Regarding fallout tetralogy which is the correct statement
Anonymous Quiz
42%
Anemia is a common complication
42%
Blalock taussing operation connect the subclavian artery to the left pulmonary artery
17%
Left ventricular hypertrophy is common
0%
Systolic thrill at the apex can be detected
Regarding childhood hypertension which is the correct statement
Anonymous Quiz
0%
Drug therapy is not indicated
21%
Essential type is the major etiology
7%
Hypothyroidism may be the cause
71%
It may be complicated by encephalopathy
Treatment of choice to prevent recurrence of rheumatic fever
Anonymous Quiz
9%
Digoxin
5%
Haloperidol
77%
Long acting penicillin
9%
Salicylates
Complications of fallout tetralogy do not include
Anonymous Quiz
22%
Brain abscess
11%
Bacterial endocarditis
17%
Cerebral thrombosis
50%
Congestive heart failure
TVS shows marked free pelvic fluid and non-visualized gestational sac, and the patient has severe abdominal pain and mild vaginal bleeding. Your recommended management is:
Anonymous Quiz
14%
Rest, antibiotics and conserve for 1 week.
8%
Oral and vaginal misoprostol
10%
Suction evacuation
20%
Methotrexate.
47%
Laparoscopy
A P1+0 presented by pelvic heaviness, frequency of micturition and delayed period for 3 days. HCG level was 400 mIU/ml. After 2 days, HCG was 780 mIU/ ml. Your diagnosis is:
Anonymous Quiz
9%
Data are not conclusive.
0%
Disturbed ectopic pregnancy.
2%
Missed abortion
9%
Molar pregnancy.
80%
Normal early pregnancy
❤1
A 19-year-old girl with pelvic pain, +ve pregnancy test and a 3cm living ectopic pregnancy in Rt fallopian tube, she had Lt salpingectomy for a previous ectopic. best management is:
Anonymous Quiz
4%
Laparoscopic salpingectomy.
70%
Laparoscopic salpingostomy.
4%
Conservative management with serial B-HCG.
2%
Laparotomy.
20%
Methotrexate.
Regarding disturbed tubal ectopic pregnancy, which of the following is correct?
Anonymous Quiz
11%
a. Commonly disturbs during 2nd trimester.
82%
b. Vaginal bleeding is usually mild.
0%
c. Absent pelvic pain is characteristic.
7%
d. Snow storm appearance on ultrasound is a diagnostic feature.
0%
e. Serum hCG is usually negative.
Which of the following increases the risk for ectopic pregnancy?
Anonymous Quiz
5%
a. Pregnancy on top of irregular use of combined contraceptive pills.
0%
b. Pregnancy after artificial insemination.
82%
c. Previous history of pelvic inflammatory disease.
0%
d. Previous history of polycystic ovarian disease.
14%
e. Previous caesarean section.
A 40-year-old multipara attends for antenatal care as she had a delayed menstruation for 1 week. She did serum hCG twice, 1st reading was 3000 mIU/ml and the 2nd, two days later, was 5500 mIU/ml. How can you interpret these levels?
Anonymous Quiz
4%
Not conclusive
73%
Normal pregnancy.
0%
Missed abortion.
11%
Ectopic pregnancy.
11%
Molar pregnancy
Which of the following is commonly associated with cervical incompetence?.
Anonymous Quiz
6%
a. Early 1st trimester abortion.
0%
b. Fetal congenital anomalies.
0%
c. Accidental hemorrhage
2%
d. Repeated vaginal bleeding.
92%
e. Cervical length less than 2.5 cm by ultrasound
Abdominal examination of a 12 weeks PG according to her LMP, fundal level was found at level of umbilicus with a doughy uterus. Choose a possible cause:.b. c. d. e. .
Anonymous Quiz
2%
Polyhydramnios
0%
Intrauterine fetal death.
8%
Normal finding.
2%
ontracted pelvis.
88%
Molar pregnancy
A 25-year-old woman presents at 14 wks with mild vaginal bleeding and +ve pregnancy test. TVS shows a non-living intrauterine pregnancy. The most reasonable to offer her:a. b. c. d. e. .
Anonymous Quiz
13%
Laparoscopy.
13%
Serum HCG measurement
49%
Misoprostol
17%
Methotrexate.
9%
Progesterone
The most consistent symptom of ectopic pregnancy is:
Anonymous Quiz
6%
Amenorrhea.
6%
Severe vaginal bleeding.
84%
Pain.
0%
Fainting.
4%
Hyperemesis gravidarum.
A 7 weeks pregnant patient presents with vaginal spotting, lower abdominal cramps. US shows a single fetus with +ve pulsations. PV shows a closed cervix. Appropriate management:
Anonymous Quiz
2%
a. Admit to hospital to follow the case.
20%
b. Bed rest at home, prohibit intercourse & administer a progestin.
67%
c. Bed rest at home, prohibit intercourse & administer a progesterone.
9%
d. Bed rest at home and administer a tocolytic.
2%
e. Repeat ultasonography and pregnancy test after 2 days.
Regarding treatment of choriocarcinoma, choose the correct statement
Anonymous Quiz
7%
a. It is mainly surgical.
2%
b. Radiotherapy is always needed.
9%
c. Chemotherapy is not indicated in all cases.
7%
d. Actinomycin is the single agent drug of choice
74%
e. Methotrexate can be given for both metastatic and nonmetastatic risk cases.
The most common route for metastatic spread of choriocarcinoma is:a. b. c. d. e. .
Anonymous Quiz
5%
Lymphatic.
86%
Hematogenous
5%
Peritoneal fluid.
0%
Cerebrospinal fluid.
5%
Peritoneal seedling.
Alarming event for the possibility of gestational trophoblastic disease include:
Anonymous Quiz
92%
Persistent titer of HCG after pregnancy.
0%
Hematuria.
2%
Weight loss
6%
Persistent postpartum anovulation.
0%
Persistent unexplained fever.
A 24-year-old G3P2 presents with vaginal bleeding, B-HCG: 300.000miu/ml, uterine is 12wks, US shows a snow storm appearance in the uterus. Most appropriate management is:
Anonymous Quiz
2%
Plan for hysterectomy.
5%
Anti-D and bed rest.
76%
Plan for dilatation and suction evacuation.
7%
Repeat B-HCG after 48hrs.
9%
Methotrexate therapy
. The following are true regarding the follow up after evacuation of a molar pregnancy:
Anonymous Quiz
2%
a. Endometrial biopsy and chest X-Ray should be performed every 3months for a year.
16%
b. Endometrial biopsy, chest X-Ray &B-HCG levels are obtained serially monthly
78%
c. B-HCG levels should be monitored weekly until undetectable, then monthly for 6months
5%
d. B-HCG and chest X-Ray are done weekly until being negative