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test your self in obgyn 1

1 / 143

A 23-year-old woman is evaluated after a recent diagnosis of polycystic ovary syndrome. She is concerned about hirsutism and irregular menses. She is not planning for pregnancy at this time and takes no medications. On physical examination, she has mild hirsutism, and the remaining of her physical examination, including pelvic examination, are normal. What is the most appropriate treatment?

2 / 143

A 45-year-old woman with a history of 7 months of amenorrhea, negative pregnancy test, and the desire to get pregnant. What is the most appropriate investigation to do?

3 / 143

A 51-year-old woman presents with hot flashes, irregular periods, and asks about the possibility of entering menopause. Which parameter is required to diagnose menopause?

4 / 143

A 60-year-old postmenopausal woman complains of vaginal dryness and itching. What is the management?

5 / 143

A postmenopausal patient complaining of itching in the vulva and watery discharge. On examination, scratches and scaly areas are found. What is the diagnosis?

6 / 143

A postmenopausal woman with dyspareunia and vaginal itching. What is the management?

7 / 143

A menopausal woman complains of insomnia and flushing. What is the most appropriate treatment?

8 / 143

In a case where the placenta is implanted deep into the uterine wall, what is the diagnosis?

9 / 143

Placenta is implanted in the superficial uterine wall. What is that?

10 / 143

A 37-year-old P4 with a history of 3 previous cesarean sections is undergoing an elective cesarean section at 37 weeks of gestation. The placenta was found to be attached deeply into the uterine wall. What is the most likely diagnosis?

11 / 143

A woman with breast cancer is on tamoxifen. What is a side effect of this drug?

12 / 143

A 60-year-old postmenopausal woman complains of a 1-year history of recurrent vulvar itching associated with blood-streaked secretions. She has recently developed a pea-sized mass in the labia. What is the likely diagnosis?

13 / 143

A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy for a benign reason. She started to have acute vasomotor symptoms post-operation and agreed to hormone replacement therapy. What is the most appropriate hormone replacement therapy regimen?

14 / 143

A 53-year-old woman has missed her period over the last 12 months. Which of the following hormones is likely to be altered as a result of the condition?

15 / 143

A 36-year-old lady with secondary amenorrhea (elevated FSH & LH). What is the most likely complication for this patient?

16 / 143

What is the predisposing factor for placenta previa?

17 / 143

A pregnant woman at 27 weeks gestational age presents with minimal bleeding, and ultrasound shows Placenta totalis. What is the most important management?

18 / 143

In a pregnant woman with a history of previous surgery, where the placenta is implanted into the uterus, what is the diagnosis?

19 / 143

In a case of retained placenta after spontaneous vaginal delivery, where the patient refuses hysterectomy and is managed by ligating the placenta and started on Methotrexate therapy, what is the complication of this case?

20 / 143

case of a previous surgery pregnant the placenta into uterus.?

21 / 143

A pregnant woman at 32 weeks gestational age presents with mild painless vaginal bleeding, few hours ago (placenta previa). What is the appropriate management?

22 / 143

A patient presents with painless mild vaginal bleeding at 34 weeks. What is the next step?

23 / 143

A pregnant unbooked patient presents with painless vaginal bleeding at 34 weeks, with a fundal height of 34 weeks. She lives far away and has difficulty in transport. What is the most appropriate thing to do?

24 / 143

A 39-year-old primigravida presents at 39 weeks gestation for a routine visit. Physical examination reveals cervical dilation, effacement, and elevated blood pressure. What is the most appropriate management?

25 / 143

A pregnant lady at 23 weeks gestation comes with mild vaginal bleeding. Ultrasound shows the placenta partially covering the internal os. What will you do for her?

26 / 143

In a patient who underwent uterine myomectomy for fibroids, and it was noted in the surgery note that it entered the uterine cavity, what’s the percentage of placenta accreta?

27 / 143

A 32-year-old primigravida at 34 weeks’ gestation presents for urgent care after falling down a flight of stairs. The patient complains of uterine tenderness and reduced fetal movement in the 45 minutes since the fall. There has been a small amount of dark red vaginal bleeding. The fetal heart monitoring revealed a heart rate of 150 bpm with Irregular uterine contractions every 3 to 4 minutes. Her pregnancy has been uncomplicated. She has a positive history of cigarette smoking. Which of the following is the most likely diagnosis?

