Which is incorrect with regards to Rhesus isoimmunisation?
1.The chance of a Rh-ve mother developing antiD antibodies to a Rh+ve fetus is less than 20% (even if not given antiD)
2.Anti D must be given within 24 hours to have any substantial effect C. The risk of maternofetal transfusion is very small in a first trimester abortion and thus a smaller dose of anti D could be give
3. The risk of maternofetal transfusion is very small in a first trimester abortion and thus a smaller dose of anti D could be given
4. The IgM anti D antibodies cannot cross the placenta but the IgG antibodies can
Which is not accurate with regard to management of Eclampsia?
1.seizures are usually self terminating if left untreated but will recur
2.magnesium sulphate 4gm should be given over 15 minutes for seizure control, then infused at 1gm per hour C. D. magnesium sulphate does not lower BP
3.the desired BP is a diastolic BP of 90mmHg
4.magnesium sulphate does not lower BP
Which is not true with regard to bacterial vaginitis?
1.prepubertal
2.diabetes
3.immunosuppression
4.it is not sexually transmitted
At what bHCG can you reliably see an intrauterine pregnancy with a transabdominal ultrasound?
1.4000
2.5000
3.5500
4.6500
At what bHCG would the chance of an ectopic pregnancy be 90% if a transvaginal ultrasound showed anempty uterus?
1. 500
2.900
3.1200
4.1600
Non sexually acquired PID should be treated with doxycycline and what according to the 2000 AntibioticGuidelines?
1.metronidazole
2.ciprofloxacin
3.ceftriaxone
4.augmented duo forte
The risk of infertility after a single episode of PID is approximately?
1. 5%
2.10%
3. 20%
4. 25%
Which agent is not one recommended in the 2000 antibiotic guidelines for the treatment of outpatientsexually acquired PID?
1.Metronidazole 400mg b.d orally for 14 days
2. ceftriaxone 250 mg IM stat dose
3.augmenten duo forte 875/125 b.d orally for 14 days
4.doxycycline 100mg b.d orally for 14 days
Which is an incorrect statement with regards to ovarian torsion?
1.70% of cases occur in women less than 30 years of age
2.20% of cases in women less than 30 are associated with pregnancy
3.it has an increased incidence in women receiving ovarian stimulation treatment
4. a tender mass is felt in 10% of cases
Which is incorrect with regards to anti D?
1.it is given IV
2.The Kleihauer test is done to determine to quantify the fetomaternal hemorrhage and thus the amount of anti D required
3. If the mother’s serum has antiD antibodies detected in her serum at 24-48 hours after injection then the dosage is adequate
4. If given from 3-10 days after fetomaternal transfusion is still has some effect
Which is incorrect with regards to ectopic pregnancy?
1.incidence in the standard population is 20/1000
2.the incidence of a hetertopic pregnancy in the standard polulation is 1:4000
3.the presence of abdominal or pelvic pain is the most sensitive symptom or sign
4. the ectopic rate is subsequent pregnancies is 10%
Which is not a risk factor for an ectopic pregnancy?
1.fertility treatment
2.IUD in situ
3.Endometriosis
4.Family history
Which is not a risk factor for preeclampsia?
1. molar pregnancy
2.multigravida
3. age < 20 years
4.multiple pregnancy
Which is not a risk factor for vaginal candidiasis?
1.prepubertal .
2.diabetes
3.immunosuppression
4.pregnancy
Which is not a true statement with regards to a normal pregnancy?
1.the resting heart rate increases by 15-20 beats / min by the end of the third trimester
2.the blood volume increases by 45%
3.polycythemia develops
4.there is a leucocytosis up to 18 000
Which is not required for the diagnosis of pregnancy induced hypertension?
1.systolic BP rise of > 30mmHg above pre pregnancy level
2.diastolic BP rise of > 15mmHg above pre pregnancy level
3.an absolute BP of >140/90
4.proteinuria
Which is not true with regards to placental abruption and trauma in pregnancy? C.
1. it is the most common cause of death if the mother survives
2.the incidence in minor trauma is up to 5% and up to 50% in major trauma
3.it can occur up to 4 hours post accident
4.It is characterized by pelvic pain uterine contractions and vaginal bleeding
Which of the below is not consistent with trichamonas vaginitis?
1. flagella are seen on a wet prep
2.a strawberry cervix on examination
3.evidence of other sexually transmitted diseases
4. treated with doxycycline
Which statement is incorrect with regards to dysfunctional uterine bleeding
1.it is very rare in the teenage years
2.it is usually due to anovulatory cycles
3.oestrogen is used acutely to slow bleeding by contracting the uterine arteries
4.cyclical progesterone is used if it is a chronic problem
Which statement is incorrect with regards to radiation exposure to the fetus?
1.the minimum exposure known to cause risk o the fetus is <0.1Gy (1000microGy)
2.a CXR and Pelvic Xray are well below the minimum toxic level
3.a VQ scan falls well below the toxic level
4.a CT abdomen falls well below the toxic level
Which statement is incorrect?
1. in the normal pregnancy the bHCG increases by 66% every two days
2. the bHCG should plateau at when it reaches 1-2 million at 20 weeks gestation
3. the current serum test can detect bHCG at 2-3 days post implantation
4.a falling bHCG does not rule out the chance of rupture in an ectopic pregnancy
Which three must be present to make the diagnosis of PID?
1.temp >38.3, abdo pain, vaginal discharge
2.temp > 38.3, abdominal pain, cervical excitation
3. adnexal tenderness, vaginal discharge and increased CRP
4.abdominal pain, cervical excitation and adnexal tenderness
Which would be consistant with a seizure due to eclampsia?
1.there is status epilepticus
2.no proteinuria or hypertension
3. focal neurological signs
4.it responds to benzodiazapines
with regards to the different categories of abortion which is incorrect?
1. in an incomplete abortion the cervix may be open or closed
2. in an inevitable abortion the cervix is open
3.in a complete abortion the cervix is closed and bleeding and pain minimal
4. in a threatened abort the cervix is open