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1. After convulsions are controlled in an eclamptic patient, theb therapy should be aimed at which of the following? (A).

Reducing edema with diuretics (B) Giving hypotensive agents until the blood pressure in 110/70 (C) Giving 3 g of magnesium sulfate every 3 hour (D) Obtaining a term infant (E) Keeping the patient free of convulsion, coma, and asidosis 2. Which of the following is the most common warning sign/ symptomof an eclamptic seizure? A. Proteinuria B Severe Headche C. Fasia edema D. Increased blood pressure >160/ 120 mmHg E. Epigastric pain 3. Of the following, which is the most common cause of death from eclampsia? A. Infection B. Uremia C. Congestive Heart Failure D. Fever E. Cerebral Hemmorhage 4. Severely preeclampsia patients have a decrease in which of the following? A. Response to pressor amines B. Plasma Volume C. Total body Sodium D. Uric Acid E. Serum Liver Function 6. You are seeing 19 years old woman( gravida1, para 0) in the third semester of pregnancy in the emergency room.while being examined, she had a a convulsion. You should do which of the following? A. Obtain neurology consultation

B. Prepare to perfom an emergency casarean delivery C. Give Intravenous (IV) phenytoin D. Protect the patient from self harm E. Obatin a chest film 8. In eclampsia there a several unfavorable prognostic signs. They include which of thefollowing? A. Absent of edema B. 2+ proteinuria C. Urine output greater than 100 cc/ h D. More than One but less than three convulsion E. Swelling of the tounge 12. Which of the following accounts for more heart disease in pregnancy? A. Rheumatic fever B. Previous myocardial infarction C. Hypertension D. Thyroid Disease E. Congenital Heart Disease (CHD) 13. Which of the following congenital heats defect is the most common? A. Ventricular septal defect (VSD) B. Patent Ductus Arteriosus (PDA) C. Pulmonary Stenosis D. Atrial Septal defect (ASD) E. Aortic Stenosis 14. The diagnostic of valvular hearts disease in pregnancy. May be made when there is which of the following? A. a history of rheumatic fever B. Aritmia

C. Diastolic murmur D. A soft systolic murmur along the left strenal border (LSB) E. An S4 19, Generally, anemia can best be defined as which of the following A. B. C. D. E. Lack of the iron stores A genetic defect Deficiency of the folic acid A hemoglobin below 11 g/dl Low blood volume

20. The most common type of anemia in pregnancy is due to which of the following? A. Iron Deficiency B. Sickle cell disease C. Folate deficiency D. Hemolitic Disease E. Vitamin B12 deficiency 21. Folic Acid deficiency result in which of the following? A. microcytic anemia B. Megaloblastic anemia C. Aplsatic anemia D. Glucose 6 Phosphate dehydrogenase (G6PD) deficiency E. White blood cell (WBC) stippling 22. Microcytic hypochromic anemia may be due to which of the following? A. Folate deficiency B. Vitamin B12 deficiency C. Thalassemia D, Vitamin B6 deficiency E. Acute blood lost

Chapter 12 3. Therapy for threatened abortion should include which of the following? A. Progesterone intramuscular (Im) B. Dilation & Curretage C. Prolong Bed rest D. Restricted activity E. Prostaglandin supposutoria

Chapter 16 5.A 25 years old women suffer a severe intrapartum hemorrhage. Which of the following symptom is evidence of pituitary infaction? A. Infrequent urination B. Diarhea C. easy bruisability D. Lactation failure E. Perspiration 6. A 16 years old girlhas not experience menarche. Examination shows absence of breast development and small but otherwise normal female pelvic organ. Which of the following diagnostic test is most usefull in determining the etiology of the amenorrhea? A. Serum folicel stimulating hormone (FSH) B. Serum estradiol C. Serum testosterone D. Magnetic resonancy imaging (MRI) of the head E. Ovarian Biopsy 7. An 18 years old pasient has not experienced menarche. Examintaion shows normal breasts development and absence of the uterus. Which of the following diagnostic test is most usefull in determining the etiology of amenorrhea? A. B. C. D. Serum FSH Serum estradiol Serum testosterone MRI of the head

E. Ovarian Biopsy 18. A 4 years old girl is brought in by her mother for evaluation of clitoral enlargement. She is tall for her age, which no breast or axilarry hair development. There is slight pubic hair growth in examination and an enlargement clitoris which a single perineal opening. Karyotype is 46 XX. The 17- OHP level is 108 ng/ ml. Of the following what is the most likely diagnosis? A. B. C. D. E. Androgen insensitivity syndrome PCOS CAH with 21 hydrosilase deficiency Ovarian thecoma Germ cell of ovarian

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