Sudan Medical Council

Specialists Assessment Examination

Obstetric & Gynecology
11/ April 2007
MCQ
Time: 9:00 10:30
1.
a)
b)
c)
d)
e)

First degree laceration of the birth canal include:The vaginal skin.

Perineal skin.
Perineal body.
Anal sphincter
Anal canal

2.
a)
b)
c)
d)
e)

Menorrhagia may be due to:Fibroids.

Adenomyosis.
Sheehan's syndrome.
Hyper prolactinaemia.
Acquired virulizing tumor.

3.
a)
b)
c)
d)
e)

The following are sexually transmitted diseases:Syphilis.

Gonorrhrea.
Trichomonal infection.
Clamedyia.
Tuberculosis.

4.
a)
b)
c)
d)
e)

It is not advisable to give the following during pregnancy:Flagyl.

Penicillin.
Tetracycline.
Thalidomide.
Cylotoxic drugs.

5.
a)
b)
c)
d)
e)

Pharonic circumcision can cause:Retention of urine.

Dysparunia.
Vulval swelling.
Prolonged second stage of labour.
Primary infertility.

6.
a)
b)
c)
d)
e)

Common types of anaemia in pregnancy in the Sudan include:Sickle cell anaemia.

Thalathemia.
Iron deficiency anaemia.
Megaloblastic anaemia.
Pernicious anaemia.

7.
a)
b)
c)
d)
e)

Obstructed labour leads to:Pathological Bandles ring.

Sepsis.
Vesico-vaginal fistula.
Stenosis of the vagina.
Recto-vaginal fistula.

8.
a)
b)
c)
d)
e)

Urinary incontinence can be due to the following:Ectopia vesica.

Ectopic ureter.
Obstructed labour.
Vascular erosion of the cervix.
Chemotherapy (cytotoxic drugs).

9. Preterm labour:a) Is any labour commencing before 37 completed weeks from the
date of conception.
b) Is a leading cause of perinatal mortality.
c) Has a lower limit of 18 weeks.
d) Is more common with patients with pelvic kidney.
e) Tends to recur in subsequent pregnancies.
10. The umbilical cord:a) Have one artery and two veins.
b) Consists of embryonic tissue.
c) Measures on average 20cm at term.
d) May delay labour.
e) May be the cause of foetal death.
11. The following statements are true about endometrial carcinoma:a) Many of the patients are obese.
b) The classical symptom is post menopausal bleeding.
c) Pain is an early symptom.
d) It is a cause of pyometria.
e) A combination of surgery and radiotherapy gives a 90% 5 years cure rate.
12. Benigen cystic teratoma (dermoid cyst):a) Is usually multilocular.
b) Usually contains pultacious maternal with hair.

c) Is commonly found in women between 20 & 30 years of age.

d) Is derived from two germinal layers.
e) Is the least frequent ovarian tumour to undergo tortion.
13. Investigation of an infertile couple include:a) Hysterosalpingogrphy.
b) Endomelial biopsy in the first day of the cycle.
c) Laparoscopy with hydrotubation.
d) X-Ray of the skull.
e) A buccal smear.
14. Ovulation is indicated by:a) A painless cycle.
b) Mittleschmerz and mid cycle spotting.
c) A 0.50 C rise of basal body temperature.
d) A secretory endometrial biopsy.
e) A lutenizing hormone surge.
15. Intra uterine contraceptive device:a) Prevents pregnancy by interfering with ovulation.
b) Prevents pregnancy by interfering with implanation.
c) Produces a local inflammatory reaction in the endometrium.
d) May be complicated by an ectopic pregnancy.
e) Causes secondary amenorrhoea.
16. Secondary amenorrhoea associated with:a) Endometerial tuberculosis.
b) Bicornuate uterus.
c) Pelvic inflammatory disease.
d) Steinleventhal syndrome.
e) Jenner syndrome.
17. A grandmultipara is liable to develop:a) Malpresentation
b) Placenta praevia.
c) Primary postpartum haemorrhage.
d) Ruptured uterus.
e) Foetal congenital anomalies.
18. The following are known causes of abortion:a) Chromosomal abnormalities.
b) Maternal syphilis.
c) Cervical stenoses.
d) Pulmonary tuberculosis.
e) Ergot medication.

