::cn or. ;\: S lngl• Dtsl Answer (SBA). Use lhc Answrr Sheet Provided. Toral rna rk, .

, 1
<lion: 4U mark.,.

I) M" • nn b an 18-)'rar-old woman who had undtrgon• • previous lowrr-S<~nicn t

cesarean drllvery. C urrcntl)' 1hr 11 admlllrd (or aclivr labor. During l:o hor, ""
intrwuttrinc pruturr cachrtrr difplay1 normal uttrin• conlr■cllom every 3 mlnulu " ith
or
intrn,11)· up lo 60 mm Hg. Frt■I hr■dycardla ensues. Which 1hr Collowin,: stalrmrn h
Is most ■ccunle?
A 111< normal intrnutcrine pressure e111hc1er display mnkcs uterine rupture unlikely
B The most c.ommon sign of uterine rupture is a fetal hC411 rate mbnormolil)'
C. lf the paricnt ha.~• uterine rupture, the prncritioncr should wail 10 see ,,,,hcther !he hcan
!ones return 10 decide on roulC of delivery
IJ Th< intrauterine Jlrcssure calhctcr hos been found 11, be helpful in prcvcntini; uterine
rupture

2 ) "rbr hormnnr respon,-U1lll' for dll'ddual ttaction :rind Ari■s Stella reaction in r:ctopic
prtgnancy is:
A , Ocsuogcn
0. ProgCStcronc
C. hCG
D. HPL

3) Tbe bes t JlaLr■mrlrr Cor utlmalion of fecal •g• by ultBSound In 3rd trimtslcr is:
A. Femur length
B BPO
C. Abdominal cireumfcrcnc,e
D lntraocular disw.cc:

4) l'ericonccpUonal we of th• following agent leads lo rNluctd incidu.e of nrunl tub<

defect, :
A. Folic acid
8. lron
C Calcium
D. Vilamin A

5) A l'G 11 42 w«.k.s' gestation ii bcing induced (or poSl•ltrm prqDAIIC)' and brr Cund•I
h• irtbl is 40 cm. Sbt has had an uncamplkatcd prenatal coum. Her 8 1' iJ 1110/ li0 mmHg.
tkr ce~b. is clostd, 3 cm long, and lino on cons i, etncy. The ob,rctridan decides on
u,lng • cen,ltal rirening •gene with miJopraslol in the ••agioa. Approximately 2 hour,
an cr placing 1hr misoprostol, the 11aliral bu 1a cplsod• or (<111 prolongNI decclr.ntion
to 80 h11ru £or 6 minutes. Whlch o( the following ii tbc most like~' clioloc of 1hr
prnlong<d decelc,ralion?
A Plucen1al ubruption
B Sepsis
C. Umbilicni cord prolapse
'

D Uterine h1-p<rstimulalii1n

6) Tb• subc:0s11I ••~I• during prqi:n•••Y is:

A. 8S'
B 95°
c. 105"
D. 75°
7) Tbr ardiac 1c1ivily 111 lrlw by lnnuhduminal USG LI•••• c■rUtAI 11 "'~•• g;,,,. 110 0,1
•1t''
A. Sth w«~
£1. l>th week
C. Rth week

I
D 9th week

8) 40-ytar-old ,rnm111 111,ads for • ron•ul111ioa ia primary urc <0mplailllnc of hcu")'

mcmlru•I blcccllni:. Sb• l1 otbcrwLI• Iii ind ••U aad uamlnaclun is unro1Urlublr.
Whal i■Yaligarioa should be •d•rl■kcn?
A. Coagulaiion scrcm
B. Endomr lriAI biopJ)'
C Full blood <ounl
D Pelvic ulllllSound ,.,.,,
~ Scrum f<rritln

9) Ch■d,..ick 1lp ii •••• la :

