1. Primordial germ cell selesai week brp?

A. 8
B. 10
C. 16
D. 20
E. 22

2. G2P1A0 H38 minggu dateng dgn PPV gumpal hitem nyeri. Dx?
A. Abruptio placenta
B. Ab inkomplit
C. Placenta previa
D. Ab imminens
E. KET

3. Tx utk no. 2
A. Rawat jalan
B. Kasih obat anti nyeri
C. Stabilisasi trs rujuk ke SpOG
D. Ambil spesimen uterine
E. Gainget
4. G1P0A0 H22 minggu ngeluh lemes pucat. Conjunctiva anemis +. Lab Hb 8.7, MCV 72.1 MCH
lupa. Causa dari kasus ini?
A. Increase blood plasma volume (hemodilution)
B. Increase stroke volume
C. Decrease SVR
D. Increase progesterone
E. Massa

5. Usia 22th P1A0 dateng ngeluhkan keluar cairan dan gatal pada kemaluan. P/D tdk terlihat
massa. Dilakukan swab pada discharge yg keluar dan hasilnya clue cell +. Bakteri apa yg
menyebabkan kondisi tsb
A. Bacterial vaginosis
B. Trichomonas
C. Chlamydia
D. Herpes simplex virus
E. Candida

6. Tx kasus no.5
A. Doxycycline
B. Metronidazole
C. Clindamycin
D. Azitromisin
E. Lupa
Untuk BV, bisa dikasih metronidazole for 1 week in pregnancy. Clindamycin oral for 1 week
may also be used
(Blueprints Obstetrics&Gynecology)

7. P1A0 sexually inactive, mens teratur, tetiba ngeluhkan nyeri perut kiri saat sedang Yoga.
TFU setinggi umbilikus, nyeri goyang serviks -, discharge -. Dx?
A. KET
B. Mola hidatidosa
C. Ab imminens
D. Torsio uteri
E. PID
??!!! kurang banget soal nya. Apakah hamil atau engga? Ada periode amenorrhea?
Karena kalau hamil, bisa dipikirkan KET, mola, atau Ab iminens.
PID ga mungkin, karena dia sexually inactive, dan gaada nyeri goyang cervix
Torsio uteri juga di jurnal2 dibilangin sangat jarang terjadi pd wanita yg ga hamil…

8. Seorang ibu ingin pake COC pill 21 day pack. Apa yg km konseling kan?
A. Setelah semuanya abis, berhenti dulu 3 hari baru mulai pack yg baru
B. Setelah semuanya abis, berhenti dulu 5 hari baru mulai pack yg baru
C. Setelah semuanya abis, berhenti dulu 7 hari baru mulai pack yg baru
D. Setelah semuanya abis, langsung lanjut mulai pack yg baru
E. Beli pack baru langsung
9. Mana yg benar ttg ovulasi
A. Following mid FSH surge
B. 14 days before menstrual flow
C. After LH surge
D. After LH max
E. Lupa
10. Kepala engage di station brp
A. -2
B. -1
C. 0
D. 1
E. 2

11. A 28 years old woman came to a health care service due to a reddish lump on her external
genital.
She started to notice this symptoms one week ago. The patient felt an egg sized-lump, itchy,
and sometimes painful when she walks. The patient also said to have itchy vaginal discharge.
The examination of local status showed an egg sized in the posterior part of labia majora with
soft consistency and pain from palpitation on the lump. There was also white vaginal
discharge with an unspecified odor. What could be the diagnosis of this patient?
a. Candidiasis
b. Trichomoniasis
c. Bartholin abscess
d. Myoma Geburt
e. Type 2 herpes simplex

12. A mother, P3A0 is visiting a clinic because she has been occasionally leaking urine when
she is coughing or sneezing. This symptom disappears when she is having some rests. What
is the diagnosis for this patient?
a. Urinary incontinence
b. Vesicoureter fistule
c. Cystitis
d. Rupture of urethra