28 / 143

A 25-year-old woman G2 P1001 at 36+4 weeks gestation with a history of prior cesarean section presents with abdominal pain and vaginal bleeding. Fetal heart baseline 160 bpm with minimal variability and repetitive late deceleration. The diagnosis?

29 / 143

Pregnant in 27 GA, came with minimal bleeding us showed placenta totally covers the mother’s cervix . What is the most imp Mx?

30 / 143

placenta previa 38 weeks with bleed now Unstable, what to do?

31 / 143

A pregnant woman at 37 weeks with profuse bleeding and contractions, and ultrasound shows placenta previa. What is the management?

32 / 143

In a case of third-trimester pregnancy with vaginal bleeding, abdominal exam showing a length less than the gestational age, and CTG showing late decelerations, what is the diagnosis?

33 / 143

When should cesarean section (C/S) be performed in a case of placenta previa?

34 / 143

A 22-year pregnant at 37 weeks gestation presents after fainting and has severe abdominal pain. She is cold and diaphoretic. Fundal height is 39 cm; the cervical os is closed, and there is no vaginal bleeding. Blood pressure 90/56 mmHg, Heart rate 130 /min. Which of the following is the most likely diagnosis?

35 / 143

What is the most common risk factor for abruptio placentae?

36 / 143

A 32-year pregnant woman with polyhydramnios presented at 37 weeks of gestation with painful vaginal bleeding and uterine tenderness following spontaneous rupture of membranes. Cardiotocography shows persistent bradycardia. The most likely diagnosis?

37 / 143

A 24-year-old primigravida who is a heavy smoker presented at 34 weeks of gestation to the Emergency Department with sudden heavy painful vaginal bleeding associated with uterine tenderness. What is the most likely diagnosis?

38 / 143

A pregnant woman at 32 weeks’ gestation is brought to the Emergency Room with vaginal bleeding and abdominal pain. On examination: Fundal height equals 30 weeks, and the abdomen is tense. Cardiotocography revealed fetal tachycardia, reduced variability, and late decelerations. Which of the following is the most likely diagnosis?

39 / 143

A primigravida (at 28 weeks) and a heavy smoker presented with severe vaginal bleeding and abdominal pain. Most likely cause is?

40 / 143

Pregnant with history of placental abruption 2 times before came in 3rd pregnancy with same condition and severe bleeding she’s on 37 week, when to admit patient?

41 / 143

A 28-year pregnant woman In her 34 weeks of gestation presented to Emergency Room with heavy vaginal bleeding. Abruption placentae is suspected (see lab result). Blood pressure 88/42 mmHg Heart rate 129 /min Respiratory rate 26 /min Oxygen saturation 96 % Test Result Normal Value Hb 86 130-170 gA_، the best next approach to save her life?

42 / 143

A 38-year-old presented to Labor Ward with severe abruptio placentae. She was diagnosed with intrauterine fetal death and disseminated intravascular coagulopathy (DIC). Vaginal examination revealed a 6 cm dilated cervix. The most appropriate management?

43 / 143

What is the most common cause of disseminated intravascular coagulation in pregnancy?

44 / 143

A 45-year-old obese nulligravida patient with polycystic ovary syndrome has had irregular vaginal bleeding since menarche. Lab results show elevated estrogen, FSH, and testosterone levels. Endometrial biopsy shows adenomatous hyperplasia. What is the most likely cause of the adenomatous hyperplasia?

45 / 143

A 25-year-old obese female with hirsutism, amenorrhea for about 5 months, and a dark rash on her neck and shoulders. What is the diagnosis?

46 / 143

A patient with irregular periods, hirsutism, increased LH, normal FSH, and increased testosterone levels. What is the next test to order?

47 / 143

A 20-year-old female with hair loss for 6 months, extensive facial and back acne, BMI of 33 kg/m2, thinning hair at the forehead with a receding hairline, normal thyroid, and negative urine pregnancy test. Serum prolactin and thyroid function tests are normal. Which additional test is indicated in this patient?

48 / 143

What is the action of metformin in the treatment of polycystic ovarian syndrome?

49 / 143

A patient with PCOS (polycystic ovary syndrome) who is obese and wants to get pregnant. How should she be managed?

50 / 143

What is the mechanism of action of clomiphene?

51 / 143

A patient with polycystic ovary syndrome who wants to become pregnant. What treatment should be given?

52 / 143

In polycystic ovary syndrome, what blood test is used for evaluating hirsutism?

