[MCQ]The Female Reproductive System, Infertility, and Contraception- Part 3

I. Start the exam by click the “Start” button

The Female Reproductive System, Infertility, and Contraception- Part 3

Please wait while the activity loads.
If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled.

If loading fails, click here to try again

Start

Congratulations - you have completed The Female Reproductive System, Infertility, and Contraception- Part 3. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%%

Your answers are highlighted below.

Question 1

Pregnancy complicated by diabetes mellitus, aim should be to keep all blood glucose levels below ?

A	126 mg/dL
B	140 mg/dL
C	180 mg/dL
D	200 mg/dL

Question 1 Explanation:

In pregnancy, fasting blood glucose should be maintained at <105 mg/dL with no values >140 mg/dL to reduce congenital anomalies like sacral agenesis, caudal dysplasia, renal agenesis & ventricular septal defect.

Question 2

After a 50-gram oral glucose challenge in a pregnant woman, what level of serum glucose measured at 60 minutes is considered normal ?

A	<100 mg/dL
B	<126 mg/dL
C	<140 mg/dL
D	<160 mg/dL

Question 2 Explanation:

For diagnosis of gestational diabetes, after a 50 gram oral glucose challenge, serum glucose is measured at 60 minutes. Values <140 mg/dL are normal.

Question 3

After a 100-gram oral glucose challenge in a pregnant woman, what level of serum glucose measured at 60 minutes is considered normal ?

A	<140 mg/dL
B	<160 mg/dL
C	<190 mg/dL
D	<200 mg/dL

Question 4

After a 100-gram oral glucose challenge in a pregnant woman, what level of serum glucose measured at 120 minutes is considered normal ?

A	<100 mg/dL
B	<126 mg/dL
C	<140 mg/dL
D	<165 mg/dL

Question 5

After a 100-gram oral glucose challenge in a pregnant woman, what level of serum glucose measured at 180 minutes is considered normal ?

A	<100 mg/dL
B	<126 mg/dL
C	<145 mg/dL
D	<165 mg/dL

Question 6

Insulin therapy in gestational diabetes should be started when 2- hour postprandial glucose concentrations is ?

A	> 120 mg/dL
B	> 140 mg/dL
C	> 160 mg/dL
D	> 180 mg/dL

Question 7

Which of the following is a common feature of pregnancy ?

A	Respiratory acidosis
B	Respiratory alkalosis
C	Metabolic alkalosis
D	Metabolic acidosis

Question 8

Circulating levels of which of the following remains unaltered by pregnancy ?

A	Free T4
B	Free T3
C	Thyroid stimulating hormone (TSH)
D	All of the above

Question 9

Circulating levels of which of the following is increased by pregnancy ?

A	Total T4
B	Total T3
C	Thyroxine-binding globulin (TBG)
D	All of the above

Question 9 Explanation:

In pregnancy, estrogen-induced increase in thyroxine-binding globulin causes increase in circulating levels of total T3 & total T4. Normal range of circulating levels of free T4, free T3, & TSH remain unaltered by pregnancy.

Question 10

Treatment of choice of hyperthyroidism in pregnancy is ?

A	Propylthiouracil
B	Methimazole
C	Saturated solution of potassium iodide
D	Beta blockers

Question 10 Explanation:

Methimazole crosses placenta more than propylthiouracil & is associated with fetal aplasia cutis. Beta blockers & saturated solution of potassium iodide may be necessary in emergency.

Question 11

Hyperthyroidism is most difficult to control in ?

A	First trimester of pregnancy
B	Second trimester of pregnancy
C	Third trimester of pregnancy
D	Any of the above

Question 12

Hyperthyroidism is easiest to control in ?

A	First trimester of pregnancy
B	Second trimester of pregnancy
C	Third trimester of pregnancy
D	Any of the above

Question 12 Explanation:

Hyperthyroidism is most difficult to control in the first trimester of pregnancy and easiest to control in the third trimester

Question 13

During pregnancy with hypothyroidism, the dose of thyroxine required to keep TSH in normal range is ?

A	Increased
B	Decreased
C	Same
D	Any of the above

Question 13 Explanation:

During pregnancy, the dose of thyroxine required to keep the TSH in the normal range rises. Increased thyroxine requirement occurs as early as 5th week of pregnancy, thyroxine dose is increased by 30% as soon as pregnancy is diagnosed & then adjusted by serial measurement of TSH.

Question 14

Thrombocytopenia during pregnancy may be due to ?

A	Benign gestational thrombocytopenia
B	Immune thrombocytopenia
C	Preeclampsia
D	Any of the above

Question 14 Explanation:

Thrombocytopenia occurs commonly during pregnancy (benign gestational thrombocytopenia). Differential diagnosis should include immune thrombocytopenia, preeclampsia, retention of dead fetus, sepsis, abruptio placenta & amniotic fluid embolism.

