) [ ] waight gain more that 2 kg per week c) [ ] severe proteinuria >5 gr/24 hours d) [x] severe headache e) [x] brick deep tendon reflexes ------330. Mod de punctare: A1 Punctajul: 10CS All of the following indicate superimposed preeclampsia, EXCEPT: a) [ ] new onset proteinuria b) [x] increase in systolic BP by 30 mm Hg and/or diastolic BP by 15 mm Hg c) [ ] trombocitopenia d) [ ] elevated liver enzimes e) [ ] oliguria ------331. Mod de punctare: A3 Punctajul: 10CM The following pathophysiologic changes are characteristic for preeclampsia: a) [x] vasoconstriction b) [x] hypovolemia c) [ ] decreased peripheral vascular resistance d) [x] increased vascular permeability e) [x] activation of coagulation system ------332. Mod de punctare: A3 Punctajul: 10CM Laboratory changes characteristic to severe preeclampsia include: a) [x] increased level of creatinine b) [x] elevated liver enzymes c) [ ] decreased hematocrit d) [x] thrombocytopenia e) [ ] hyperproteinemia ------333. Mod de punctare: A3 Punctajul: 10CM What complications of pregnancy are characteristic to preeclampsia: a) [x] fetal growth restriction b) [x] preterm delivery c) [x] antepartum fetal death d) [ ] embriopathies e) [ ] polihydramnios ------334. Mod de punctare: A3 Punctajul: 10CM What are two main causes of death in women with preeclampsia / eclampsia: a) [ ] renal necrosis b) [ ] liver insufficiency c) [x] intra-cerebral hemorrhages d) [x] pulmonary edema e) [ ] liver rupture ------335. Mod de punctare: A3 Punctajul: 10CM Risk of which complications is increased by preeclampsia: a) [x] abruptio placenta b) [ ] fetal macrosomia c) [x] DIC syndrome d) [x] postpartum thromboembolism e) [x] fetal growth restriction ------336. Mod de punctare: A3 Punctajul: 10CM What are the possible consequences of preeclampsia/eclampsia a) [x] antenatal death of the fetus b) [x] coagulopathic hemorrhage c) [x] prematurity d) [x] retinal detachment e) [ ] placenta previa ------337. Mod de punctare: A3 Punctajul: 10CM Which are the indications for pregnancy termination in case of severe preeclampsia: a) [x] persistent oliguria b) [x] thrombocytopenia c) [x] pulmonary edema d) [ ] hydramnios e) [x] severe fetal growth restriction ------338. Mod de punctare: A3 Punctajul: 10CM What are considered criteria of severe preeclampsia: a) [ ] proteinuria more than 1 g/day b) [x] persistent oliguria c) [ ] level of fibrinogen over 5 g/liter d) [x] thrombocytopenia under 100000 mm e) [ ] generalized edema ------339. Mod de punctare: A3 Punctajul: 10CM Following drugs are used to treat pregnancy associated hypertension: a) [x] labetalol b) [ ] captopril c) [x] methyldopa d) [x] nifedipine e) [x] hydralazine ------340. Mod de punctare: A3 Punctajul: 10CM Which of the following antihypertensives are not safe in pregnancy: a) [ ] labetalol b) [x] ACE inhibitors c) [ ] methyldopa d) [ ] nifedipine e) [x] enalapril ------341. Mod de punctare: A1 Punctajul: 10CS Which of the following antihypertensives is not given in pregnancy: a) [ ] labetalol b) [x] enalapril c) [ ] methyldopa d) [ ] nifedipine e) [ ] hydralazine ------342. Mod de punctare: A3 Punctajul: 10CM Which of the following may be an early warning sigh of preeclampsia? a) [x] weight gain during the last months of pregnancy b) [x] generalized edema especially of the face c) [ ] leg cramps d) [ ] edema of the feet at the end of the day e) [ ] pain on passing urine ------343. Mod de punctare: A3 Punctajul: 10CM What are important sighs of magnesium sulphate over-dosage? a) [x] respiratory depression b) [ ] hyperventilation c) [ ] a urine output of less than 30 ml per hour d) [x] depressed tendon reflexes e) [ ] tachycardia ------344. Mod de punctare: A1 Punctajul: 10CS All of the following can be administered in acute hypertension during labor, EXCEPT: a) [ ] labetalol b) [ ] hydralasine c) [ ] nitropruside d) [ ] nifedipine e) [x] diazoxide ------345. Mod de punctare: A1 Punctajul: 10CS Which is the drug of choice for management of eclampsia: a) [ ] diazepam b) [ ] phenitoin c) [ ] fenobarbital d) [x] MgSO4 e) [ ] lytic cocktail regime ------346. Mod de punctare: A3 Punctajul: 10CM What drugs are used to treat severe hypertension caused by preeclampsia: a) [x] labetalol b) [ ] metoprolol c) [ ] methyldopa d) [x] nifedipine e) [x] hydralazine ------347. Mod de punctare: A3 Punctajul: 10CM Which of the following women has high risk of preeclampsia? a) [x] a patient with a history of preeclampsia starting early in the third trimester of a previous pregnancy b) [x] a patient with chronic hypertension c) [ ] grande multiparas d) [x] twin pregnancy e) [ ] a patient with a history of postpartum hemorrhage ------348. Mod de punctare: A1 Punctajul: 10CS A 28 year old woman with preeclampsia develop convulsions. The first measure to be done after convulsions: a) [ ] give MgSO4 b) [ ] sedation c) [ ] immnediate delivery d) [x] care of airway e) [ ] give Nifedipine ------349. Mod de punctare: A3 Punctajul: 10CM Which of the following are contraindications to giving syntometrine during the third stage of labor? a) [ ] an atonic uterus b) [ ] hypotension after delivery c) [x] gestational hypertension d) [x] preeclampsia e) [ ] fetal macrosomia ------350. Mod de punctare: A3 Punctajul: 10CM What are rare causes of death in women with pre-eclampsia? a) [x] hepatic rupture b) [ ] pulmonary edema c) [x] renal insufficiency d) [x] hepatic failure e) [ ] intracerebral hemorrhage ------351. Mod de punctare: A3 Punctajul: 10CM Which are NOT features of HELLP syndrome: a) [ ] thrombocitopenia b) [x] eosinophilia c) [x] creatinin doubling baseline d) [ ] raised liver enzyme e) [ ] hemolitic anemia ------352. Mod de punctare: A1 Punctajul: 10CS All are true about