Reproduction System- Aliff Jawns

Front 1

A triple screen posive for Trisomy 18 will show:

Back 1

a. elevated HCG
b. elevated AFP
c. elevated uE3
d. decreased levels of HCG, AFP and uE3

Front 2

A quadruple screen measures levels of:

Back 2

a. HCG,AFP,uE3 AND Inhibin A
b. HCG, AFP, UE3 AND Prolactin
c. AFP, uE3, Prolactin AND Inhibin A
d. HCG, APF, Prolactin AND Inhibin A

Front 3

3. All of the following regarding Sequential Integrated screening are true except:

Back 3

a. Nucahl translucency ultrasound at 10-13 weeks gestation
b. HCG and PAPP-A serum levels at 10-13 weeks gestation
c. AFP at 15 weeks
d. Growth ultrasound at 36 weeks gestation

Front 4

4. What percentage of all pregnant women bleed in the first trimester?

Back 4

. 30 *

Front 5

5. A missed abortion is

Back 5

c. non-living fetus, closed cervix *

Front 6

6. The most common abnormality among abortuses is:

Back 6

a. trisomy

Front 7

7. What percentage of all pregnancies end in elective abortion?

Back 7

c. 25*

Front 8

8. A 28 yo obese female presents to your office complaining of cycles every 60-90 days. This is:

Back 8

c. oligomenorrhea *

Front 9

9. The same patient reports an inability to conceive. This is most likely due to:

Back 9

a. anovulation *

Front 10

10. All of the following are found with PCOS EXCEPT;

Back 10

d..decreased body fat *

Front 11

11. Women with chronic anovulation due to PCOS are at risk for what malignancy:

Back 11

b. endometrial *

Front 12

12. The treatment for a woman with PCOS not desiring pregnancy is:

Back 12

a. Oral contraceptive pills *

Front 13

13. The incidence of ectopic pregnancy is:

Back 13

b. 20 per 1000 *

Front 14

14. A modifiable risk factor for ectopic pregnancy is:

Back 14

a. smoking *

Front 15

15. Methotrexate for the treatment of ectopic pregnancy requires all of the following except:

Back 15

d. unexplained anemia *

Front 16

16. A 25 yo prostitute with a history of multiple elective abortions and PID presents to the ER with an acute abdomen. Her urine HCG is positive and an ultrasound reveals no intrauterine pregnancy, a complex mass in the left adenexa and fluid in the cul de sac. BP = 100/52 P =125 Hgb= 6.7 the next step is:

Back 16

b. Surgery *

Front 17

17. Studies have shown that this medication has a significant benefit inducing ovulation in a woman with PCOS:

Back 17

b. Metformin *

Front 18

18. A normal semen analysis requires a sperm count of:

Back 18

a. >20 million per ml *

Front 19

19. Infertility defined is the inability of a couple to conceive in:

Back 19

d. 12 months *

Front 20

20. A 40 yo female presents with infertility. Her husband was married before and was told (during an infertility evalution with that partner) that his semen was ÒabnormalÓ. She has tried Clomid induced ovulation in the past. You should:

Back 20

a. Refer to Reproductive Endocrinologist *

Front 21

21. All of the following cause oligomenorrhea EXCEPT:

Back 21

d. Menopause *

Front 22

22. A 19 yo distance runner presents complaining of amenorrhea for 7 months. She is distraught at being suspended from the track team for falling under her weight requirement. Prior to the exam she asks to be weighed naked in the exam room. You find poor enamel on her teeth. The most likely cause of her menstrual abnormality is:

Back 22

b. hypogonadotropic hypogonadism *

Front 23

23. The primary use for spironolactone in PCOS treatment is for:

Back 23

b. hirsutism *

Front 24

24. A patient with atypical bleeding caused by fibroids has what type of bleeding?

Back 24

c. abnormal *

Front 25

25. Hysteroscopy allows removal of what cause of abnormal uterine bleeding?

Back 25

c. endometrial polyp *

Front 26

26. A 26 yo female presents with painful periods for 10 years. She reports missing 2 days of work per cycle due to pain. Her periods are every 28 days for 3-5 days. She is pain free when not on her period. She likely has:

Back 26

a. endometriosis *

Front 27

27. On laparoscopy you find chocolate cysts and adhesions and make a diagnosis. The only curative treatment is:

Back 27

c. Hysterectomy with bilateral salpnigo-oophorectomy *

Front 28

28. The most common gynecologic tumor is:

Back 28

b. fibroid *

Front 29

29. A fibroid visualized during hystrosopy to be floating from a stalk in the endometrial cavity is:

Back 29

d. Pedunculated submucosal *

Front 30

30. A woman with a trans mural mypmectomy should be advised what regarding future pregnancy?

Back 30

c. to have a c-section *