53 / 143

In a patient with polycystic ovary syndrome, what investigation would you expect?

54 / 143

A patient complains of infertility, obesity, irregular menses, acne, and hirsutism. An ultrasound shows multiple small cysts on the peripheries of the ovaries. What is the diagnosis?

55 / 143

A patient with irregular menses, acne, and hirsutism. What is the cause?

56 / 143

A 25-year-old obese female with hirsutism, amenorrhea for about 5 months, and a dark rash on her neck and shoulders. What is the diagnosis?

57 / 143

In a patient with irregular periods, hirsutism, increased LH, normal FSH, and increased testosterone levels, what is the next test to order?

58 / 143

A 20-year-old female with hair loss for 6 months, extensive facial and back acne, BMI of 33 kg/m2, thinning hair at the forehead with a receding hairline, normal thyroid, and negative urine pregnancy test. Serum prolactin and thyroid function tests are normal. Which additional test is indicated in this patient?

59 / 143

A woman after delivery developed uterine inversion and was returned. Which placental location increases the risk of this condition?

60 / 143

A woman did some procedure (pelvic procedure but forgot what it was) and then came complaining of urine from the vagina during urination (micturition). What is the diagnosis?

61 / 143

A multiparous woman presents with pelvic fullness and the feeling of something coming out of her vagina. How do you establish a diagnosis?

62 / 143

A woman had 7 kids, now she is complaining of a vaginal mass protruding more with a cough. What is the next step?

63 / 143

A pregnant woman in the third trimester has vaginal prolapse grade 2. CTG is normal, vital signs are normal. What to do?

64 / 143

A 70-year-old woman, sexually active, had a hysterectomy done before, and she complains of prolapse and an enlarged vaginal opening, what is the appropriate procedure?

65 / 143

A female, P6, feels heaviness and discomfort in her pelvic region, exam showed a mass coming from the introitus, diagnosis?

66 / 143

An old lady, medically free with difficulty defecation and constipation, during defecation she introduces her finger in the vagina to initiate movement, management?

67 / 143

A 70-year-old lady had a hysterectomy 15 years ago now she has a very large vaginal vault prolapse which covers something I don’t remember and reaches the perineum. What is the appropriate treatment?

68 / 143

Intrauterine device with brown discharge. What’s the side effect?

69 / 143

Pt with chlamydia infection what to give?

70 / 143

Commonest Contraindication for intrauterine device?

71 / 143

Couples came to infertility clinic; the wife had Pelvic inflammatory disease 2 years ago with chlamydia infection and got treated, the husband’s semen was normal. What is the appropriate step?

72 / 143

Woman with a history of PID twice who has normal regular menses and her husband has a normal semen analysis but failed to get pregnant

73 / 143

Pt with chlamydia infection what to give?

74 / 143

Adhesion in the pelvis postoperative organism?

75 / 143

A patient with PID (brown discharge), she was treated with IV ceftriaxone but did not improve. What is the most likely causative organism?

76 / 143

Blood pressure 164/92 mmHg. Heart rate 130 ‘minRespiratory rate 18/min Temperature 37 “C Which of the following Is the next best step in management

77 / 143

patient with post-partum hemorrhage who was resuscitated then they found that there is persistent bleeding at several puncture sites what is the next important step?

78 / 143

Patient delivered without episiotomy, placenta was check and all parts were delivered, then patient had gush of blood coming, what is your next step?

79 / 143

Patient was on labor after delivery had inverted uterus and started to have bleeding what is the most imp cause for postpartum hemorrhage ?

80 / 143

35 Year old , G4p3L2 , medically free, presented in labor which take 16 hrs to deliver a 3 kg baby boy healthy, after delivering the placenta the patient had large amount of bleeding , what could be the cause?

81 / 143

In a patient with postpartum hemorrhage on oxytocin, where the source of bleeding cannot be determined due to excessive bleeding, what should be done?

82 / 143

In a woman with persistent bleeding who wants to conceive in the future, which structure should be ligated?

83 / 143

What percentage of maternal deaths worldwide is due to postpartum hemorrhage?

84 / 143

How do you differentiate between hypovolemic shock and postpartum hemorrhage?

85 / 143

In a patient with a precipitous labor, what is the most likely cause of postpartum bleeding?

86 / 143

During vaginal delivery with postpartum hemorrhage not controlled by manual compression and oxytocin, and the patient is hemodynamically unstable (hypotensive), what should be done next?