Question 15

Migraine during pregnancy may ?

A	Worsen
B	Improve
C	Remain same
D	Any of the above

Question 15 Explanation:

Headache appearing during pregnancy is usually migraine which may worsen, improve, or be unaffected by pregnancy.

Question 16

Chorea may be a manifestation of all except ?

A	Birth control pills
B	Pregnancy
C	Hypothyroidism
D	Antiphospholipid syndrome

Question 16 Explanation:

Acute or subacute chorea is due to toxins (excess levodopa, dopamine-agonist therapy), neuroleptics, birth control pills, pregnancy (chorea gravidarum), hyperthyroidism or antiphospholipid syndrome.

Question 17

Symptoms of “Restless legs syndrome” (RLS) can be exacerbated by ?

A	Sleep deprivation
B	Caffeine
C	Pregnancy
D	All of the above

Question 18

“Meralgia paresthetica” is caused by entrapment of ?

A	Median nerve
B	Lateral femoral cutaneous nerve
C	Ulnar nerve
D	Common peroneal nerve

Question 18 Explanation:

Manifests as pain and numbness in the lateral aspect of thigh without weakness. It is due to entrapment of lateral femoral cutaneous nerve

Question 19

Which of the following diseases show exacerbation during pregnancy ?

A	Crohn’s disease
B	Ulcerative colitis
C	Gall bladder disease
D	All of the above

Question 19 Explanation:

Crohn’s disease shows exacerbation in second and third trimesters, Ulcerative colitis shows exacerbation in first trimester and during early postpartum period. Gall bladder disease exacerbation is due to pregnancy-induced alteration in the metabolism of bile and fatty acids

Question 20

Intrahepatic cholestasis of pregnancy happens during ?

A	First trimester
B	Second trimester
C	Third trimester
D	Any of the above

Question 20 Explanation:

Intrahepatic cholestasis of pregnancy is a 3rd trimester event manifesting as profound pruritus. It is associated with increased fetal mortality.

Question 21

Acute fatty liver of pregnancy is characterized by all except ?

A	Markedly increased levels of bilirubin
B	Markedly increased levels of ammonia
C	Hypoglycemia
D	Hyperglycemia

Question 21 Explanation:

Acute fatty liver of pregnancy is characterized by markedly increased levels of bilirubin & ammonia & hypoglycemia.

Question 22

Infants born to mothers who are carriers of HBsAg should also receive ?

A	Hepatitis B immune globulin
B	Hepatitis B vaccine
C	Hepatitis B Ig + Hepatitis B vaccine
D	None of the above

Question 22 Explanation:

Infants born to mothers who are carriers of hepatitis B surface antigen should receive hepatitis B immune globulin soon after birth (within first 72 hours).

Question 23

Screening of pregnant woman with nitrite/leukocyte esterase urine strips is done for ?

A	Urinary tract tuberculosis
B	Asymptomatic bacteriuria
C	Urinary tract fungal infection
D	All of the above

Question 23 Explanation:

Screening for asymptomatic bacteriuria with nitrite/leukocyte esterase strips is indicated for highrisk pregnant women (sickle cell trait or a history of UTI).

Question 24

Intrauterine amniotic infection is most often caused by ?

A	Group B streptococcus
B	Staphylococcus
C	B. coli
D	Chlamydia

Question 24 Explanation:

Intrauterine amniotic infection is mostly caused by Escherichia coli & group B streptococcus. Penicillin G & ampicillin are the drugs of choice. In penicillin-allergic patients, clindamycin is recommended.

Question 25

Severe CMV disease in newborn is characterized by all except ?

A	Petechiae
B	Hepatosplenomegaly
C	Iron deficiency anemia
D	Jaundice

Question 25 Explanation:

Hemolytic anemia may be present.

Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results

There are 25 questions to complete.

←

List

→

Return

Shaded items are complete.

