Gyane colloq

What is the most likely diagnosis for a 60-year-old woman with a large complex ovarian mass and ascites who has primary adenocarcinoma of the stomach?

D) Krukenberg's tumor

What is the crowning circumference in brow presentation?

C) 35.3 cm

Which of the following does not cause fetal malformation?

D) HIV

Where are clue cells seen?

A) Bacterial vaginosis

What is the minimum normal sperm count?

B) 15 million/ml

What causes the rise in body temperature after ovulation?

D) Progesterone

Which of the following is NOT a known risk factor for endometrial carcinoma?

D) Early menopause

What does menorrhagia mean?

A) Excessive bleeding during menstruation

What is the MOST likely diagnosis for a patient with vulvar irritation, odorless white curdy discharge, and a pH of 4.0?

C) Candidiasis

What medication should be prescribed for gonorrhea diagnosed at 6 weeks' gestation?

A) Ceftriaxone

Which structure produces gonadotropins?

B) Anterior pituitary

What is the most appropriate initial management for a morbidly obese woman with irregular periods?

A) Oral contraceptives

What common sign is recognized with cottage cheese-like vaginal discharge?

D) Candida albicans infections

Which of the following is NOT a risk factor for pelvic inflammatory disease (PID)?

A) Use of a diaphragm for contraception

What is the MOST likely etiology for right upper quadrant pain in a patient with PID?

C) Fitz Hugh Curtis Syndrome

Which non-malignant adnexal mass is derived from all three germ cell layers?

E) Mature cystic teratoma

What antibiotic would be part of the treatment plan for a patient with motile flagellated organisms?

B) Metronidazole

Which of the following infections is sexually transmitted?

E) All of the above

During which trimester are congenital syndromes related to viral infections most likely to occur?

A) In the first trimester

Which obstetric emergency is associated with the highest maternal mortality rate?

C) postpartum haemorrhage

Which method of inducing labor is absolutely contraindicated for a patient with a previous cesarean section?

D) Vaginal administration of prostaglandin E2

Explanation:This patient has a history of a prior cesarean delivery and is undergoing an elective induction of labor at term. Certain methods of induction are contraindicated in this setting due to the increased risk of uterine rupture, which is a serious complication in patients with a uterine scar.

• Vaginal administration of prostaglandin E2 (PGE2) is absolutely contraindicated in women with a prior uterine scar Prostaglandins significantly increase uterine contractility, which can overstress the uterine scar and lead to rupture.

What non-reassuring fetal heart rate monitoring pattern includes minimal or absent variability?

E) A + C

Which statement regarding cesarean section delivery is TRUE?

A) Maternal morbidity is significantly increased with cesarean compared with vaginal delivery.

What is the BEST treatment for a positive cervical biopsy of invasive squamous carcinoma?

B) Radical hysterectomy with lymphadenectomy

What is the MOST appropriate treatment option for a patient with a borderline tumor?

E) Observation

What is the current most cost-effective method of screening for ovarian cancer?

B) Serum CA-125 tests

Which of the following is true regarding malpresentation?

B) Occipito-transverse (OT) position may be normal in the first stage of labor.

Which of the following is NOT a cause of fetal damage/death in labor?

E) Fetal volume overload

What is true about Caesarean section delivery?

E) Absolute indications for caesarean include breech presentation, twin pregnancy, and previous caesarean.

What is the most common site of gonococcus infection in females?

A) Cervix