A Cervix
B. Vagina
C. U1crus
D. Ovury
10) .A dcfiail• 1ig1 of pl•«nrlll , rpanllon in slag• J of puturirioa LI:
A Gu.1hing of blood
B Uncoiling oi conl
C Filling of 1he plocc.ntn in lhc vagiru,
0 Increase of Bl'
11) I\ GI PO woman al JS wrdu' grsl1lion <0mu wilb s1101l■nru1u ruplure of •mahnnc>.
The (eul bun n,lf baseline 11 1.50 bpm wlrb nariHI wrlablliry. Thero ■R accrlcrolion,
lfff, ait!I numerous lal< dc«lrr■lioDJ norrd. lo ■a dl'or1 lo Improve •l)'C<aadoa lo 1hr
r~1u1, n•bltb mucunr would ••sl likely hrlp!
A. Supine position
O. Epidurul nnt:SMia
<.:. Morphine S1Jlfa1c
o. S1op the oxytocin
 -
e r ty In ~lr lt ?
rt , . C O f' ll tn
ou
.1 p rr c n r lo u.t p u b
h11 1 ; , 1,.
a u u or r r
I l J \\\ t ff f O S
f 11
c
; ( "'
~ '; : : : ; : ~ • orna
8 I l~
>lh:tlan11 c u1manom
I a
C IH•~. P< th r c
D u lOj'ln
r o me
A l b n & u '> u d 10 --minur c-
F A ic C u n c-- ;~ n o ,~ d lo h • ,·c- a ,m .
• · ' o f 10 0 111
u 11 l .1 1 C l f' I i s
l
a '"1" 9 ,.
ia o
"'ru ,:, U I C " r n
n fl J
I;"
,< '~ " - • g r : s f a u o n · -' <' I n t': l;.,bo r
~•\ h :~-~ r1
and
g ~n t l,c- "'"J:C
n fr tr a c in " ,n i& 1 b r b e ! r in u
,a h frp
IJ J R · , C'i:a n l b : ..u : ff l1 c -(nlt o
o f brad_ l'lr t:c- n U . \ b i d,o
e p n o d r- r cs o lv t d . l l
t \ h1 c- l1
b:a ~ n u t o ( t h i , p a t ie n t?
tt;<'m r n f
i n m a n :: p H n,1cscssmc
n1
s c a l p .-r:i
A F c W n cy c c s n n :n n dcJn
rg c
B Elnc cnous arroprnc
.: w c
C ln tr u s 1 .- r b u la !i o II.tit ,, .n
ln t r J ,·c n o
u ls ,, c m , i- ,p lr c ,s t t0 rnl
D
s s e s s m ll lcsm a l p $ ym p tc,m a tic
4.5
m .m u r Jt d m • n •g tm
E. A w it b• n 8
h«" t b t r tt o
m • n p rr-~ r n r s \\ ! J u t Mo u ld
o ..
o f I H iu/1
8f "
n o p!IIU..!- l A l .2 5
I" ) A p r r n:1,r SC'r u m
i tb • id n n a
o , : a r ,· " SOW>d J !u
y s r w ,d c r ultr.l lap ,u ,, ., ,. ,p ,c , •, c w
plan ? lhc c
p,muoo o r t h e c y n u n d e r d r r
ecl c,-oop h a
n :c ro my
A ._ _< tl ,mJ p ,n i;
A .t ti o n o ( 10 b ,lurcr:
B A s p ir c r o m_,. in a.dd11,on 0pbo rc -c wmy rion eJ
y s i r :r c 1n.s ;0--0 e to J:_CJ ta
C. H Jc /1 s ,a lp 'c ly of i .b o r d u
lJ. S b t w,u
. u , p a r os i: op r c a n 4 g e c o n s c l"'J:tl l\ l, a d i.adu cti•o.o·a&U"C p .ropbyla.l.. _
D ,n ti o a btJff# • •
R C D Ssurt: : in d •
~ fa 11 t r
,
, o r ~ o n n f 6 c m . A ft ~ r n c a l •
£ " ,• c k,,sn,,g:.n c s i u..• rc
su 1 il • t a d r
sir~ u n d c t, fM ,t < O I
., n • f 3 9 ., -f"l ic • I d ,.w ct, o n ,. lr
,

16) A c 2r1 woman undcnvcnl u no rmal v11gin•I d e livery und u J.2?ki;s via bk m ~ l• _i; ,fllnl
WllS dtlivc,rcd. Th e placcnla dr.lh·rrcd ; ponta.ncouily. T h e mid" ire n o led 511:111 ,c~ n l
blood loss frnm the v3gina lol aling :1ppru1im atch • 700 mb. Thr 111e rlne fundus uppc:a red
to be well conlr:tcl cd. V.' hich or the followl ni:;. Is lhc m oil comm on e linlogy for th c
bl«ding in this pa.lien!?
/\.. Rculinc:d plru:cnta
B. Gcnillll 1rnc1 lac.~111tion
C . Uterine ntony
D Congulop3thy
E Endomctri:tl ulceration