87 / 143

During a C-section with postpartum hemorrhage not controlled by manual compression and oxytocin, what should be done next?

88 / 143

In a woman who delivered a macrosomic baby at 38 weeks and now presents with postpartum hemorrhage, what is the treatment?

89 / 143

A lady who just delivered, her uterus was lax with mild post-partum hemorrhage, there were no lacerations and no remaining products of conception in the uterus. What is the appropriate management?

90 / 143

What is the highest success rate drug used in postpartum hemorrhage?

91 / 143

What is the best method to stop bleeding after delivery (postpartum bleeding)?

92 / 143

What is the most accurate method to ensure full placental separation?

93 / 143

Patient post delivery massage is done, oxytocin done. She was bleeding. On inspection you found it is due to laceration 2 cm you tried sutures but it’s not possible due to perfuse bleeding from above, what is the most appropriate next step?

94 / 143

What is the initial step in managing excessive vaginal bleeding in a postpartum patient after delivering a 4020-g baby with a history of chronic hypertension?

95 / 143

In a patient who delivered without an episiotomy, and all parts of the placenta were delivered, but she experienced a gush of blood afterward, what is the next step?

96 / 143

In a patient with postpartum hemorrhage, what is the most common cause?

97 / 143

What is the definition of primary postpartum hemorrhage?

98 / 143

What is the cause of bleeding when a pregnant woman experiences bleeding after 10 hours following delivery?

99 / 143

What type of bleeding occurs when a patient has 800 ml of vaginal bleeding after the delivery of the baby?

100 / 143

Pregnant lady at the third trimester came to the ER complaining of headache and sharp RUQ pain, BP 165/100, Protein +4. What is the cause of her pain?

101 / 143

Pregnant, now blood pressure 140/90, platelets 50,000, history of previously severe preeclampsia. What indication here of severe preeclampsia in this scenario?

102 / 143

Case of preeclampsia with very low platelets and high urea. What indicators suggest that it is preeclampsia?

103 / 143

A 30-year-old woman G2P1001 at 32 weeks’ gestation is admitted to labor and delivery complaining of lower abdominal and back pain. She has a significant previous history of severe preeclampsia (see lab results). Blood pressure: 140/90 mmHg. Test Result: Platelet count: 80 (Normal Values: 150-400 x 10^9/L), Uric Acid: 460 (Normal Values: 140-360 pmol/L). Which of the following findings would indicate severe preeclampsia?

104 / 143

A 27-year-old primigravida presented at 36 weeks of gestation with a headache, blurred vision, and proteinuria +++ Blood pressure 160/110 mmHg, heart rate 76/min, respiratory rate 18/min, temperature 36.8°C. Which of the following is the most appropriate medication for acute treatment of hypertension?

105 / 143

A 39-week pregnant woman with proteinuria and blood pressure 140/90. Your action?

106 / 143

A patient at 34 weeks of gestation with eclampsia. She was managed and stabilized. What is the most appropriate next step?

107 / 143

A woman at 34 weeks of gestation with the onset of eclampsia and controlled symptoms. What is the next step?

108 / 143

A primigravida at 32 weeks came with a mild headache with no abdominal pain or visual disturbance. Blood pressure 150/90, urine analysis +3 protein. What is the appropriate management?

109 / 143

A 38-year-old woman G3 P2002 at 34 weeks’ gestation is admitted to labor and delivery complaining of a headache, epigastric pain, and blurred vision. Non-stress test is reassuring. Blood pressure 170/120 mmHg. Which of the following is the most appropriate management?

110 / 143

A patient at 32 weeks presented with a seizure and high blood pressure. What is the next appropriate step?

111 / 143

In the management of preeclampsia, which drugs are given to prevent convulsions?

112 / 143

A 26-year-old primigravida woman presented to the clinic at 37 weeks’ gestation for routine antenatal care. She reports feeling ill and has a frontal headache. A urine dipstick analysis is performed and shows proteinuria 2+. She is admitted to the hospital High Risk Unit and started on an intravenous infusion of magnesium sulfate. Blood pressure 152/102 mmHg, heart rate 72/min, respiratory rate 16/min, temperature 37.2°C orally. Which of the following is the primary reason for administering the intravenous medication?

113 / 143

A 23-year-old primigravida presented at 32 weeks of gestation with seizures (see lab result). Protein +++ Blood pressure 160/110 mmHg Heart rate 78 min Respiratory rate 18/min Temperature 36.6 °C. Which of the following is the most appropriate next step in management?

