1.All are predisposing factors of tubal pregnancies except a. salpingitis. b. anomalies of tubes. c. previous ectopic pregnancy. d. abnormal embryos.

e. intrauterine contraceptive device.

2. In Placenta preavia all are false except: a. Minor degree placenta previa, include grades 111 and 1V. b. Nulliparity is a risk factor. c. It is more dangerous to fetus than mother. d. Can be diagnosed incidentally with out vaginal bleeding. e. Pelvic examination in the ward is advised to confirm diagnosis. 3. In missed abortion all are false except: a. fetus dies after expulsion from uterus. b. complicated by DIC in all cases c. even if ultrasound is available, abdominal x-ray should be done to confirm diagnosis. d. Positive test of Human Chorionic Gonadotrophin (hCG) dose not exclude the diagnosis. e. treated by suction curettage in second trimester abortion. 4. In normal cardiotocography trace all are false except: a. Base line rate is 100 beats /minute. b. Loss of variability. c. No increase in fetal heart rate in response to uterine contraction. d. No decrease in fetal heart rate in response to uterine contraction. e. Early decelerations is always associated with fetal compromise. 5.In Pelvic inflammatory disease (PID) all are false except: a) Can be caused by ascending infection from vagina only. b) Intrauterine contraceptive device (IUCD) decrease it's incidence. c) Can be present as dysmenorrohea. d) Give antibiotic immediately before obtaining high vaginal swab. e) All patient should be admitted to hospital for treatment.

6.Which of the patients following conditions can be diagnosed with a hysterosalpingogram? a. Endometriosis b. Hydrosalpinx c. Subserous fibroids d. Minimal pelvic adhesions e. Ovarian cyst 7.One of the following is exacerbated by COCP: a.premenstrual tension syndrome. b.dysmenorrhoea. c.endometriosis. d.hirsutisim. e.cervical ectropian 8. Antiphospholipid syndrome may associated with the following pregnancy disorders except: a. late miscarriage. b. fetal macrosomia. c. Pre-eclampsia. d. Placental abruption. e. Stillbirth. 9. Regarding fetal surveillance , all are true except: a.Biophysical profile needs ultrasound. b.Continuous electronic fetal heart rate monitoring is only indicated in some cases. c.Fetal bradycardia can be due to fetal heart anomaly. d.Decelerations are a good sign in cardiotogography. e.Early deceleration can occur due to fetal head compression. 10. Polyhydramnios might caused by except: a. b. c. d. e. fetal anaemia. Annencephally. Oesophageal atresia. renal dysplasia. monochorionic twins.

11.In Cervical tear all are true except: a. can be caused by instrumental vaginal delivery. b. diagnosed as a case of postpartum haemorrhage. c. Usually treated without anesthesia. d. Can cause cervical incompetence in subsequent pregnancy. e. Laprotomy may be required in some cases. 12. Clomiphene citrate is a recognised treatment for: a. Anovulation in patients with infertility b. Hypothalamic-pituitary failure c. Luteal phase deficiency d. Oligozoospermia associated with a raised serum FSH concentration e. The premature ovarian failure . 13. Endometriosis is a recognized cause of: a. Pelvic pain. b. Amenorrhea. c. Pruritus. d. Postmenopausal bleeding. e. infected laparoscopy scar. 14.One of the following statements is correct regarding hormone replacement therapy: a. It does not require a physical examination before prescription. b. Can not be given orally. c. It requires cyclical progestagens even in women without a uterus. d. Irregular vaginal bleeding is a common symptom which may be ignored. e. Should not be prescribed to women with breast cancer. 15.In uterine fibroids all are false except: a. Need myomectomy during caesarean section. b. Commonly arise from the cervix. c. Regress in size after the menopause. d. All fibroids are diagnosed by the symptoms. e. Mostly present with pain.

16.In cervical carcinoma all are false except: a. The menopausal cervi ax is believed to be more susceptible to carcinogenic stimuli. b. Nuliparity is a risk factor. c. Causing pain if extension of the growth beyond cervix. d. Can be treated by Wertheim's radical hysterectomy in all cases. e. Screening is of no benefit 17.The most common time of bleeding in a case of placenta previa is; a. first trimester b. second trimester c. third trimester d. immediately postpartum e. at any time during gestation 18. Iron supplementation is recommended in pregnancy in order to a. prevent iron deficiency in the fetus. b. raise the maternal hemoglobin concentration c. maintain the maternal hemoglobin concentration d. prevent iron deficiency in the mother e. prevent postpartum hemorrhage 19.D& C is not use in diagnosis of: a.endometriosis. b.endometritis. c.endometrial cancer. d.endometrial polyp. e.endometrial hyperplasia. 20. The most important step which can injure the ureter at hysterectomy is at : a.tuboovarian pedicle. b.round ligament. c.uterine artery. d.Vaginal angles . e.vaginal vault.

Assay question Q.1 A35 years old lady presented with excessive regular menstruation ,on examination the uterus is palpable at lower abdomen firm in consistency . A. what is the possible diagnosis. B. what investigation she should had to confirm the diagnosis. C. Comment briefly on her surgical treatment. Q.2