17) G n e, u • 22-yrar•old woma.n hu Sf\'<re poslp:u1um h emorrhage that d oc, n o l r espo nd

to mrdk::il lhtrJpy •n d you as her do<1or srat:e tbat surgical managt.m cnl is lbr Lo t
lh<r-Apy. Th• 1••ticnt dCJira futuro cbildh.,.ring. Which of the folJo,.•ing u the m o,1
appropriat• to ucblevc the therapeutic i::oals1
A. Utcro-<ivarian 1, gnmcnt lig;ition
B. Hypo1,"1Stric artery ligntion
C. Suf)racervicul hysterectomy
D. Ligation of the cJ<lcl114J iliac 3J'lcry
E. Ccrvicnl ccrclllj!C

18) Mo,1 co:~ mun • it• _o r ?b•tetric Injury lt•diol! lo urctrravatin•I Fi I .

A lnfund,bulo pclvtc ltgamcnt istu a.
8 . Vngu:ul vault
C. Urcteric tunnel
D. Below Glldinal lig.ament where uterine nncry crosses

19 ) 2S-y~r--<Jld PC woman u di•gno~ed Willa tw iu

•·.1~mtnahun .,r the ru,mbr:u, ,., Pregnancy at IS w eciu· t;nta1· C
two rnu, .. Wh ' h .. r l!Vonu thnt Ibero 1, • Ven• Lb ' , •on. •r•fu l
i'
/\. 11 i, 'lik ti •• oftltc following •••h-ments ii., lllo•t
· c Y m1 nnc fetus is am 1
• in llltnabrane btt\\ <en Ibo
• acc urate?
B. It is iik clv that this 5 d. ~ • and ~,c Olhcr • female
C It is likely. Lhot ti 1. ~ O l7.YgOL1c (lCSlotion
·· ts 1s a rnono · · .
D. It i., likely that th zygotic ges11111 011
ere ll!'I: lwo 5'1>ar.ite plac.entas
20) lfontmnt rcrta r, 111 , 01 Ib ero I.

A Vagilllll ntrophv I') is h• l11ru1 111 all of l b f II •

B Flushing · • 0 owing except:
C. Osteo)ll)rosas
D Coro11atv h
• • .,, d I SCU.sc
 Sb, h
1 1) Ca.rot 1,,. G21' 1 ~• l7 ,. erk>' 101111hm a mJ t1tr.lot roJluw,d fo r twin gttUHtin
11:rt: at
111Hlt•r ,:olnr. tilfr 1hlnJ ul1r1u11un1I ~u111l111rkm W 1111) • lier Ul1n11.1Dund nndfnn,,
r,,uu,~, :
•
- - .,..,.,,,-,I Twin 1
100 ~ II OO ij
n
- ?bcm

\\'Mc,h ur lhf' folla n ine, b tt,c ho l nnl ,rep for fl, h 11:alk'o l?
" Chorioolt ... ruu., wunpl,ng
U Repent t1hnuou.n.J i11 J w«k..t
C l.u.scr abfation o( vc·acl1
D Rcvi.J.inn ordllJ.e.1, for U,~1,1
??J E.i.tt"ot,o t't(llu:tmcnt fo r po,1n11..-nupaanl , , m1·11nm , c..au10 1n increuc In :
A. LDL
U C'ho\t=.l>IC'rOI
C VLOL
lJ fn a:lwe:ridc,

?J) h uo l uu J in rrr111mc-n1 or t,t'.numc ••·" '-" U1contincn c-r

A Anlc.1 1or i:olponMph)
ll Po1tcmn «.lpo" h11pby
C Colporuspen,loo
D. Pclv,c lloor cx:c1t1sc
E. Sltng operallon

l,i) £nru1cn ad mlnbfnulon ip • anoopawal .--o m.1110 1ncrHit'l lh~

/\ Goradolropln tcacuun
H LOI. - choldttro l
l. Elunc nuu
r) M 11Y.k ffllL\)

15) T, Ul' r r;:11n l Iris: 1w1tmt?nu1111u.\ttl 11~rc-0 1•vrn~t\ lt-:

A Amc-nunttc:•
IJ DcuCJU<d s<l"\lm e4)c:ium
C Nonn:al 1C11.m1 c:hcm111ru:!i
D Ottrc.ucd , 11.amln C
•
l'-')N~.m•h ilrmona l d ru.:, 10 procn t ruu1-n1('fl UJHau..ul u~tw p@ro"ti.J ~
A A!cndniruate
B fat mg,:n
C, R.a~u,ffcnc
I.) Parnt.h) rem!
I
-
uld G Ire, und rrw rnl In •hr o r,rt ih1,i1iun ind broom< pr<i:•••• ..-il h lnp lcl \,
?7) A l l •)'• •r- rou nr. Sh • com•~ 10
h 1n uncompllnlcd p rritn• nry
Sb r hu • hii :h- ri,k r rrc,,a aq ,.fl I~/ 100 mmlla, i nd 2+
I hluud pr~uu rr or
"•rd 4 11 30 " «
iffn
k>'
n.al
~ct
ly,
lall
, ht
on
com
" 'ilh
plu n, ur d) ,p nn and hn cu ygr.n urun
tion i., 11?•'-
11ro1,inuri L AtJJ s ,,
i:n o,Nl "" b prrt·<l ■ mp1b. \\'
bk b or 1hr fullow in ~ •f•l tm rni
on roo m ai r Sh r I, dl■
moJt ■ ccuratt '!

A. A" ••• 'lpOnlllJ1,o us labor

[I lnJ u« lobur 1nu11<dl31CI)
C Ccmrcan •• )4 weeks' gcSlnlion
I> Cc w,, .in •• l9 "c ch ' ges1ation
tr a •·• ~•• •I
ar- ,,ld " om ■ n nnl cd l o b• n ,l,.n iflu nl ufr rio r bl<tdlng aft
28) Cb rlu i, a ~ -yc r II nol td lu b• hletclin: fro m
mulllplr
hc ry <or npl ou lcJ by ■b ruptlon pl• rrrr ••· Sb
Jrl
fulln,. inl\ b l be br>I 1b, n py~
••rn lpu nt1 u r, , ho , Wh ich or 1hr
A lmmcdllU< hys tcm :lom )
0 l'oclcin~ of llrr Ul~·nn
C 1-f)'l'OgMIIlt nnc l) lr~ullon
0. L1~o11an of u1cro-<>• :uil ltl lofom<nl:5
L Corrccilun of co• ~•loplllhy
u1lng Ra loxifcn< o•·t r ol rng
rn in
ng arr lb• 1dnn1ai:o of
l 9)A II or rht rolln,.l
:
poltmr.nop1u11I womr n ri:t tpt
A Rt.lm:cs frac 1urr ralcs
8 . Avoids cn4om<lri1I hyp<rp l1Ui o
lhrombosis
C' Reduce:< tb< incrdcncc ofvcnous
sl cAtclJrom•
O :,;., mcn:u e t0 inc,dmcc of hru
krn rnl
ftm •I• Hf fcrlag fro.. u, ·, n mc nor rb•e b (D UB) unt
JO) A 48• y•a r-<> ld Pby sln l ru mio01ion
tcfo my . Sb r ,.bh 1:1 10 tru b ormon t rrp l ■cnnonl lh <r■ py.
h)> lfr kr U:
tart nor ma l but X-r:ay 1h1 1"1 o•lruporo sis. Th~ lffiltm rnr of cho
:and b~ IJI
A. Progestffllnc
n.Est rog en and progc11r ronc
C F.strugcn
D Nont
ls \\Ith lrul nusbcs afl rr Jlo ppl n~
or mm sfn ,al io a. ' 1101
yu r old "" "'" " Jlrr scn
J I) A 45
irtr alio u of folluwla~ agc nu :
Flu, h' ran be r,U,..,d b)' adraln
A ~ yl r,s1nidiol
8 restosl<!ronc
C l-1uoxymo 1cron
D IJoruu.o l
ll) A ,.nmoo, ,., pi n 1, un
00 dt" ''cnt a oorm ■I vagln■I dtllVt
)'our , on~ultatlan room compla l')' 10 days ago .S bt comts : o
ining of ■ largt ■mount of brigh
around 5 PM th• pr tviou. day t n:d blt tdi ~g tb•~ b~ n
1 . Wllitb of lbt following is tbt mo
A. Uterine al<lny st llk tly dia ga on, 1
B C<TV1cal la:.:rahon
C Vagirw lactration
D. Sub1n\'olulion oflhc utc_rus
E. Normal menses

33) Us• of one of lht followin&

,·1ccinalion1 is abs olutely conlra
A Hcpatitis-B indicaltd ln-rrtgnancy:
B Cholcm
C Rabies
D Yellow fc_ver

34) Ptrcen tai:• or "'omen "'bo

d,l h rr on the np cd <d da lt
A . 4% of dd i~try:
B IS¾
C lS¾
D 70- .