13. Variabilitas CTG normal

A. <5
B. 1-5
C. 10-15
D. 5-20
E. >20
Reassuring: 5-25bpm
Non-reassuring:
- <5bpm selama 30-50 menit
- >25bpm selama 15-25 menit
Abnormal:
- Less than 5 bpm for >50min
- More than 25bpm for >25 min
- Sinusoidal

14. Semen analysis is important to detect infertility. Which of the following has the least
clinical important analysis
A. Sperm count
B. Sperm volume
C. Percentage of abnormal sperm
D. Sperm survival rate
E. Sperm motility
15. Post-menopausal women who are overweight or obese who suffered from endometrial
bleeding is most likely caused by
a. Aromatase activity in adipose tissue
b. Estrogen production from ovary
c. CYP19 gene over activity in the skin
d. Estrogen production from brain
e. CYP19 gene over expression in the bone

16. Estrogen is produced by which organ:

A. Adipose tissue
B. Ovary
C. Bone
D. Uterus
E. Kidney
17. No. 4 biasanya defisiensi apa (soal nya: ibu2 hamil 22 mgg, anemia hb turun, mcv turun)
A. Iron deficiency
B. Asam folat
C. Calcium
D. Vit B6
E. Lupa

18. Maximal latent phase nulli para

A. 8 jam
B. 10 jam
C. 16 jam
D. 20 jam
19. Chronic pelvic pain adl ....
A. nyeri non cyclic, lebih dr 6 bln, ada functional disturbance, pelvic area
B. nyeri non cyclic, lebih dr 6 bln, tidak ada functional disturbance, pelvic area
C. nyeri cyclic, lebih dr 6 bln
D. nyeri non cyclic, kurang dr 6 bln

20. Tanda paling awal dari cervical cancer

A. Dyspareunia
B. Dismenor
C. Vaginal bleeding
D. Weight loss
E. Lupa

21. Sample yg paling penting diambil utk screening ca cervix

A. Endoserviks
B. Squamocollumnar Junction
C. Forniks
D. Lupa

22. 35 th, mens terakhir 10mg yg lalu, uterus di antara simfisis dan pusat. Pemeriksaan dalam
tampak cervix lunak dan seperti vesikel air. Beta hcg 80.000. Diagnosis?
A. Uterine fibroid
B. KE
C. Mola
D. Ab imminens
E. Lupa
23. Tx pilihan utk no 22
A. Suction curettage
B. Laparotomi
C. Histerektomi
D. Induksi oxy
E. Induksi miso

24. Px yg mendukung utk no 22

A. Usg
B. MRI
C. CT scan

25. Yg paling sensitif utk ngitung gestational age

A. BPD
B. HC
C. AC
D. FL
E. AFI
26. P1A0 minum COC. Udh minggu ke 2 pake COC trs lupa minum COC 3 hari berturut turut.
What to do next?
A. Tidak ada yg berubah
B. Minum langsung 2 pil
C Minum langsung 3 pil
D. Minum 1 pil sehari (tetep)disertai dengan penggunaan kondom utk 7 hari kedepan
E. Ulangi siklus

27. G1P0A0 H 10mg, PPV dan nyeri. Pemeriksaan dalam OUE terbuka dengan sisa jaringan di
oue, ada darah keluar. Dx?
A. Inevitable abortion
B. imminent abortion
C. septic abortion
D. incomplete abortion
E. complete abortion
28. 38th P2A0 merasa ada masa di vagina, ngeden ketika BAB terasa keluar. Ketika bedrest
masuk lagi. Pada saat pemeriksaan valsava maneuver uterus keluar seluruhnya. Dx
A. Prolaps uteri grade 1
B. Prolaps uteri grade 2
C. Prolaps uteri grade 3
D. Prolaps uteri grade 4
E. Tidak prolaps.

29. 27th sexually active, amenorrhea, mengeluhkan massa di abdomen. P/D teraba masa solid
mobile tanpa PPV dll. Dx
A. Uterine leiomyoma
B. Ab imminens  perdarahan
C. Mola  perdarahan
D. KE  nyeri
E. Uterine solid tumor
30. TFU setinggi mid umbilikus - symphysis pubis. Week?
A. 8
B. 20
C. 16
D. 18
E. 30