preeclampsia, EXCEPT: a) [ ] cerebral hemorrhage b) [ ] pulmonary edema c) [ ] acute renal failure d) [x] deep venous thrombosis e) [ ] liver rupture ------353. Mod de punctare: A1 Punctajul: 10CS The leading cause of death in severe preeclampsia /eclampsia is: a) [x] cerebral hemorrhage b) [ ] pulmonary edema c) [ ] acute renal failure d) [ ] deep venous thrombosis e) [ ] liver rupture ------354. Mod de punctare: A1 Punctajul: 10CS Earliest sign of MgSO4 toxicity is: a) [ ] hypotension b) [ ] anuria c) [ ] coma d) [ ] respiratory depression e) [x] depression of deep tendon reflexes ------355. Mod de punctare: A1 Punctajul: 10CS What is antidote used in cases of MgSO4 toxicity? a) [ ] protamin sulphate b) [x] calcium gluconate c) [ ] cofeine d) [ ] atropine e) [ ] naloxone ------356. Mod de punctare: A1 Punctajul: 10CS A previously normotensive women, at 32 weeks of pregnancy, has a blood pressure 150/100 mm Hg, proteinuria 0,03 gr/24 hours, edema of legs. What is the diagnosis? a) [ ] chronic hypertension b) [x] gestational hypetension c) [ ] mild preeclampsia d) [ ] severe preeclampsia e) [ ] transient hypertension ------357. Mod de punctare: A1 Punctajul: 10CS A previously normotensive women, at 32 weeks of pregnancy, has a blood pressure 150/100 mm Hg, proteinuria 0,5 gr/24 hours, leg edema. What is the diagnosis? a) [ ] chronic hypertension b) [ ] gestational hypetension c) [x] mild preeclampsia d) [ ] severe preeclampsia e) [ ] transient hypertension ------358. Mod de punctare: A1 Punctajul: 10CS A patient with preexisting hypertension who develops a diastolic blood pressure of 105 mm Hg and 2+proteinuria (1 gr/day) at 36 weeks of pregnancy should be graded as having: a) [ ] pre-eclampsia b) [ ] severe pre-eclampsia c) [ ] imminent eclampsia d) [ ] eclampsia e) [x] superimposed preeclampsia ------359. Mod de punctare: A3 Punctajul: 10CM What is the management of a patient with pre-eclampsia at 37 weeks gestation? a) [x] oral antihypertensive drugs b) [ ] diuretics c) [x] hospitalization d) [ ] a loading dose of magnesium sulfate e) [x] delivery ------360. Mod de punctare: A1 Punctajul: 10CS How common is preeclampsia? a) [ ] most pregnant women develop preeclampsia b) [ ] about 25% of all women develop preeclampsia c) [ ] about 15% of all women develop preeclampsia d) [x] about 3-5% of all women develop preeclampsia e) [ ] very rare ------361. Mod de punctare: A1 Punctajul: 10CS A previously normotensive woman, at 32 weeks of pregnancy, has a blood pressure 170/110 mm Hg, proteinuria 5,0 gr/24 hours, severe headache, nausea and vomiting. What is the diagnosis? a) [ ] chronic hypertension b) [ ] gestational hypetension c) [ ] mild preeclampsia d) [x] severe preeclampsia e) [ ] transient hypertension ------362. Mod de punctare: A3 Punctajul: 10CM A previously normotensive women, at 32 weeks of pregnancy, has a blood pressure 170/110 mm Hg, proteinuria 5,0 gr/24 hours, severe headache, nausea and vomiting. What is the management ? a) [x] antihypertensive treatment b) [x] evaluation of fetal well-being c) [ ] diuretics d) [x] dexametazone e) [x] MgSO4 ------363. Mod de punctare: A3 Punctajul: 10CM Which drugs are contraindicated in preeclampsia? a) [ ] hydralazin b) [x] metil-ergometrin c) [ ] misoprostol d) [x] captopril e) [ ] nifedipine ------364. Mod de punctare: A3 Punctajul: 10CM Complications of preeclampsia are the following: a) [x] retinal detachment b) [x] intracranial hemorrhage c) [x] fetal growth restriction d) [ ] hydramnion e) [x] renal insufficiency ------365. Mod de punctare: A1 Punctajul: 10CS All of the following are possible consequneces of preeclampsia, EXCEPT: a) [ ] antepartum fetal death b) [ ] coagulopathic bleeding c) [ ] prematurity d) [ ] blindness e) [x] fetal malformations ------366. Mod de punctare: A1 Punctajul: 10CS Congenital infection in fetus with minimal teratogenic risk is: a) [ ] varicella b) [ ] rubella c) [x] HIV d) [ ] cytomegalovirus e) [ ] toxoplasmosis ------367. Mod de punctare: A1 Punctajul: 10CS Most frequent cause of intrauterine infection is: a) [ ] rubella b) [ ] hepatitis c) [ ] toxoplasma d) [x] CMV e) [ ] herpes virus ------368. Mod de punctare: A1 Punctajul: 10CS Congenital anomalies are most severe in: a) [ ] cytomegalovirus b) [x] rubella c) [ ] mumps d) [ ] toxoplasma e) [ ] herpes virus ------369. Mod de punctare: A3 Punctajul: 10CM Not implicated in congenital transmission: a) [x] hepatitis A b) [ ] toxoplasma c) [ ] syphilis d) [x] streptococcus group B e) [ ] cytomegalovirus ------370. Mod de punctare: A1 Punctajul: 10CS Which of the following perinatal infections has the highest risk of fetal infection in the first trimester: a) [ ] hepatitis B b) [ ] syphilis c) [ ] toxoplasmosis d) [x] rubella e) [ ] varicella ------371. Mod de punctare: A1 Punctajul: 10CS A lady G2 P1 with 10 weeks pregnancy has one child with ocular toxoplasmosis. The risk of present child to be infected is: a) [ ] 25% b) [ ] 50% c) [ ] 75% d) [ ] 100% e) [x] Nil ------372. Mod de punctare: A1 Punctajul: 10CS Syphilis in pregnancy should be treated with: a) [ ] ceftriaxone b) [x] penicillin c) [ ] tetracicyline d) [ ] ampicillin e) [ ] gentamicine ------373. Mod de punctare: A1 Punctajul: 10CS Choose the most appropriate treatment for Herpes simplex virus infection: a) [ ] penicillin b) [ ] metronidasole c) [ ] doxyciciline d) [ ] ceftriaxone e) [x] aciclovir ------374. Mod de punctare: A1 Punctajul: 10CS The following infections are transmitted to fetus trans-placentally, EXCEPT: a) [ ] toxoplasmosis b) [ ] syphilis c) [x] streptococcus B d) [ ] rubella e) [ ] cytomegalovirus ------375. Mod de punctare: A1 Punctajul: 10CS A pregnant woman is routinely screened for which of the following disease