35) Th t pru su rc or normal

bti ng rdt1Ttd lo bt rt1
A Montevideo units
uterine con ln elions is bti-..·u
a 190-300 units. Wb.id1 11
1111 is
'
I

8. mm of ll@
C. Cm of ..-a1cr
D Jou les/kg

36) A ll•)'t■r-olcl ls Ln hu
On t pre pa nc y 11 20 \\1 tlu
alt nsou nd na ml na llO I for ' ga tat ioa ud lln dn ioe t
1iu gr ut rr tba o her dalea. an
by dn mn ios wit h an amniotic TIit ult ruo an d ttY Ub
flu id ind n of 30 cm. TI it ftla
ma n In lhc rigbl abdominal rl'& l ■bd omtn rc,•t■ls a cyatic
i-on
of 1be following is lbe mu1l lik dy ud I cy11ic mass in lht ld l ■bdomlaal ■n:a. Wlalcb
us oc lat td cuaditioa1
A. Gc$1at1orul diabetes
0 . Congenital o,11rian tumors
C. Down syndrome
D. Rh isoimmuni7.4tion

37) Ms . Tr ac y u I primii:ra\id ■ al 39 wr tlu gc1111lun

anlep1_,_um bcmorTb■ i:c. On and is admittc4 wi lh paialu 1
na nd na t ion, tht ult rui b son
cni:•Jltd . Th e m1n1ccmcn1 for noo-tcnllcr ■ad tbt ba ll
he r would be:
A. Blood transfusion and scda1i
vcs
B A sp«.ulunt cxo.mi111111on
C l'ctv1c cx11111ination in OT
D. Admit ancl ob$U\'Cif hlccdmg
15 mimm31
•
'
h d111. •lit'
ttn ~ M lad ) ""u.•
un d~ m l h)t tt rtt fOn l) On lbt ,o•c-nt
JS) Su uu h 11 411- ) hbllnc Sh., n c alio
,dnpNS tt,Y r. bvr nin u mit 1ur adn n •n•J cun lin uou1 wri n • f'J dri
dC"
o, 1, b:
pu u urfnr , 1Jlun1 1nl) . Th r dl• g:a
A \'c:,ico \&g m.t i fi'\:tUla
B l'•cc mccnuni:m.·c
C Str u) U1(o:,hncn.:c
D UR'1 cro-YaguW 6 .. 1uln

od '"'' dur ICI pa11p• r1um h1

tmo rrlli.a 1c- (l'rtn.
17\ A fc:nu k pf'f l~n b wn th d-, wi n ot blo
(HR /•J Uolir llrl 1
Wl ul " ould h< lbr 1ho tk lnd u
" • 7--0.9
B OS-0 .7
t 0.9•1 I
D l l--OS
r rwb t hrlll1h 1
ln n a b>b )' ,.·ft b I def t pal1lr and ch•fl lip. T b, boh ) u olh
~OJ R.t< hn l ckl d t rru n• for 11tu anoma l) .
\Vh .id1llf tht
buu1 wb ,th n lhr rt u • Jttat
Th t p-21d t.111 ulu • !
of lht cu t1i o of thlt, c:oa d.ihun'
folb ,- 181 is ••r hoc npl•a■ doa
A Autaso m&J dom ,ruuu
8 AUl O)(Jm .J n:-ct..s.shc
C' X,linl.cd domuunt
D X-l uU:ed ~,~.1wt
E Mul1ifarum&J

, ., P@1tC'OltaJ In t b d uair for :