19. The clinical picture of an acute ruptured tubal pregnancy includes:a) Faintness or collapse.
b) Peripheral cyanosis.
c) Heavy vaginal bleeding.
d) A rise of temperature.
e) Dullness in the flanks.
20. Fibroids during pregnancy:a) Predispose to malpresentation.
b) Obstruct labour.
c) May undergo red degeneration.
d) Are best treated surgically.
e) May cause P.P.H.
21. The following are the indications for surgical removal of fibroids:a) Menorrhagia.
b) Red degeneration.
c) Rapid painful increase after the menopause.
d) Retention of urine.
e) Secondary amenorrhea.
22. Relevant investigations for recurrent abortion include:a) G.T.T.
b) V.D.RL.
c) Renal function tests
d) E.C.G.
e) Hysterosalpingography.
23. The following are clinical features of ectopic pregnancy:a) Fainting attacks.
b) Profuse vaginal bleeding.
c) Pain after bleeding.
d) History of pelvic inflammatory disease.
e) Jaundice.
24. The following are complication of D& C (dilatation and curettage):a) Hemorrhage.
b) Infection.
c) Perforation.
d) Cervical incompetence.
e) Asherman syndrome.
25. The following predispose to monilial vaginitis:a) Pregnancy.
b) Diabetes mellitus.
c) Cortisone therapy.

d) Pulmonary tuberclosis.
e) Heart disease.
26. The following are clinical feature of Turner's syndrome (45X0):a) Primary amenorrhea.
b) Flat breast (underdeveloped).
c) Short stature.
d) Coarctation of the aorta.
e) Streak or absent ovaries.
27. Itching of vulva may be due to:a) Eczema.
b) Leucoderma.
c) Thread worms
d) Epithelial dystrophy.
e) Obstructive jaundice.
28. Differential diagnosis of bleeding in early pregnancy include:a) Abortion.
b) Trophoblastic diseases.
c) Decidual bleads.
d) Carcinoma of the cervix.
e) Cervical polyp.
29. Retention of the urine a 13 year old female may be due to:a) Pharonic circumcision.
b) Imperforate hymen.
c) Hysteria.
d) Disseninated sclerosis.
e) Neurofibroma of the spinal cord.
30. Causes of the postmenoposal bleeding include:a) Adenocarcinama of the uterus.
b) Decubetus ulcer of the cervix.
c) Urethral caruncle.
d) Oestrogen therapy.
e) Granulosa cell tumor of the ovaries.
31. Carcinoma of the cervix is associated with:a) Promuscuity (i.e sexual intercourse with deferent parterres)
b) Use of the condom.
c) Oral contraception.
d) Female circumcision.
e) Herpes simplex.
32. The following drugs are used to induce ovulation:-

a)
b)
c)
d)
e)

Human pituitary Gonadotrophic hormone.

Estrogen.
Progesterone.
Depo-provera.
Clomid.

33. The following are possible complications of ovarian tumors:a ) Torsion

b} Rupture
c} Haemorrhage
d} infection
e} Ovarian pregancy
34. The following is cytotoxic drug :a) Folic acid.
a) Injectable iron.
b) Mepacrine.
c) Thiotepa.
d) Methotrexate
35. Pelvic inflammatory disease :a) May be ascending
b) May be haematogenous.
c) Is sometimes due to extention from adjacent organs
d) Is a cause of infertility.
e) Causes congestive dysmenorhoea.
36. In human beings:a) Ovulation occurs 14 days before the beginning of next menstrual cycle.
b) The sperm lives for 48-72 hours.
c) The ovum lives for 24 hours.
d) The endometrium is secretory in non-ovulation.
e) The endometrium may be refractory i.e does not respond to hormones.
37. Symptoms of early pregnancy include:a) Amenorrhoea.
b) Morning sickness.
c) Tingling sensation.
d) Diarrohea.
e) Oliguria.
38. Diabetes milletus in pregnancy:a) May cause P.I.H (pre-eclampsia).
b) Is a cause of abortion.
c) Is a cause of microcephaly.
d) May be associated with polyhydramnios.

e) Is a cause of intra-uterine fetal death (I.U.F.D).

39. Babies born to diabetic mothers are more likely to develop:a) Respiratory distress syndrome.
b) Hypertension.
c) Hyperglycmia.
d) Polycythaemia.
e) Kernicterus.
40. Heart disease in pregnancy:a) Rheumatic heart disease is becoming rare.
b) Is a cause of intra-uterine death.
c) Labor is usually terminated at 34 weeks of gestation.
d) Ergometrine is commonly given at the end of the 3rd stage of labor.
e) Trial of labor is contra-indicated in heart failure.
41. The following are causes of malpresentation in pregnancy:a) Prematurity.
b) Placenta praevia.
c) Hydrocephaly.
d) Multiple pregnancy.
e) Polyhydramrios.
42. Primary post partum haemorrhage may be due to the following:a) Uterine atony.
b) Ruptured uterus.
c) Laceration of the genital tract.
d) Inverted uterus.
e) Hypofibrogenaemia.
43. Secondary-post partum haemorrhage may be caused by:a) Retained placental tissue
b) Fibroids.
c) Chorioncarcinoma.
d) Infection.
e) Clotting defect.
44. The following are features of foetal distress:a) Techycardia of more than 160 per minute.
b) Bradycardia of less than 120 beats per minute.
c) Passage of meconium in breech presentation.
d) Excessive foetal movements in between contractions.
e) P.H of scalp blood less than 7.2.
45. Feature of maternal distress include:a) Tachycardia.