entities? a) [ ] parvovirus b) [ ] toxoplasmosis c) [ ] cytomegalovirus (CMV) d) [x] syphilis e) [ ] herpes simplex virus ------376. Mod de punctare: A1 Punctajul: 10CS Which of the following is a common reservoir of toxoplasmosis? a) [ ] school-age children b) [ ] bird droppings c) [x] cats d) [ ] contaminated seafood e) [ ] blood ------377. Mod de punctare: A1 Punctajul: 10CS Which of the following is a common reservoir of HIV? a) [ ] school-age children b) [ ] bird droppings c) [ ] cats d) [ ] contaminated seafood e) [x] blood ------378. Mod de punctare: A3 Punctajul: 10CM It is important to treat patients with asymptomatic bacteriuria in pregnancy because: a) [ ] the patient is seriously ill b) [ ] one third will develop septic shock during pregnancy c) [x] it is associated with small for gestational age fetuses d) [x] more than one third will develop acute pyelonephritis during pregnancy e) [x] it increases risk of preterm birth ------379. Mod de punctare: A3 Punctajul: 10CM What complications are caused by infections during pregnancy: a) [ ] postpartum hemorrhages b) [x] fetal malformations c) [x] preterm deliveries d) [x] early neonatal sepsis e) [ ] placenta previa ------380. Mod de punctare: A3 Punctajul: 10CM Which infections are transmitted to newborn during delivery: a) [ ] toxoplasmosis b) [x] herpes virus c) [ ] rubella d) [x] hepatitis B e) [x] streptococcus B ------381. Mod de punctare: A3 Punctajul: 10CM Prevention of mother to child transmission of HIV includes: a) [x] antiretroviral therapy b) [x] elective cesarean section c) [ ] episiotomy d) [x] exclusion of breastfeeding e) [ ] induction of labor at 38 weeks ------382. Mod de punctare: A3 Punctajul: 10CM Screening of following infections is recommended routinely during pregnancy: a) [x] HIV b) [ ] cytomegalovirus c) [x] syphilis d) [ ] herpes virus e) [ ] toxoplasmosis ------383. Mod de punctare: A3 Punctajul: 10CM Which infections are transmitted to fetus mostly trans-placentaly: a) [x] Toxoplasmosis b) [x] Rubella c) [ ] Herpes virus d) [ ] Hepatitis B e) [x] Syphilis ------384. Mod de punctare: A3 Punctajul: 10CM Which infections cause serious fetal malformations: a) [x] toxoplasmosis b) [ ] HIV c) [ ] streptococcus B d) [x] rubella e) [ ] herpes virus ------385. Mod de punctare: A3 Punctajul: 10CM What complications are caused by Chlamydia trachomatis infection during pregnancy: a) [ ] Fetal malformations b) [x] Preterm birth c) [ ] Abruption placentae d) [x] Conjunctivitis in newborn e) [ ] Early neonatal sepsis ------386. Mod de punctare: A3 Punctajul: 10CM What drugs are recommended for treatment of Chlamydia trachomatis infection during pregnancy: a) [ ] tetracycline b) [x] eritromicine c) [x] clarithromycin d) [ ] ceftriaxone e) [ ] ciprofloxacin ------387. Mod de punctare: A1 Punctajul: 10CS During pregnancy baby can be affected in utero in all, EXCEPT: a) [ ] Syphilis b) [ ] Toxoplasma c) [x] Poliomyelitis d) [ ] Rubella e) [ ] Cytomegalovirus ------388. Mod de punctare: A1 Punctajul: 10CS Transmission of herpes is maximum in: a) [ ] Ist trimester b) [ ] IInd trimester c) [ ] IIIrd trimester d) [x] during parturition e) [ ] postpartum ------389. Mod de punctare: A1 Punctajul: 10CS Transmission of HIV is maximum in: a) [ ] Ist trimester b) [ ] IInd trimester c) [ ] IIIrd trimester d) [x] during parturition e) [ ] postpartum ------390. Mod de punctare: A1 Punctajul: 10CS Transmission of toxoplasmosis is maximum in: a) [ ] Ist trimester b) [ ] IInd trimester c) [x] IIIrd trimester d) [ ] during parturition e) [ ] postpartum ------391. Mod de punctare: A1 Punctajul: 10CS Transmission of cytomegalovirus is maximum in: a) [x] Ist trimester b) [ ] IInd trimester c) [ ] IIIrd trimester d) [ ] during parturition e) [ ] postpartum ------392. Mod de punctare: A1 Punctajul: 10CS Cesarean section is preferred in: a) [ ] hepatitis B b) [ ] cytomegalovirus c) [x] herpes d) [ ] varicella zoster virus e) [ ] streptococcus B ------393. Mod de punctare: A1 Punctajul: 10CS Which infection is not transmitted to newborn at delivery: a) [x] toxoplasmosis b) [ ] gonococcus c) [ ] HSV type II d) [ ] hepatitis B e) [ ] chlamydia ------394. Mod de punctare: A3 Punctajul: 10CM Strategies used to decrease mother to child transmission of HIV include: a) [x] elective cesarean section b) [x] antiretroviral therapy (ART) during pregnancy c) [ ] omitting ergometrine d) [x] avoiding breastfeeding e) [x] intrapartum ART ------395. Mod de punctare: A1 Punctajul: 10CS Dysmenorrhea would be most likely to occur in which of the following women: a) [x] a young teenager b) [ ] a woman on birth control pills c) [ ] a 48-year-old woman with irregular cycles d) [ ] a marathon runner with one menstruation per year e) [ ] a 35-year-old women with regular cycles ------396. Mod de punctare: A1 Punctajul: 10CS All of the following statements about the two-cell hypothesis of estrogen production are true EXCEPT: a) [ ] theca cells produce androstendione b) [ ] luteinizing hormone (LH) stimulates theca cells c) [ ] aromatization of androgens takes place in the granulosa cells d) [ ] FSH activates the enzyme aromatase e) [x] Estradiol is transported to the theca cells ------397. Mod de punctare: A3 Punctajul: 10CM All of the following characterize the follicular phase of the menstrual cycle: a) [x] variable length b) [x] growth and development of the ovarian follicles 0 c) [ ] basal body temperature over 37 C d) [x] vascular growth of the endomentrium e) [x] secretion of the estrogen from the ovary ------398. Mod de punctare: A1 Punctajul: 10CS Which of the following conditions is considered a relative emergency in a teenager with amenorrhea: a) [ ] uterine agenesis b) [ ] turner's syndrome c) [x] imporforate