A Cc t\•1c.al r«c p11 vlt)'
B Spam mo1il1t)
C Ab,olutr 1pcr111 cown
0 Vi11hlr s-pcm, count
I: l:..Jomccn•l r-11on
:cm rnl ~UI lk:
d drc rirt prulafl \<. Ur,& m,a aa.
.a2, G! f'-4 at 1-4 " t d u " llh thir
A s11., surgery
n I 0.11 end ,tt\ ~ll on
C Rlng l'u "" y
D No lJ'c>Jmall
• inn of labo u r.
.a.11 C•n lr■lnJint ion nf ind u.rt
A PIH
B H~ obstctn cal hn ron,
C 0...1><10
0 I lt.111 dtJ HJC
« l(.l l' I e m•n •• at 2' •ttl. .>' to:U hoft uut b "'"
of h,., \111 t11t■.11n1al pt nod ~II« n •n
.-i

lo •1\. \ OU f o t a M'1'\UII \(rN '·at"C

lht I ~nf' rtht 'fll •t ' •
')'lld rum c , _a d, utlari,._, .,,. t hrt t" no bM
I 1,,
ha., nnr rl11h t .. ,th ll.• -
ih h!Hn n ill u,nm •lin ur tf'nt"lk d luu
\\~k dtr•
k or thf' ruUo• tnt " t hf' me, , • N'" '""' '' IM(l (Uil\ ,..
A, J\mH IOCC1\1CS U l\
\hf l l'f1"-1JlfH\\ ( lnl
8 Scnim " rccru.1111 •'""11.1 t,.(- rc,h..,.,.l(J
(_ E. , r lun "' th,; JV.'-•m t tlw H ,, ton b1c f,,,
'<m m .. ,.-C'n,n, h.n th 11 hr, ,u.~ I " Om
n odn,mt u "'" m~t , h1~hcr ,tun hct a"•tt b w1'
tftl ' " ~
0 ll,t r-,:UCI\& ~ ooh !: ,-c.an 1,,1f •it: doc.•
t"K.\I ncrJ tnUM 1 '"- rtcn 1n ..
1 fbr fl;&UC-"1 ha} a !.S•.
chance ,,1 her hab, l'->•1nt (){i\\ tl ••nd n"\m c

.&S) Mo n ()<h orio nic mon oa mnl fttn '"

~ !kfot< , . bou n
In o«u n ,r d h ; ,11111 11f('llt~
8 l J J.:."!',
C ...._. dl1,
D •t -1.&,

<ltt\ A ~,n.r◄ld Cl ro • a•., , at l b ~«k l' tot • Ou• n ""tn i tn haH

• • •'" • trd •ott 11._ J
v n • \tr at ? tt MO \\, Siu undr -,...f
Qnt ""a l • """r al 1ubt- dtftt t.. U n ftlll)'
'at a ••ri-.....
,1 .ahn 11:u1a ..t "•m ln• Hu n • llk11 Jld
Lfla • ••d,n1u,ol.. • ,:HUD-al uar- d1 f-,, •n
fo r tllc d.-,u 1cd AJ 'P •ltlllo111 tdl'n lih lnc ft_. .._O
an N to'-c ., \\1-i t:h o r t.lllt' foUo ,.u1,c "" ·e
ti tlllu rut. alt a t 1a r l"'Q..11NS n d, on d.i btt• ,
A_ lncr< .ucd u,c,d mcc orllllib ,nh
8 loesa"""11 4'Abel<>
C Oov.n n Tldl'Offl(:
D \lol. u r rq;nanc1

.a7lA ll•) nr-(lld ) (IWac: •u••• cu• o t.., bn huo'-h,1, '-bh • t l et •ttl u' Ct'IU t.h1t1 •ltlt
t..U ) hhtuf") ur ~c c•ltal dnfa c:u ••d •
n.-v •• ••I ,.,a• I dhn u• 1 be- ti • U••• •• hur
b aurm al \ \'bh- h a f 1h11 flllh ll•iu c h th.-: ie.c
but nut ,1t,11 '•
A A.mnlOU'Utct" for l a.t)OC) flC'
U A.mmtt<C'l\lal \ fett ruht- lla 11 M
C Gn,c-1-. <nun'-Chnw:
0 Oluc.tt .r C"h.a.lkn~, tntm r

~8) A ].t,. .Hn •o hl 'Aum a n h nolr J u , br

.i t l -1 •nk l' 1nt enu • I tu · •ln
\n u.ir, .Joou od IJo pnform nl "'bi th H·u u 11:1, lh.._, hn J ain..
:eh ullcutl) ,lran♦mu, "llh • • r\.Fl uf LI
\Vh ld1~r lh" foll1m1n c • \:rnh tti•) It.- r1'J1 rta.
1un, lhh1 fu t tM, n nJll hm•
A Loh 1um u pm, tt
lj An~htlc:n.llll ~n n , ct11ng t'n.rym c tnh1h
1101
C Oral h) p<t~h1,..('1tuc ~.:cn l
0 1•bcn ,h11n
 f