114 / 143

A 23-year primigravida presents at 38 weeks of gestation in active labor. She complains of headache. Her laboratory studies show normal complete blood count, normal liver function tests, and elevated protein/creatinine ratio, blood pressure 150/100 mmHg. What is the diagnosis?

115 / 143

A female, para 6, presents with secondary dysmenorrhea and abnormal uterine bleeding. On physical examination, the uterus is enlarged and tender. What is the definitive treatment?

116 / 143

A patient with dysmenorrhea uses NSAID with no improvement. Laparoscopy was performed (finding in the picture). What is the most appropriate drug for her?

117 / 143

A 13-year-old girl presented with her mother with primary dysmenorrhea since her menarche a year ago. What is the best management?

118 / 143

A patient with severe abdominal pain with menstrual cycle (dysmenorrhea), affecting her work. What can you give?

119 / 143

A 19-year-old woman presents with crampy, lower abdominal pain beginning with the onset of menses every month, lasting for 2 to 3 days. She reports radiation of pain to the lower back and upper thighs, along with nausea, fatigue, and headache that have been present for several years and progressively getting worse. Physical examination is normal. What is the most likely diagnosis?

120 / 143

A 25-year-old woman complains of cramps and lower abdominal pain that occurs during the first day of her menses and usually improves by the third day. Her periods are regular, and all clinical assessments and pelvic ultrasounds are normal. What most likely explains her clinical presentation?

121 / 143

A female complains of menstrual pain that goes away on the 2nd and 3rd day of her period. It is associated with nausea, vomiting, and back pain radiating to the thighs, which is progressively getting worse. What is the diagnosis?

122 / 143

A 25-year-old woman complains of recurrent behavioral symptoms that start a few days before her menstrual cycles and usually disappear around the second day of the cycle. These symptoms have led to reduced work productivity and increased healthcare visits. What is the most reliable method to establish the diagnosis?

123 / 143

A 25-year-old woman complains of recurrent behavioral symptoms that start a few days before her menstrual cycles and usually disappear around the second day of the cycle. These symptoms have led to reduced work productivity and increased healthcare visits. What is the most common affective or behavioral symptom for her diagnosis?

124 / 143

A 12-year-old obese girl, 5 months after menarche, presents with irregular menstrual bleeding and increased weight. She has mild acne and is agitated during the examination. What is the most likely disorder to consider in communicating with this patient?

125 / 143

27-year-old woman presents to your practice with complaint of premenstrual abdominal bloating. irritability and uneasiness for the past 6 months. These symptoms begin 3-4-days before her anticipated periods and ease off with in 1 to 2 days of her menstrual flow. Recently, she had to take few days off work because of the intensity of her symptoms. Which one of the following is the most appropriate next step in management?

126 / 143

A 17-year-old with a change in behavior before every menstrual cycle that lasts for 3 days. What is the diagnosis?

127 / 143

A preterm patient at 30 weeks with 80% effacement and 2 cm dilatation, stable mom and fetus is admitted to labor. What should be done?

128 / 143

A patient with PPROM at 27 weeks presents with a fever. What should be done first?

129 / 143

A pregnant woman presented in recent days with premature rupture of membranes, then came with fever and abdominal pain. What is the likely diagnosis?

130 / 143

A 55-year-old woman complains of a mass protruding through her vagina when standing for quite some time, especially during coughing and straining. She has 7 children delivered vaginally, with the last delivery being complicated by prolonged second stage and ended up with vacuum extraction delivery of a 4.2 Kg baby. What is the most appropriate next step?

131 / 143

A patient on tocolytic beta-mimetics (terbutaline) experiences what is the most common side effect?

132 / 143

At 38 weeks gestational age, a patient experiences spontaneous rupture of membranes 24 hours ago, is not in labor, and has reassuring fetal status. What is the next step?

133 / 143

A 38-year-old primigravida presents at 38 weeks of gestation with a history of spontaneous rupture of membranes 24 hours ago. She has no labor pains, the uterus is soft, and the fetus is in cephalic presentation. Cardiotocography shows a normal fetal heart rate. What is the most appropriate next step in management?

134 / 143

A healthy lady experiences preterm labor. What should be administered?

135 / 143

At 32 weeks gestation, a patient experiences preterm labor and rupture of membranes. She was given steroids and antibiotics. What should be administered next?