hymen d) [ ] androgen infectivity syndrome e) [ ] Klinefelters syndrome ------399. Mod de punctare: A1 Punctajul: 10CS Elevated gonadotropin levels are expected with which of the following conditions associated with amenorrhea: a) [ ] Rokitansky-Kuster-Hauser syndrome b) [ ] Kallman's syndrome c) [x] gonadal dysgenesis d) [ ] anorexia nervosa e) [ ] pituitary adenoma ------400. Mod de punctare: A1 Punctajul: 10CS Hypothalamic amenorrhea is seen in: a) [ ] Asherman syndrome b) [ ] Stein-Leventhal syndrome c) [x] Kallman Syndrome d) [ ] Sheehan's syndrome e) [ ] Turner syndrome ------401. Mod de punctare: A3 Punctajul: 10CM Which is not primary amenorrhea: a) [x] Sheehan syndrome b) [ ] Kallmann's syndrome c) [ ] Mayer-Rokitansky-Koster-Hauser Syndrome d) [ ] Turner syndrome e) [x] Asherman syndrome ------402. Mod de punctare: A1 Punctajul: 10CS A woman has 2 kids. She presents with galactorrhea and amenorrhea for 1 year. The most probable diagnosis is: a) [ ] pregnancy b) [x] pituitary tumor c) [ ] Sheehan's syndrome d) [ ] Metastasis to pituitary from other carcinoma e) [ ] Kallmann's syndrome ------403. Mod de punctare: A3 Punctajul: 10CM In a woman presenting with amenorrhea, headache, blurred vision and galactorrhea appropriate investigations include: a) [ ] FSH b) [ ] LH c) [x] X-ray or MRI d) [x] prolactin level e) [ ] HCG ------404. Mod de punctare: A3 Punctajul: 10CM Most appropriate treatment options for a 42 years old woman with dysfunctional uterine bleeding are: a) [x] progesterone b) [ ] prostaglandins c) [ ] hysterectomy d) [ ] danazol e) [x] endometrial ablation ------405. Mod de punctare: A3 Punctajul: 10CM What conditions are associated with primary amenorrhea: a) [x] Testicular feminizing syndrome b) [ ] Stein-Leventhal syndrome c) [x] Turner syndrome d) [x] Mayer-Rokitansky-Koster-Hauser Syndrome e) [ ] Sheehan syndrome ------406. Mod de punctare: A1 Punctajul: 10CM Evidence based treatments for heavy menstrual bleeding are: a) [x] oral contraceptive pills b) [x] progesterone IUD c) [x] tranexamic acid d) [x] NSAIDs e) [ ] ethamsylate ------407. Mod de punctare: A3 Punctajul: 10CM Which of the following are not indicated in heavy menstrual bleeding: a) [ ] NSAIDs b) [ ] progestins c) [x] clomiphene d) [x] misoprostol e) [ ] tranexamic acid ------408. Mod de punctare: A3 Punctajul: 10CM Treatment of heavy uterine bleedings in young female is: a) [x] oral contraceptives b) [x] progesterone c) [ ] D&C d) [ ] MVA e) [ ] misoprostol ------409. Mod de punctare: A1 Punctajul: 10CS Most common cause of puberty menorrhagia is: a) [ ] endometriosis b) [ ] malignancy c) [x] anovulation d) [ ] bleeding disorder e) [ ] sub-mucous leiomyoma ------410. Mod de punctare: A1 Punctajul: 10CS In case of secondary amenorrhea who fails to get withdrawal bleeding after taking estrogen and progesterone, the fault lies at the level of: a) [ ] pituitary b) [ ] hypothalamus c) [ ] ovary d) [x] endometrium e) [ ] adrenal gland ------411. Mod de punctare: A1 Punctajul: 10CS Positive progesterone challenge test in a patient of secondary amenorrhea, seen in: a) [ ] Asherman syndrome b) [ ] endometrial TB c) [ ] hypopituitarism d) [ ] premature ovarian failure e) [x] PCOS ------412. Mod de punctare: A3 Punctajul: 10CM A patient with amenorrhea had bleeding after giving a trial of progesterone. This implies: a) [x] sufficient estrogen b) [ ] sufficient progesterone c) [ ] normal ovarian function d) [x] intact endometrium e) [x] intact pituitary axis ------413. Mod de punctare: A3 Punctajul: 10CM Causes of secondary amenorrhea are: a) [ ] Turner syndrome b) [ ] endometriosis c) [x] Asherman's Syndrome d) [x] premature ovarian failure e) [x] PCOS ------414. Mod de punctare: A1 Punctajul: 10CS A 45 years old woman present with a history of heavy menstrual bleeding for last six months. The first line of management is: a) [ ] hysterectomy b) [ ] progesterone for 3 cycles c) [ ] NSAIDs d) [x] D&C e) [ ] oral contraceptives for 3 months ------415. Mod de punctare: A3 Punctajul: 10CM A 35 years old lady is not having her menses for last 6 months. She has high serum FSH and LH and low estradiol. The likely causes are: a) [ ] panhypopituitarism b) [ ] PCOS c) [ ] exogenous estrogen administration d) [x] premature menopause e) [x] resistant ovarian syndrome ------416. Mod de punctare: A1 Punctajul: 10CS Karyotype X0, absence of secondary sexual characteristics, primary amenorrhea, short stature, somatic abnormalities. Diagnosis? a) [ ] Kallman's syndrome b) [ ] Morris's syndrome c) [ ] Klinefelter's syndrome d) [x] Turner's syndrome e) [ ] Cushing's syndrome ------417. Mod de punctare: A1 Punctajul: 10CS What is the karyotype in Turner's syndrome: a) [x] X0 b) [ ] XX c) [ ] XY d) [ ] XXY e) [ ] XYY ------418. Mod de punctare: A3 Punctajul: 10CM All of the following are characteristics of Turner's syndrome: a) [x] karyotype X0 b) [x] primary amenorrhea c) [x] somatic abnormalities d) [ ] increased levels of estrogens e) [x] increased levels of gonadotropins ------419. Mod de punctare: A1 Punctajul: 10CS Select the most appropriate therapy for congenital adrenal hyperplasia: a) [ ] estrogens and progestins b) [x] hydrocortisone c) [ ] progestins d) [ ] prostaglandin inhibitors e) [ ] gonadotropin analogs ------420. Mod de punctare: A1 Punctajul: 10CS Treatment of Turner syndrome includes: a) [x] estrogen replacement therapy b) [ ] gonadectomy c) [ ] surgical removal of the clitoris d) [ ] surgical modeling of artificial vagina e) [ ] administration of Dexamethasone ------421. Mod de punctare: A1 Punctajul: 10CS Treatment of Rokitansky-Kuster-Hauser syndrome includes: a) [ ] estrogen replacement therapy b) [ ] gonadectomy c) [ ] surgical removal of