02.2014 gynacology

A 14 years old female menarche one year ago present with vaginal bleeding, BP 116/73 , HR 86, hemoglobin 10.5 , B hcG negative , pelvic ultrasound normal, uterine mucosa thickness 5 mm, the most appropriate management ?

A 25 years old female is being evaluated for infertility. She has regular menses every 28days. Which of the following is positively confirms ovulation?

Which of the following is consistent with intrahepatic cholestasis of pregnancy?

A 55 years old woman has a menopause for a year and is being evaluated for a vaginal bleeding, FSH 34, normal pelvic ultrasound demonstrated a 1,5 cm subseroticmyoma and a uterine mucosa of 10mm, on examination vaginal atrophy. What is the most important step in her evaluation?

A couple at 34 years old is being evaluated for infertility. Female menses every 32 days, progesterone level 7ng/ml on 22nd day and hysterosalpingography demonstrates normal uterine cavity and normal passage of contrast to the pelvis. A man sperm 22 millions, 55% motility, 30% normal morphology. What is the cause of couple infertility?

A 26-year-old G2 P1 woman at 41 weeks’ gestation has been pushing for 3 hours without progress. Throughout this time, her vaginal examination has remained completely dilated, completely effaced, and 0 station, with the head persistently in the occiput posterior (OP) position. Which of the following statements accurately describes the situation?

Which of the following is true regarding the treatment with progesterone only oral contraceptives ?

Which of the following is an absolute contraindication for hysterosalpingogram?

In a woman with favorable cervix and estimated fetal weight 3850 gram .what is the most common management at 42 weeks gestation?

Which of the following is no absolute contraindication for combined oral contraceptives?

A 30 years old woman is being evaluated for secondary amenorrhea and interested in conceiving. FSH level 35. Most likely assist in conceiving?

Which one of the following is true regarding syphilis ?

Which of the following Brain injuries may cause amenorrhea:

Which disease the partner needs to be treated ?

Which of the following does not cause hirsutism?

A pregnant woman with syphilis and a true penicillin allergy should be treated with which of the following?

Which of the following is correct regarding ovarian hyperstimulation syndrome ?

Which treatment decreasing uterine myoma size?

A 52 years old female is being evaluated for heat waves sensation during the past 6 months, she has amenorrhea for the past 6 month which of the following is most likely to be found?

Wich of the following is not treatment of uterine myomas?

Which statement is correct regarding calculating expected delivery?

Which of the following is correct regading mucinous ovarian tumors?

A woman is found to have oligohydramnios at 28 weeks of gestation. Which of the following is the most likely causes?

A 60 years old woman is being evaluated for vaginal bleeding. Past medical history is significant for controlled hypertension and diabetes. On examination normal cervix, bleeding through cervical canal. Ultrasound demonstrate irregular endometrial mucosa, 10mm thick. On pipelle biopsy grade 2 endometrial carcinoma. What is the most appropriate management?

The obstetric doctor on call is asked to review a cardiotocograph performed prior to induction of labor in a 39 weeks multipara. Which of the following features should help to reassure the doctor that is a normal trace?

A 44 years old woman with 3 children, undergoes cone biopsy of cervix. Malignancy is indentified with 2mm invasion and lymphatic vessels involvement. Which of the following is recommended management?

On routine antenatal blood test, a 30 years old woman is found to be RH (-). Which advice regarding the management of have pregnancy is correct ?

Which of the following is not routinely excided during radical hysteroscopy for cervical squamous cell carcinoma?

A pregnant woman with gestational diabetes asks you about the increased risks of her fetus, you describe all the following except ?

Which of the following is the most likely to be found in a male with non-obstructive azoospermia, small testicles, lack of pubic and facial hair and gynecomastia?

Choose the best option with regard to a non-immune pregnant woman with an exposure to chickenpox:

What is the treatment for sperm collection for fertilization in cases of retrograde ejaculation?

In which of the following conditions would consumptive coagulopathy most likely be seen?

A healthy young couple arrives to fertility clinic after failing to conceive for past one year and a half. The female manses every 24days for 6 days. For religious reasons, they have intercourse only on 14th day of cycle. What is the most likely etiology for their infertility?

A 24-year-old G2P2 woman delivered vaginally 8 months previously. Her delivery was complicated by postpartum hemorrhage requiring curettage of the uterus and a blood transfusion of two units of erythrocytes. She complains of amenorrhea since her delivery. She denies taking medications or having headaches or visual abnormalities. Her pregnancy test is negative. She was not able to breast-feed her baby. What is the most likely diagnosis?