ooJpcrmfo:
f
n in s: is lr uc ab ou r olm ru rt in nz
fo llo
~9) Which of 1h r
A I FSH Md I LH norll1lll LH
d
B. Nonnal FSH an
II
C. TLH , Normal FS
LH
D J FSH. Normal 1I FS II norm3 I ttsl
o11cr11nr
~ iu of tu li J no rm
5prnni1. On ua m
in ~l io n
50) A malr with azoo
ab lr n u n is:
no rm al Most pr ob
u:slis
A MAL dcsunded
8 . Klinefcl1cr's sy
ndrome
nd rome
C Kallmann's sy
n
D VAS obsll\lClio

Jl lr U on •
is sr cl io n. E oJ ur r each an Sl\ er
estioDJ in tb
w tr all 1hr fo ur q■ ru diffc rr a l m ar ke
rs .
SECTION D: Ani p1 n 1ed aa d gh •cn
en will br sc p m rn ll in
s, pa ra rr pmgr u th ru 3 at 36 • ·tt ks ' g u l1lion and
G n ,•ld a- ' Pa
ko is a 31 JeJi r old 1r 1 an d ••om itf
og an 1,n111ly, 1hr
I. Mrs. Mut1lr Sa fr om sign ifi ca nt 0 1u
concordmn1
prcg111a cy. Apa rt lio ns do or show ed
labor ,.; th a "' in ul en so uo d u. aa u1 11
r>ia l
uorvcnl(!!I , S maJ H of 41cm, , ad I ct
pn gu ncy ht J bt tn ar c no nn :a l "i U a a Sf
Mal tr na l vital si gu rm bn u1 r an d
vo •n b of rb r hi-ins. r. .in pr tg na nc y wit h a dh id ing m
H er la test sc:.an sla
otl·s • if icia l rv pt ur r of
dflatarion of -'<111- 11 bo ur . sh e di la l~ to 6cm. A rt
ta rion. Airer 2 bo
un uf n ru pt ur e or
,m rm rn rx pm ni 1 sc a lp d « tr o d c o fh li n one. Upo
r a fc «. cin;:
br an es is u1 1d tm kr a lo allow fo no te d. Tt 1 in A 's fct2I h u rl ra te tn
mem llal bltt ding oi dJ I
m rm br ao cs , tl lr rr is mode.rate vagi to J7 0b pm bt fo rc sho,vini; 1 , inus
lh r r in cr ra st t
lb r 140bpm bu cJ Jn
1h111> u i11irally la
ap pn ra a< c. m ar l.s f
W lw is tb c m os t likely d1 ag no m ? /4
•l na rk s/
of llus condition ? /2
b) Wh:u 1s lhc cause marksf
ns k fac1 ors of lh is cond11Joo? 16
c) \\'h.11 au th .: mar lu (
the ll1 .'IIUJ gc m cn 1 of 1hi~ "O mJ10 ? (J
xt step in
d} Wlw IS rbc ne •·-•
·- 'm l . d Ii H nn . al '"' 2 W tt ou
in du or •" g
l • body mll J U t
'"U <i ,-
-yca ri....ld c2 r1 wom an •i rl 37 00 , t sr ag r of la bo r an
d :1
?. A 25 t' _ pc an di al caJJ y lo b
g. A ,l rr • 4- bo ur fi rs
Cc:s io n. ' a c rr,.ru. , apfl b
ta •e r
l1 ou Jt to nd .. IIc
h
ca d dt hv rr s bu r u I d to b c rt ln cr cd ba ck 1o t1 an b 1h
2- -. .r O • or , t . no t
T bt fr ta l shouJdr l pushing.
morbcr's rntrolnu . n do no r d' ;" ; rr cvr.a wirb m at tr na
cn bcd in the ab o . m ar ia /
i) \\'hat sign IS da "c as r .seen.mo? 12
b) \\' lw •• -s can )OU 14lr in your 1114 na by? f6 m ar ks f
-v gc m cn 110 dcllvcr this ba:-
ciy comp! ca 1 f ,L n? (4 maria/
,L ~
c) Wh•1 Dre Ille ltk ta
"' c. in oc:cu, be 11st O uu :; condi11o
, ,0115 "' te l ? /3 1DJ1rlcs/
d ) \\'11., 1 mo1rm.,J condn,ons would I1 1h15 P3Ucnr Ill ns k o( such a condition
y PO I