the clitoris d) [x] surgical modeling of artificial vagina e) [ ] administration of Dexamethasone ------422. Mod de punctare: A3 Punctajul: 10CM Which of the following are Mullerian tract abnormalities a) [x] bicornuate uterus b) [ ] testicular feminization syndrome c) [x] uterus didelfus d) [x] Rokitansky-Kuster-Hauser syndrom e) [ ] aplazia of the inferior third of vagina ------423. Mod de punctare: A3 Punctajul: 10CM Which of the following pathologies are caused by chromosomial abnormalities? a) [x] Turner syndrome b) [ ] testicular feminization syndrome c) [ ] uterus didelfus d) [ ] Rokitansky-Kuster-Hauser syndrome e) [x] Klinefelter syndrome ------424. Mod de punctare: A3 Punctajul: 10CM Diagnosis of septate uterus is done by: a) [x] USG b) [x] uterine sound c) [x] hysteroscopy d) [x] hystero-sapingography e) [ ] laparoscopy ------425. Mod de punctare: A1 Punctajul: 10CS Complete failure of mullerian duct fusion will result in: a) [x] uterus didelphys b) [ ] arcuate uterus c) [ ] subseptate uter d) [ ] bicornuate uterus e) [ ] absent uterus ------426. Mod de punctare: A1 Punctajul: 10CS The treatment for a case of virilizing adrenal hyperplasia is: a) [ ] estrogens b) [ ] antiandrogens c) [ ] ACTH d) [x] cortisone e) [ ] progesterone ------427. Mod de punctare: A3 Punctajul: 10CM Common features of Turner's syndrome: a) [ ] secondary amenorrhea b) [x] edema of hands and feet c) [x] XO genotype d) [ ] mental retardation common e) [x] streak ovaries ------428. Mod de punctare: A3 Punctajul: 10CM All are features of Turner's syndrome EXCEPT: a) [ ] karyotype is 46 XO b) [x] normal breast c) [ ] underdeveloped uterus d) [x] normal secondary sexual characteristics e) [ ] primary amenorrhoea ------429. Mod de punctare: A1 Punctajul: 10CS A girl presents with primary amenorrhea, shot stature, widely spaced nipple. Karyotype of the girl would be: a) [x] 45XO b) [ ] 46XXY c) [ ] 46XY d) [ ] 46XX e) [ ] 46XYY ------430. Mod de punctare: A1 Punctajul: 10CS 17-year-old girl with amenorrhea, absent breasts, hypoplastic uterus. Most likely condition is: a) [x] Turner's syndrome b) [ ] Sheehan Syndrome c) [ ] Androgen intensitivity syndrome d) [ ] Klinefelter's syndrome e) [ ] Mullerian agenesis ------431. Mod de punctare: A1 Punctajul: 10CS 15-year-old female presents with primary amenorrhea. Her breasts are Tanner 4 but she has no axillary or pubic hair. The most likely diagnosis is: a) [ ] Turner's syndrome b) [ ] Mullerian agenesis c) [x] Testicular feminization syndrome d) [ ] Premature ovarian failure e) [ ] Ovarian disgenesis ------432. Mod de punctare: A1 Punctajul: 10CS Pure gonadal dysgenesis will be diagnosed in the presence of: a) [x] bilateral streak gonads b) [ ] bilateral dysgenetic gonads c) [ ] one side steak and other disgenetic gonads d) [ ] one side streak and other normal looking gonad e) [ ] XO Kariotipe ------433. Mod de punctare: A3 Punctajul: 10CM Pure gonadal dysgenesis will be diagnosed in the presence of: a) [x] bilateral streak gonads b) [ ] bilateral dysgenetic gonads c) [ ] one side steak and other disgenetic gonads d) [ ] one side streak and other normal looking gonad e) [x] XX Kariotipe ------434. Mod de punctare: A1 Punctajul: 10CS A pacient of 47 XXY karyotype present with feature of hypogonadism. Likely diagnosis: a) [ ] Turners syndrome b) [x] Klinefelters syndrome c) [ ] Edwards syndrome d) [ ] Down syndrome e) [ ] Marfan syndrom ------435. Mod de punctare: A1 Punctajul: 10CS A girl has primary amenorrhea with normal ovaries, absent internal genitalia, but normal external genitalia. Most probable diagnosis: a) [x] Mayer-Rokitansky-Kuster-Hauser syndrome b) [ ] Turner's syndrome c) [ ] Noonan's syndrome d) [ ] Androgen insensitivity syndrome e) [ ] Kallman syndrome ------436. Mod de punctare: A1 Punctajul: 10CS A 19-year-old patient came with primary amenorrhea. She had well developed breasts and pubic hair. However there was absence of vagina and uterus. Likely diagnosis is: a) [ ] Turners syndrome b) [x] Mullerian agenesis c) [ ] Kinefelter's syndrome-XXY d) [ ] Gonadal agenesis e) [ ] Moris syndrome ------437. Mod de punctare: A1 Punctajul: 10CS In which of the following conditions do the ovaries functions normally: a) [ ] Turner's syndrome b) [x] Rokitansky-Kuster-Hauser syndrome c) [ ] Androgen insensitivity syndrome d) [ ] Swyer's syndrome e) [ ] PCOS ------438. Mod de punctare: A1 Punctajul: 10CS The minimum period of sexual cohabitation resulting is no offspring for a couple to be declared infertile is: a) [x] One year b) [ ] One and a half-year c) [ ] Two years d) [ ] Three years e) [ ] A half year(6 months) ------439. Mod de punctare: A1 Punctajul: 10CS Best prognosis in infertility is seen in/most reversible form of infertility is: a) [ ] Tubal block b) [x] Anovulation c) [ ] Oligospermia d) [ ] Endometritis e) [ ] Endometriosis ------440. Mod de punctare: A1 Punctajul: 10CS TB endometritis causes infertility by: a) [ ] Causing anovulation b) [x] Destroying endometrium c) [ ] Tubal blockage d) [ ] Ciliary dysmotility e) [ ] Dysfunctional uterine bleeding ------441. Mod de punctare: A1 Punctajul: 10CS What is the cause for luteal phase defect? a) [x] Progesterone is inadequately secreted b) [ ] Excess estrogen is secreted c) [ ] Excess progesterone is secreted d) [ ] Excess estrogen and progesterone are secreted e) [ ] Estrogen and progesterone is inadequately secreted ------442. Mod de punctare: A1 Punctajul: 10CS What is the right time in menstrual cycle to do enfometrial biopsy: a) [ ] 12-14 days b) [ ] 17-19 days c) [x] 20-22 days d) [ ] 3-5 days e) [ ] 1-2 day(s) ------443. Mod de punctare: A1 Punctajul: 10CS Drugs used for ovulation induction are: a) [ ] Gn RH b) [x] Clomiphene citrate