136 / 143

A preterm patient at 30 weeks with 80% effacement and 2 cm dilatation, stable mom and fetus is admitted to labor. What is the appropriate action?

137 / 143

A patient at 27 weeks in labor with a 6cm cervical dilatation. What should be administered?

138 / 143

A 27-week lady with a history of PPROM. The CTG is reassuring, normal CBC, she is medically free, she denies any uterine contractions. What is the appropriate management?

139 / 143

A primigravida with preterm labor, known case of DM1, presents with severe contractions and a closed cervix. What should be given?

140 / 143

A pregnant woman at 32 weeks’ gestation presents to the Emergency Department with lower abdominal and back pain, cervical changes, and contractions. What is the most appropriate step in management?

141 / 143

A G3I known PPROM patient admitted on the 5th day develops a fever with a GBS count of 10,000. How will you manage?

142 / 143

A 27-year-old woman with a history of PPROM at 27 weeks presents with fever. What should be done first?

143 / 143

A 33-year-old patient presents with preterm rupture of membranes at 34 weeks of gestation. What is the most appropriate next step in management?

Your score is

Test your self in obgyn 2

1 / 100

1. A 36-year-old woman, G3P3, with amenorrhea since her last pregnancy 11 months ago, bilateral tubal ligation, night sweats, normal physical examination, high FSH. Most likely diagnosis?

2 / 100

2. A 30s female with irregular menses, heavy bleeding, no cramping, no menaces for 4 months, on levothyroxine, normal TSH, prolactin, and FSH. Diagnosis?

3 / 100

3. A pregnant woman at 34 weeks in labor examination showed transverse presentation. She wants to know if she can do CV. Ultrasound shows a bicornuate uterus with a normal fetus. What is the contraindication for CV?

4 / 100

4. A pregnant G3P2 at 37 weeks has a history of CS due to non-reassuring CTG. She is in labor with 4 cm dilation, and the presentation is breech. What is the absolute contraindication for CV?

5 / 100

5. A G4P3 pregnant lady in labor with a fetal presentation in breech and wants to undergo ECV. Her first delivery was a CS followed by 2 successful VBACs. Pelvic exam shows 1-2 cm dilated cervix, ultrasound indicates amniotic fluid at 4, and the CTG shows findings as in the picture. What is contraindicated for ECV?

6 / 100

6. A G4P3 pregnant lady in labor with a fetal presentation in breech and wants to undergo ECV. Her first delivery was a CS followed by 2 successful VBACs. Pelvic exam shows 1-2 cm dilated cervix, ultrasound indicates amniotic fluid at 4, and the CTG shows findings as in the picture. What is contraindicated for ECV?

7 / 100

7. In the case of twins, one fetus is in breech presentation, and the second is cephalic. There is a previous C/S. What is the indication for C/S now?

8 / 100

8. A woman at 39 weeks of pregnancy presents with breech presentation. What is your next step?

9 / 100

9. A 31-year-old woman at 37 weeks with rupture of membranes in labor, examination reveals breech presentation, CTG reactive, 50% effaced. What is your management?

10 / 100

10. A 31-year-old woman at 37 weeks with rupture of membranes in labor, examination reveals breech presentation, CTG reactive, 50% effaced. What is your management?

11 / 100

11. In a case with occipito-posterior presentation, what is the mode of delivery?

12 / 100

12. In a case with occipital-anterior presentation, what is the mode of delivery?

13 / 100

13. During a pregnant woman’s examination using the Leopold maneuver, the first and second findings indicate that it’s soft, not hard, and the fetal heartbeat is heard at the umbilicus. What is the presentation?

14 / 100

14. In a breech presentation, with the head on the fundus, the spine parallel to the mother, hip flexed, knee extended, and both elbows flexed, what is the presentation?

15 / 100

15. A fetus with a breech presentation flexing hip and knees. What is the presentation?

16 / 100

16. What is the best presentation of twins regarding vaginal delivery

17 / 100

17. When the examiner feels the nose and mouth during pregnancy examination, what is the presentation?

18 / 100

18. Female presented with recurrent vaginal bleeding, history of cesarean section a week ago, temperature 38°C, other labs within normal. What is the suspected diagnosis?

19 / 100

19. Postpartum woman 4 days post-delivery with fever and yellowish offensive lochia and tenderness. What treatment should be administered?