b)
c)
d)
e)

Pyrexia.
Dehydration.
Acetone in the urine.
Anxiety and tiredness.

46. Indications for forceps delivery in the 2nd stage of labor with adequate
:-pelvis include:a) Foetal distress.
b) Maternal distress.
c) Pre mature baby.
d) Prolonged 2nd stage.
e) Serious maternal diseases.
47. Complication of abruptioplacenta include:a) Inversion of the uterus.
b) Retained placenta.
c) Renal failure.
d) Fresh still birth.
e) Postpatum haemorrhage.
48. Death from eclampsia may be due to:a) Asphyxia.
b) Renal failure.
c) Hepatic failure.
d) Cerebral haemorrhage
e) Heart failure.
49. Causes of ruptured uterus may be due to:a) High paity.
b) Previous c/s scar.
c) Internal podalic version.
d) Hypotonic uterine inertia.
e) Heavy sedation.
50. Puepural fever may be due to:a) Uterine infection.
b) Urinary tract infection.
c) Deep vein thrombosis.
d) Mastitis.
e) Malaria.
51. Precipitate labor:a) Occurs in less than 4 hours of labor.
b) May cause damage in both mother and foetus.
c) Is cause of P.P.H
d) Is associated with acute uterine inversion.

e) Is often recurrent.
52. Prolonged first stage of labor may be due to:a) Hypotonic inertia.
b) Incoordinate uterine action.
c) Cephalo-pelvic disproportion.
d) Pelvic tumours.
e) The use of syntocinon.
53. In fertilization:a) The whole spermatozoon penetrates the ovum
b) The ovum reaches the uterus within 24 hours
c) After penetration cortical granules appear around the primeter of the egg
d) The second meiotic division is completed just after penetration by the
spermatozoon
e) The first division of the ovum occurs 6 hours after fertilization
54. Fetal growth:a) Crown-rump length is considered to be an accurate ultrasound measurement of
fetal growth up until 14 weeks
b) The biparietal diameter is considered to be an accurate ultrasound
measurement of fetal growth from 10 weeks
c) The head/abdominal circumference ratio increases with advancing pregnancy
d) Fetal weight decreases with increasing parity
e) In late pregnancy occurs at the same rate as placental growth
55. Fetal circulation:a) Circulation of blood is present by 5 days
b) The heart beats are detected by the third week
c) The fetus responds to hypoxia by decreasing the circulation to adrenal glands
d) In response to hypoxia, the fetus can increase the placental circulation by 50%
e) In utero only 1% of the cardiac output is directed to the lungs
56. The uterine artery:a) Is branch of the posterior division of the internal iliac artery
b) Runs behind the ureter
c) Gives three branches to the vagina
d) Anastomoses with the obtrurator artery
e) Divides into arcuate veins
57. The urter:a) Is uniform in size except for two slightly constricted portions
b) Enters the pelvis mid-way along the external iliac artery
c) Crosses the ovarian artery
d) Passes about 8-15 mm from the lateral fornix of the vagina
e) Is closed by a true valve, where it enters the bladder

58. The uterus:a) Forward tilt at the cervical isthmus is called anteversion
b) By full-term pregnancy weight is about 900 g
c) Has an outer blend of muscle fibers which encircle the body in spirals
d) Endometrium at mid-cycle is 0.5 mm thick
e) Blood loss at menstruation is usually less than 50 ml
59. The breast:a) Oestrogen stimulates secretion of colostrum
b) In pregnancy may increase in weight 2-3-fold
c) Montgomerys glands are apocrine glands
d) The breast is a sweat gland
e) The most frequent site of an accessory breast is on the chest wall
60. Nutrition:a) During pregnancy an extra 60 g of protein is required daily
b) During lactation an extra130 g of protein is required daily
c) Protein may be found in potatoes
d) Phenylalanine is not essential amino acid
e) Vegetable protein contains all the essential

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