c) [x] Gonadotropins d) [x] Letrozole e) [ ] Danazol ------444. Mod de punctare: A1 Punctajul: 10CS Antihormonal substance used to induce ovulation: a) [ ] Mifepristone b) [x] Clomiphene citrate c) [ ] Tamoxifen d) [ ] Raloxifen e) [ ] Letrozole ------445. Mod de punctare: A1 Punctajul: 10CS A patient treated for infertility with clomiphene citrate presents with sudden onset of abdominal pain and distention with ascites, the probable cause is: a) [ ] Uterine rupture b) [ ] Ectopic pregnancy rupture c) [ ] Multifetal pregnancy d) [x] Hyperstimulation syndrome e) [ ] Ovarian torsion ------446. Mod de punctare: A1 Punctajul: 10CS Best investigation to asses tubal patency: a) [ ] Rubin's test b) [ ] HSG c) [ ] Laparotomy d) [x] Laparoscopic chromtubation e) [ ] HyCoSy ------447. Mod de punctare: A3 Punctajul: 10CM Fallopian tube patency is checked by: a) [x] Hysterosalpingography b) [x] Laparoscopy c) [ ] Hysteroscopy d) [x] USG e) [ ] CT scan ------448. Mod de punctare: A1 Punctajul: 10CS In a lady with infertility with bilateral tubal block best method of management is: a) [ ] Laparoscopy b) [ ] Hydrotubation c) [x] IVF d) [ ] Tuboplasty e) [ ] Hysteroscopy ------449. Mod de punctare: A1 Punctajul: 10CS Post coital test showing non motile sperms in the cervical smear and Motile sperms from the posterior fornix suggests: a) [ ] Faulty coital practice b) [x] Immunological defect c) [ ] Hypospandias d) [ ] Azoospermia e) [ ] Tubal blockage ------450. Mod de punctare: A1 Punctajul: 10CS According to WHO criteria, the minimum normal sperm count is: a) [ ] 10 million/ml b) [x] 20 million/ml c) [ ] 40 million/ml d) [ ] 60 million/ml e) [ ] 30 million/ml ------451. Mod de punctare: A1 Punctajul: 10CS Aspermia is the term used to describe: a) [x] Absence of semen b) [ ] Absence of sperm in ejaculate c) [ ] Absence of sperm motility d) [ ] Occurence of abnormal sperm e) [ ] Sperm with normal morphology ------452. Mod de punctare: A1 Punctajul: 10CS Which of the following is the true about obstructive azoospermia: a) [ ] ↑FSH and ↑LH b) [x] Normal FSH and normal LH c) [ ] ↑LH, Normal FSH d) [ ] ↑LH, Normal FSH e) [ ] ↑FSH, Normal LH ------453. Mod de punctare: A1 Punctajul: 10CS In vitro fertilization is indicated in: a) [x] Tubal pathology b) [ ] Uterine dysfunction c) [ ] Ovarian pathology d) [ ] Azoospermia e) [ ] Normospermia ------454. Mod de punctare: A1 Punctajul: 10CS Ovulation can be diagnosed by all EXCEPT: a) [x] Measuring day 14 serum progesterone b) [ ] Rise in basal body temperature in the second half of cycle c) [ ] Folliculometry at USG d) [ ] Endometrial histology e) [ ] Measuring day 8 and day 21 serum progesterone ------455. Mod de punctare: A3 Punctajul: 10CM Indications of intrauterine insemination (IUI) are all EXCEPT: a) [ ] Hostile cervical mucus b) [ ] Unexplained infertility c) [ ] Anti-sperm antibodies d) [x] Luteal Phase defect e) [x] Azoospermia ------456. Mod de punctare: A1 Punctajul: 10CS Artificial insemination with husband's semen is indicated in all of the following situations, EXCEPT: a) [ ] Oligospermia b) [ ] Impotency c) [ ] Antisperm antibodies in the cervical mucous d) [x] Azoospermia e) [ ] Cervical stenosis ------457. Mod de punctare: A3 Punctajul: 10CM Identify the risks associated with hormone replacement therapy: a) [x] breast cancer b) [ ] ovarian cancer c) [x] stroke, coronary and cerebral d) [x] pulmonary thromboembolism e) [ ] cervical cancer ------458. Mod de punctare: A1 Punctajul: 10CS Please indicate the age criterion that determines late menopause: a) [ ] 50 years old b) [ ] 52 years old c) [ ] 54 years old d) [x] 56 years old e) [ ] 60 years old ------459. Mod de punctare: A3 Punctajul: 10CM Which of the following steroids are androgen hormones: a) [x] DHEAS b) [x] DHEA c) [ ] 17- ketosteroids d) [x] testosterone e) [x] dehydrotestosterone ------460. Mod de punctare: A3 Punctajul: 10CM Which of the steroids are considered androgen hormones: a) [ ] preganandiol b) [x] DHEA c) [ ] 17- ketosteroids d) [x] DHEA-S e) [x] androstenedione ------461. Mod de punctare: A3 Punctajul: 10CM Which androgens are secreted in the adrenal glands: a) [ ] 17- ketosteroids b) [x] DHEA-S c) [x] DHEA d) [x] testosterone e) [x] androstenedione ------462. Mod de punctare: A3 Punctajul: 10CM Which are the consequences of androgens excess in the females: a) [ ] hypertrichosis b) [x] oligo- / amenorrhea c) [x] clitoromegalia d) [x] hirsutism e) [x] genital hypoplasia ------463. Mod de punctare: A3 Punctajul: 10CM Indicate the possible origin of hyperandrogenism: a) [ ] hypothalamic b) [x] pituitary c) [x] constitutional hereditary d) [x] adrenal e) [x] ovarian ------464. Mod de punctare: A3 Punctajul: 10CM Which conditions contribute to the development of hyperandrogenism: a) [x] Cushing's syndrome b) [x] androgen secreting ovarian/adrenal tumors c) [x] polycystic ovary syndrome d) [ ] Simmonds-Sheehan's syndrome e) [x] HAIR-AN syndrome ------465. Mod de punctare: A3 Punctajul: 10CM Select non-virilizing clinical symptoms of androgen excess: a) [x] hirsutism b) [ ] clitorismegalia c) [x] acne d) [x] metabolic syndrome (insulin resistance, obesity, hypertension) e) [x] oligo- / amenorrhea ------466. Mod de punctare: A3 Punctajul: 10CM Select virilizing clinical symptoms of androgen excess: a) [x] bitemporal alopecia b) [x] increased muscle mass with changing female physical appearance c) [ ] seborrhea d) [x] atrophy of the mammary glands and genital hypoplasia e) [x] clitorismegalia ------467. Mod de punctare: A3 Punctajul: 10CM Which conditions are associated with hirsutism and virilization of ovarian origin: a) [x] androblastoma b) [x] polycystic ovary syndrome c) [x] Leydig cell tumors d) [x] hypertecosis of