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RESIDENCY BASIC
DEPARTEMEN OF OBSTETRIC AND GYNECOLOGY
FACULTY OF MEDICINE UNIVERSITY OF SYIAH KUALA
23TH MAY 2017
Please choose a single best answer for each question!
4 Spermatogenesis
The first polar body does not undergo a Ovulation occurs when the secondary
A B
second meiotic division oocyte shows spindle formation
The zona pellucida is formed after Resumption of meiosis is triggered by
C D
ovulation ovulation
Resumption of meiosis is triggered by
E
fertilisation
A Oestriol B Oestrone
C Follistatin D Leutenising hormone
E Follicle stimulating hormone
11 Following fertilisation
The size of the embryo increases 10 fold The blastocyst enters the uterine cavity
A B
within 48 hours 4-5 days after fertilisation
The zona pellucida disintegrates within 48 The blastocyst cavity forms 7-8 days after
C D
hours fertilisation
E Cleavage begins after 5 days
12 During pregnancy, progesterone
Stimulates myometrial prostaglandin
A B Inhibits decidualisation of the endometrium
production
C Inhibits myometrial contraction D Inhibits decidual prolactin production
Is produced by the corpus luteum until 20
E
weeks gestation
Is formed 7 days after the LMP in a woman Degenerates 14 days after the LMP in a
A B
with a 28 day cycle woman with a 28 day cycle
Has a maximum diameter of 15-30 mm
C Is formed from the corpus albicans D
which is attained 7 days after the LMP
Secretes oestrogens, progesterone and
E
androgens
A 100-150 ml B 200-250 ml
C 300-400 ml D 800-1000 ml
E 2000-3000 ml
16 Which one of the above is not a source of amniotic fluid during the third trimester?
A Transudate from fetal skin B Transudate from umbilical cord
C Diffusion across amniotic membrane D Fetal urine
E Fetal lung secretions
25 Infection with listeria monocytogenes during the first trimester is associated with
The spiral arterioles are dilated and Secretions appear in the lumen of the
A B
tortuous during the proliferative phase glands during the luteal phase
Rapid regression of stromal oedema Shedding of the spongy and compact
C D
occurs during the proliferative phase layers occurs during the menstrual phase
The luteal phase is predominantly
E
stimulated by oestrogen
A Mitotic figures are present in the glands B The endometrial glands are straight
but not in the stroma and narrow with a compact stroma
The endometrial glands are dilated and
C D The endometrial stroma is oedematous
tortuous
Glandular cells contain sub-nuclear
E
glycogen-containing vacuoles
31 Which one is the main immunoglobulin found in saliva, tears and colostrum?
A IgA B IgG
C IgM D IgD
E IgE
A 90% B 10%
C 99% D 90.9%
E 98%
A Sensitivity B Specificity
C Positive likelihood ratio D Negative likelihood ratio
E Diagnostic accuracy
34 What is the correct formula to calculate the sensitivity? TP = true positive; FP = false
positive; TN = true negative; FN = false negative
A TP / TP + FP B TP/ TP + FN
C TP / TN + FN D TN / TP + FN
E TN / TN + FN
35 You wish to investigate the time it takes to perform a caesarean section on women with and
without pre-eclampsia. At the end of the study you have two groups of women with the
duration of caesarean sections recorded for each. It cannot be assumed that these are normally
distributed. Which non-parametric statistic test would you use?
A A miscarriage B A stillbirth
A stillbirth or neonatal death depending on
C A neonatal death D
the womans wishes
E A pre-neonatal death
Difficulty with delivery of the face and Fetal head remaining tightly applied to the
A B
chin vulva and retracting into the vagina
Failure of shoulders to descend on gentle
C Failure of restitution of the fetal head D
traction
E Persistent occipitoposterior position
39 Which one of the above is the single most effective intervention in managing shoulder
dystocia?
40 A healthy 25 year old woman presents with vaginal bleeding at 8 weeks gestation. Which one
of the above is a possible cause?
41 A healthy 20 year old woman presents with vaginal bleeding at 10 weeks gestation. Which
one of the above investigations should not be undertaken?
43 Regarding urinary tract infections, which micro-organism is most likely to be associated with
bladder catheterisation?
A The failure rate is lower than for vasectomyB The failure rate is lower in younger women
It should not be performed in women The failure rate is 1 in 200 over a life
C D
below the age of 30 years time
E The failure rate is 1 in 2,000
45 Which one of the above is a contra-indication to the use of the levonorgestrel-releasing intra-
uterine system?
46 Which one of the above statements regarding copper IUCD emergency contraception is
correct?
75% effective if used within 5 days of
A B Effective by preventing ovulation
intercourse
Should not be used in women with a
C Should not be used in nulliparous women D
previous caesarean section
Can be used more than 5 days after
E
unprotected intercourse
47 Which one of the above statements regarding the first stage of labour is correct?
The first stage begins when the cervix is The active first stage of labour begins when
A B
fully effaced the membranes rupture
The latent first stage of labour includes The latent first stage of labour is when the
C D
cervical dilatation up to 4cm woman has not requested analgesia
The first stage of labour ends when the
E
fetus is delivered
48 Which of the following is the correct order of the cardinal movements of labour?
A. Internal rotation, engagement, descent, flexion, external rotation
B. Engagement, descent, internal rotation, flexion, external rotation.
C. Internal rotation, descent, engagement, flexion, external rotation
D. Engagement, descent, flexion, internal rotation, external rotation
E. Engagement, descent, internal rotation, flexion, external rotation
49 A 32 year old woman is admitted for induction of labour at 42 weeks gestation. Oxytocin is
commenced 7 hours after prostaglandin administration. The frequency of uterine contraction
is:
49. A healthy 23 year old woman presents in spontaneous labour at 34 weeks gestation. CTG is
commenced at 05:38. The midwife asks you to review the CTG at 06:00. Click on the icon to
view the CTG. The decelerations on this trace are classified as