1	2	3	4	5
6	7	8	9	10
11	12	13	14	15
16	17	18	19	20
21	22	23	24	25
End

Return

See all quizzes of The Female Reproductive System, Infertility, and Contraception at here:

1 Pregnancy complicated by diabetes mellitus, aim should be to
keep all blood glucose levels below ?
A. 126 mg/dL
B. 140 mg/dL
C. 180 mg/dL
D. 200 mg/dL

2 After a 50-gram oral glucose challenge in a pregnant woman,
what level of serum glucose measured at 60 minutes is considered
normal ?
A. <100 mg/dL
B. <126 mg/dL
C. <140 mg/dL
D. <160 mg/dL

3 After a 100-gram oral glucose challenge in a pregnant woman,
what level of serum glucose measured at 60 minutes is considered
normal ?
A. <140 mg/dL
B. <160 mg/dL
C. <190 mg/dL
D. <200 mg/dL
4 After a 100-gram oral glucose challenge in a pregnant woman,
what level of serum glucose measured at 120 minutes is considered
normal ?
A. <100 mg/dL
B. <126 mg/dL
C. <140 mg/dL
D. <165 mg/dL
5 After a 100-gram oral glucose challenge in a pregnant woman,
what level of serum glucose measured at 180 minutes is considered
normal ?
A. <100 mg/dL
B. <126 mg/dL
C. <145 mg/dL
D. <165 mg/dL

6 Insulin therapy in gestational diabetes should be started when 2-
hour postprandial glucose concentrations is ?
A. > 120 mg/dL
B. > 140 mg/dL
C. > 160 mg/dL
D. > 180 mg/dL
7 Which of the following is a common feature of pregnancy ?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Metabolic acidosis
8 Circulating levels of which of the following remains unaltered by
pregnancy ?
A. Free T4
B. Free T3
C. Thyroid stimulating hormone (TSH)
D. All of the above
9 Circulating levels of which of the following is increased by
pregnancy ?
A. Total T4
B. Total T3
C. Thyroxine-binding globulin (TBG)
D. All of the above

10 Treatment of choice of hyperthyroidism in pregnancy is ?
A. Propylthiouracil
B. Methimazole
C. Saturated solution of potassium iodide
D. Beta blockers

11 Hyperthyroidism is most difficult to control in ?
A. First trimester of pregnancy
B. Second trimester of pregnancy
C. Third trimester of pregnancy
D. Any of the above
12 Hyperthyroidism is easiest to control in ?
A. First trimester of pregnancy
B. Second trimester of pregnancy
C. Third trimester of pregnancy
D. Any of the above

13 During pregnancy with hypothyroidism, the dose of thyroxine
required to keep TSH in normal range is ?
A. Increased
B. Decreased
C. Same
D. Any of the above

14 Thrombocytopenia during pregnancy may be due to ?
A. Benign gestational thrombocytopenia
B. Immune thrombocytopenia
C. Preeclampsia
D. Any of the above

15 Migraine during pregnancy may ?
A. Worsen
B. Improve
C. Remain same
D. Any of the above

16 Chorea may be a manifestation of all except ?
A. Birth control pills
B. Pregnancy
C. Hypothyroidism
D. Antiphospholipid syndrome

17 Symptoms of “Restless legs syndrome” (RLS) can be exacerbated
by ?
A. Sleep deprivation
B. Caffeine
C. Pregnancy
D. All of the above
18 “Meralgia paresthetica” is caused by entrapment of ?
A. Median nerve
B. Lateral femoral cutaneous nerve
C. Ulnar nerve
D. Common peroneal nerve

19 Which of the following diseases show exacerbation during
pregnancy ?
A. Crohn’s disease
B. Ulcerative colitis
C. Gall bladder disease
D. All of the above

20 Intrahepatic cholestasis of pregnancy happens during ?
A. First trimester
B. Second trimester
C. Third trimester
D. Any of the above

21 Acute fatty liver of pregnancy is characterized by all except ?
A. Markedly increased levels of bilirubin
B. Markedly increased levels of ammonia
C. Hypoglycemia
D. Hyperglycemia

22 Infants born to mothers who are carriers of HBsAg should also
receive ?
A. Hepatitis B immune globulin
B. Hepatitis B vaccine
C. Hepatitis B Ig + Hepatitis B vaccine
D. None of the above

23 Screening of pregnant woman with nitrite/leukocyte esterase urine
strips is done for ?
A. Urinary tract tuberculosis
B. Asymptomatic bacteriuria
C. Urinary tract fungal infection
D. All of the above

24 Intrauterine amniotic infection is most often caused by ?
A. Group B streptococcus
B. Staphylococcus
C. B. coli
D. Chlamydia

25 Severe CMV disease in newborn is characterized by all
except ?
A. Petechiae
B. Hepatosplenomegaly
C. Iron deficiency anemia

D. Jaundice

[MCQ]The Female Reproductive System, Infertility, and Contraception- Part 3

I. Start the exam by click the “Start” button

The Female Reproductive System, Infertility, and Contraception- Part 3

Share this:

Related

[MCQ]The Female Reproductive System, Infertility, and Contraception- Part 2

[MCQ]The Female Reproductive System, Infertility, and Contraception- Part 4

You may also like

Leave a Comment Cancel Reply