ovaries e) [ ] Morgagni-Stewart-Morel syndrome ------468. Mod de punctare: A3 Punctajul: 10CM Which are the criteria defining polycystic ovarian syndrome: a) [ ] onset in puberty b) [x] oligo- and / anovulation c) [x] hyperandrogenism (clinical / biochemical) d) [ ] hyperprolactinemia e) [x] polycystic ovaries on sonography ------469. Mod de punctare: A3 Punctajul: 10CM What conditions are considered clinical forms with severe manifestations of PCOS: a) [ ] adrenoblastoma b) [x] ovarian hipertecocis c) [ ] Chiari-Frommel symdrome d) [ ] Morgagni- Stewart-Morel syndrome e) [x] HAIR-AN syndrome ------470. Mod de punctare: A3 Punctajul: 10CM Which are the most common clinical symptoms determined in polycystic ovary syndrome: a) [x] hirsutism b) [ ] clitorismegalia c) [x] infertility d) [x] oligomenorrhea e) [x] obesity ------471. Mod de punctare: A1 Punctajul: 10CS What is not characteristic for polycystic ovary syndrome: a) [ ] hirsutism b) [x] clitorismegalia c) [ ] infertility d) [ ] oligomenorrhea e) [ ] obesity ------472. Mod de punctare: A3 Punctajul: 10CM Main hormonal changes caused by polycystic ovary syndrome are: a) [x] increased serum concentration of LH b) [ ] increased serum concentration of FSH c) [x] Positive progesterone challenge test d) [x] LH / FSH ratio ≥ 3 e) [ ] extremely elevated serum concentration of DHEAS ------473. Mod de punctare: A3 Punctajul: 10CM Which are the methods of treatment of infertility in patients with polycystic ovary syndrome: a) [x] Clomiphene citrate b) [ ] Spironolactone c) [x] Reduction in body weight (reduced calories diet + exercise) d) [x] Gonadotropins e) [ ] COC ------474. Mod de punctare: A3 Punctajul: 10CM Which of the conditions are associated with hirsutism and virilization of adrenal origin: a) [x] adrenogenital syndrome b) [ ] polycystic ovary syndrome c) [x] androsteroma d) [x] corticosteroma e) [ ] syndrome Chiari-Frommel ------475. Mod de punctare: A3 Punctajul: 10CM Mark pathologies that can lead to the development of acute abdomen: a) [x] pelvioperitonitis b) [ ] acute endometritis c) [ ] acute salpingitis d) [x] erupted adnexal abscess e) [x] Torsion of ovarian cyst ------476. Mod de punctare: A1 Punctajul: 10CS Identify situation in which emergency surgery is required: a) [ ] ectopic pregnancy in progress b) [ ] parametritis in infiltrating stage c) [ ] mild form of ovarian apoplexy d) [ ] pelvioperitonitis e) [x] Torsion of ovarian cyst ------477. Mod de punctare: A3 Punctajul: 10CM Identify pathologies determining the development of clinical symptoms of acute abdomen: a) [x] severe ovarian apoplexy b) [ ] miscarriage in progress c) [x] interrupted ectopic pregnancy d) [ ] metrorrhagia e) [ ] heavy uterine bleeding ------478. Mod de punctare: A1 Punctajul: 10CS Please indicate which of remedies are used in the medical treatment of ectopic pregnancy: a) [ ] oxytocin b) [x] methotrexate c) [ ] mifepristone d) [ ] misoprostol e) [ ] methyluracil ------479. Mod de punctare: A3 Punctajul: 10CM List complications associated with shoulder dystocia: a) [x] severe vaginal lacerations b) [ ] dynamic dystocia c) [x] uterine rupture d) [x] postpartum hemorrhage e) [x] recto-vaginal fistula ------480. Mod de punctare: A3 Punctajul: 10CM Indicate which are risk factors in the development of fetal macrosomia: a) [x] multiparity b) [x] gestational diabetes c) [x] posttermen pregnancy d) [x] previous births of fetuses with macrosomia e) [ ] female fetuses ------481. Mod de punctare: A3 Punctajul: 10CM Identify consequences of shoulder fetal dystocia: a) [x] fetal death b) [ ] umbilical cord prolapse c) [x] fractured collarbone d) [x] humerus fracture e) [x] cervical plexus paralysis ------482. Mod de punctare: A3 Punctajul: 10CM Indicate intrapartum complications caused by fetal macrosomia: a) [ ] anatomically contracted pelvis b) [x] prolonged second stage of labor c) [x] shoulder dystocia d) [x] fetal-pelvic disproportion e) [ ] utero-placental apoplexy ------483. Mod de punctare: A1 Punctajul: 10CS Indicate the size of obstetric conjugate in contracted anatomic pelvis grade I: a) [x] from 9 to 10.5 cm b) [ ] 9-7 cm c) [ ] less than 7 cm d) [ ] less than 6 cm e) [ ] less than 5 cm ------484. Mod de punctare: A1 Punctajul: 10CS Indicate the size of obstetric conjugate in contracted anatomic pelvis grade II: a) [ ] from 9 to 10.5 cm b) [x] 9-7 cm c) [ ] less than 7 cm d) [ ] less than 6 cm e) [ ] less than 5 cm ------485. Mod de punctare: A1 Punctajul: 10CS Indicate the size of obstetric conjugate in contracted anatomic pelvis grade III: a) [ ] from 9 to 10.5 cm b) [ ] 9-7 cm c) [x] less than 7 cm d) [ ] less than 6 cm e) [ ] less than 5 cm ------486. Mod de punctare: A1 Punctajul: 10CS What is management of fetal-pelvic disproportion: a) [ ] Oxitocyne b) [ ] analgesics and spasmolytics c) [x] emergency cesarean section d) [ ] forceps application e) [ ] vacuum extraction ------487. Mod de punctare: A1 Punctajul: 10CS Identify appropriate management for a contracted anatomic pelvis grade II, occipital presentation with estimated fetal weight 4000 g: a) [ ] vaginal birth b) [x] elective cesarean section c) [ ] induction with misoprostol d) [ ] amniotomy e) [ ] oxytocin ------488. Mod de punctare: A1 Punctajul: 10CS Choose what would be appropriate management of pregnancy in case of contracted pelvis grade I and transversus lie of the fetus: a) [ ] external version of the fetus b) [x] elective cesarean section c) [ ] misoprostol d) [ ] oxytocin administration e) [ ] amniotomy ------489. Mod de punctare: A1 Punctajul: 10CS Follow up of a patient with gestational Trophoblastic Disease is done by measurement of: a) [x] Serum Beta-HCG b) [ ] Serum CEA level estimation c) [ ] Serum amylase level