20 / 100

20. woman presents to the Emergency Department 15 days after giving birth by cesarean section. She complains of persistent vaginal bleeding, blood pressure 110/70 mmHg, heart rate 85/min, temperature 38.1 °C. What is the most likely diagnosis?

21 / 100

21. Diagnostic laparoscopy performed on a patient with chronic pelvic pain, dyspareunia, endometriosis on uterosacral ligaments, ovaries, and rectosigmoid colon. Ablated lesions with CO2 laser. First-line treatment given the extent of the disease?

22 / 100

22. 17-year-old girl with no onset of menstruation, abdominal pain every month, fully developed secondary sexual characteristics. Most likely diagnosis?

23 / 100

23. Patient diagnosed with endometriosis, complaining of dysmenorrhea. Best first-line medical treatment?

24 / 100

24. 40-year-old woman with a history of dysmenorrhea, excessive bleeding, soft and non-palpable abdomen. What could cause severe dysmenorrhea?

28-year-old female complaining of dysmenorrhea and dyspareunia, pelvic ultrasound shows a hypoechoic mass (ground glass). True statement about her condition?

25 / 100

25. Single lady with cyclic pain and dyschezia, laparoscopic image shows multiple flat dark lesions. Diagnosis?

26 / 100

26. Diagnosis and management of severe cyclic pain, dyschezia, heavy periods, and infertility

27 / 100

27. 30-year-old female with dyspareunia, dyspnea, bilateral ovarian mass with calcification. What is the management?

28 / 100

28. 32-year-old woman with diffuse pelvic pain, vaginal bleeding, pain with defecation, dyspareunia, history of dysmenorrhea. Trying to conceive for years but failed. Pelvic examination shows blood in the posterior vaginal vault, a closed os, and no palpable masses or cervical motion tenderness. Most likely diagnosis?

29 / 100

29. 39-year-old female, three children, completed her family, diagnosed with endometrioma, mild to moderate dysmenorrhea, and dyspareunia. Pelvic ultrasound shows a left ovary endometrioma cyst 6×7 in size. What is the most appropriate treatment?

30 / 100

30. Female with mild to moderate dysmenorrhea and dyspareunia, three children, completed her family, diagnosed with endometriosis. What is the definitive treatment of endometriosis, after the failure of all treatments?

31 / 100

31. A 24-year-old primigravida presents with the diagnosis of right ectopic pregnancy. The ultrasound revealed a 3 cm right tubal gestational sac with a 5-week crown-rump length, negative fetal heart activity, and a minimal amount of fluid in the pouch of Douglas. Her social history reveals that she lives in a village 80 km away from the city center

Blood pressure: 90/50 mmHg Heart rate: 110/min

Temperature: 35.6°C BMI: 36 kg/m²

Human chorionic gonadotropin: 3500 (Normal: < 5 mIU/mL)

Which of the following would be the absolute contraindication to the use of methotrexate for this patient?

32 / 100

32. 22-year-oid woman who is 6 weeks of amenorrhoea presented with vaginal bleeding, severe lower abdominal pain and shoulder pain On examination, she had tachycardia with low blood pressure, and her abdomen was distended with guarding and rebound tenderness. Pelvic examination revealed cervical motion tenderness. Pregnancy test is positive and an ultrasound showed no intrauterine pregnancy. What is the most appropriate next step in management?

33 / 100

33. A young-age female came with a 5 cm left adnexal mass, no use of contraception, and a negative pregnancy urine test with no symptoms. What is the most likely diagnosis?

34 / 100

34. In a typical case of ectopic pregnancy, when all vitals are normal except for blood pressure (90/55) and heart rate (>100), what is the mortality rate?

35 / 100

35. A woman diagnosed with ectopic pregnancy asks about the risk of recurrence. What is your response?

36 / 100

36. A 22-year-old woman, 6 weeks pregnant, has a β-HCG of 4500 and is vitally stable. What is the diagnosis?

37 / 100

37. A 34-year-old woman presented to the hospital 7 days before with right-sided lower abdominal pain, slight bright red vaginal bleeding, and a β-human chorionic gonadotropin of 2900 IU/Liter. She was administered intramuscular methotrexate. A week later, she reported to the hospital with severe right-sided lower abdominal pain, and a β-human chorionic gonadotropin of 6,000 IU/Liter. What is the most appropriate management?

38 / 100

38. In the case of a stable ectopic pregnancy, but the patient lives far from the hospital, what is the most appropriate management?