Infections in Pregnancy.

***) Treponemapallidum is the cause for one of the following venereal diseases:

Chancroid

Condylomaacuminata

Lymphogranulomavenerum

Syphilis

Granuloma inguinalis

Answer: D* Syphilis

***) Transplacental transmission occurs in which of the following:

Shigella

Syphilis

Diphtheria

Typhoid

Cholera

Answer: B* Syphilis

***) All of the following statements concerning congenital rubella infection are true, except:

Most congenital infection occur during the first 8 weeks of pregnancy

Congenital infection includes congenital cataract, patent ductusarteriosus and congenital deafness

If contracted during the last trimester it will lead to intrauterine growth retardation

Gamma globulin given to the mother offers protection against fetal damage

Congenital infection can lead to fetal death or prematurity

Answer: D* Gamma globulin given to the mother offers protection against fetal damage

***) The effects of rubella on the fetus include the following, except:

Blindness

Deafness

Hutchinson teeth

Intrauterine growth retardation

Hepatosplenomegaly

Answer: C*Hutchinson teeth

***) One of the following viral diseases may cause cataract, deafness and heart lesion of newborn:

Measles

Rubella

Coxsackie virus

Cytomegalic inclusion bodies

Herpes zoster

Answer: B* Rubella

***) In a patient exposed to rubella infection in early pregnancy the proper management is:

To give rubella vaccine

To advise the patient to have immediate termination

To give immunoglobulin and assure the patient

To do rubella titreIgG, IgM and repeat after two weeks

To ignore patient's complaint

Answer: D* To do rubella titreIgG, IgM and repeat after two weeks

***) A patient has been discharged following normal delivery, discharge counseling and would include one of the following:

No driving for 4 weeks

No coitus for 6 weeks

Return to work only after 6 weeks

Rubella immunization for non-immune patients

No place for breast feeding in the puerperium

Answer: D* Rubella immunization for non-immune patients

Deep Vein Thrombosis.

***) In venous thrombosis, all the following are true except:

Less common antenatally than in puerperium

Require treatment with warfarin at all stages of pregnancy

Is uncommon diagnosis during pregnancy

Is frequently asymptomatic

Is more dangerous antenatally than postnatal

Answer: B* Require treatment with warfarin at all stages of pregnancy

***) The treatment of choice of deep vein thrombosis during pregnancy is:

Aspirin

Bed rest and crepe bandage

Physiotherapy

Oral anticoagulants

Heparin

Answer: E* Heparin

Disseminated Intravascular Coagulopathy.

***) Coagulation defects in pregnancy occur with all of the following conditions, except:

Intrauterine fetal death

Placenta previa

Abruption placenta

Amniotic fluid embolism

Severe pre-eclampsia

Answer: B* Placenta previa

***) Clinical disseminated intravascular coagulopathy may occur in any of the following conditions, except:

Missed abortion

Incomplete abortion

Amniotic fluid embolism

Septic abortion

Abruptio placenta (accidental hemorrhage)

Answer: B* Incomplete abortion

***) Disseminated intravascular coagulation is characterized by all of the following, except:

Thrombocytopenia

High fibrinogen level

High levels of fibrinogen degradation products

Bleeding tendency

Low PO2

Answer: B* High fibrinogen level

***) Hypofibrinogenemia is characterized by:

A failure of blood to clot in vitro

Plasma fibrinogen of 500 mg percent

Decreased platelets count

Decreased leukocytes mobility

A decrease in erythrocytes

Answer: A* A failure of blood to clot in vitro

***) A major hazard of fetal demise after 20 weeks is:

Increase in human chorionic gonadotropin values

Systemic allergies

Bone marrow depression

Coagulopathy

Toxemia

Answer: D* Coagulopathy

Maternal Risks in Pregnancy.

***) All of the following can be categorized as high risk pregnancy, except:

Diabetes mellitus

Hypertension disease

Mal presentation of the fetus

Previous cesarean section

Edema of the lower extremities

Answer: E* Edema of the lower extremities

***) In early pregnancy, lower abdominal pain could be caused by all the following, except:

Cystitis

Threatened abortion

Ectopic pregnancy

Mole pregnancy

Twisted ovarian cyst

Answer: D* Mole pregnancy

***) All of the following are the features of complication of grand multi-parous woman, except:

Iron deficient anemia

Increased incidence of antepartum hemorrhage

Infertility

Ruptured uterus

Post partum hemorrhage

Answer: C* Infertility

***) The treatment of choice in a patient with a cystocele during pregnancy is:

Anterior repair operation in the first trimester

Repair 2 weeks after delivery

Anterior repair operation in the second trimester

Immediate repair after delivery of the placenta

Re-evaluation six weeks after delivery

Answer: E* Re-evaluation six weeks after delivery