d) [ ] Serum α feto protein estimation e) [ ] Serum CA-125 ------490. Mod de punctare: A1 Punctajul: 10CS "Snow storm" appearance on USG is seen in: a) [x] Hydatidiform mole b) [ ] Ectopic pregnancy c) [ ] Anencephaly d) [ ] Intrauterine pregnancy e) [ ] Placenta accreta ------491. Mod de punctare: A1 Punctajul: 10CS Anti tuberculosis drug contraindicated in pregnancy: a) [x] Streptomycin b) [ ] Rifampicin c) [ ] Ethambutol d) [ ] Isoniazid (INH) e) [ ] Pyrazinamide ------492. Mod de punctare: A3 Punctajul: 10CM For fetal lung maturation, the following drugs can be used: a) [x] Betamethasone b) [x] Dexamethasone c) [ ] Hydrocortisone d) [ ] Methylprednisolone e) [ ] Didroprogesteron ------493. Mod de punctare: A1 Punctajul: 10CS Which vitamin deficiency is most commonly seen in a pregnant mother who is on phenytoin therapy for epilepsy: a) [ ] Vitamin B12 b) [ ] Vitamin B6 c) [ ] Vitamin A d) [x] Folic acid e) [ ] Vitamin E ------494. Mod de punctare: A3 Punctajul: 10CM True statement regarding use of antiepileptic drugs in pregnancy: a) [x] Valproate is associated with neural tube defect b) [ ] Multiple drug should be given c) [x] Carbamazepine is used as monotherapy d) [x] Phenytoin can produce foetal hydantoin syndrome e) [x] Phenobarbital can produce cardiac anomalies ------495. Mod de punctare: A3 Punctajul: 10CM The changes in pulmonary function are: a) [ ] decreased tidal volume (40% to 30%) b) [x] decrease in expiratory reserve c) [ ] decrease in minute ventilation d) [x] decreased lung volume caused by displacement of diaphragm (Total lung volume decreases 5%, and residual volume decreases 20%.) e) [x] no change in forced expiratory volume in 1 second ------496. Mod de punctare: A3 Punctajul: 10CM Pregnancy complications in case of asthma are: a) [x] if asthma is poorly controlled, it may be associated with increased risk of preterm delivery b) [x] it may be associated with increased risk of IUGR c) [x] use of steroids can be associated with increased risk of gestational diabetes and postpartum hemorrhage d) [ ] asthmatic bronchitis in the neonate e) [ ] macrosomia ------497. Mod de punctare: A3 Punctajul: 10CM Indication of Anti-D immunoglobulin is/are: a) [x] Vaginal bleeding b) [x] ECV c) [x] Mid trimester abortion d) [x] After amniocentesis e) [ ] Threatened preterm labour ------498. Mod de punctare: A3 Punctajul: 10CM True about Anti-D postpartum prophylaxis: a) [x] Given to newborn within 72 hrs of birth b) [x] Required when baby is Rh+ and mother Rh- c) [ ] Can be helpful in ABO incompatibility d) [ ] Not necessary if Anti-D was injected at 28 weeks e) [ ] Not indicated if umbilical cord was clamped more than 3 minutes after birth ------499. Mod de punctare: A3 Punctajul: 10CM Which are not the complications of Rh incompatibility: a) [ ] Fetal hydrops b) [x] PPH c) [x] Oligohydramnios d) [x] Pregnancy induced hypertension e) [ ] Fetal anemia ------500. Mod de punctare: A3 Punctajul: 10CM Mother's blood group is Rh-ve. Indirect Coomb's is +ve. The following will be seen in baby: a) [x] Anemia b) [ ] Abnormal umbilical artery waveform c) [x] Hydrops fetalis d) [ ] IUGR e) [ ] Oligohydramnics ------501. Mod de punctare: A1 Punctajul: 10CS How is fetal blood differentiated from maternal blood: a) [ ] Kleihauer test b) [x] Apt test c) [ ] Bubble test d) [ ] Lilly's test e) [ ] Coombs test ------502. Mod de punctare: A1 Punctajul: 10CS Feto maternal transfusion is detected by: a) [x] Kleihauer test b) [ ] Spectrophotometry c) [ ] Benzidine test d) [ ] None of the above e) [ ] All variants ------503. Mod de punctare: A1 Punctajul: 10CS The dose of anti D gamma globulin given after term of delivery for a Rh negative mother and Rh positive baby is: a) [ ] 50 micro gram b) [ ] 200 micro gram c) [x] 300 micro gram d) [ ] 100 micro gram e) [ ] All of the above doses are incorrect ------504. Mod de punctare: A1 Punctajul: 10CS Fetal consequences of Rh conflict are all except: a) [x] Nonimmune hydrops fetalis b) [ ] Icterus gravis neonatorum c) [ ] Congenital anemia of the newborn d) [ ] Fetal death e) [ ] Immune hydrops fetalis ------505. Mod de punctare: A1 Punctajul: 10CS Which of the following is the least likely physiological change in pregnancy: a) [ ] Increase of intravascular volume b) [ ] Increase in cardiac output c) [ ] Increase in stroke volume d) [ ] Decrease in peripheral vascular resistance e) [x] Increased BP ------506. Mod de punctare: A3 Punctajul: 10CM What are maternal physiological changes in pregnancy: a) [x] ↑ed cardiac output b) [x] ↑ed tidal volume c) [ ] ↑ed vital capacity d) [ ] ↓ed fibrinogen e) [x] ↓ed plasma protein concentration ------507. Mod de punctare: A3 Punctajul: 10CM The following are seen in normal pregnancy EXCEPT: a) [ ] Increased stroke volume b) [ ] Increased cardiac output c) [ ] Increased intravascular volume d) [x] Increased peripheral vascular resistance e) [x] Increased diastolic BP ------508. Mod de punctare: A1 Punctajul: 10CS All of the following statements are true except: a) [ ] Oxytocin sensitivity is increased during delivery nd b) [ ] Prostaglandins may be given for inducing abortion during II trimester c) [ ] In lactating woman breast stimulation enhances oxytocin release st d) [x] Oxytocin is used for inducing abortion in I trimester st e) [ ] Prostaglandins may be given for inducing abortion during I trimester ------509. Mod de punctare: A1 Punctajul: 10CS Full term primigravida, complains of faintness on lying down and feels well when turns to side or in sitting position. This is due to: a) [ ] Increased abdominal pressure b) [x] Inferior Vena Cava compression c) [ ] Increased intracranial pressure d) [ ] After heavy lunch e) [ ] Decreased abdominal pressure ------