Quiz November 2014

Enter your name and year of residency (for resident doctors only) in appropriate fields. Select the best one out of four options for each question and click on its radio button. When you have completed the quiz, use the print button at the bottom of the page or use the print command button of your browser to print your answer book. We recommend you print a PDF file rather than print it on paper. That is more eco friendly. Answers to the quiz will be published in the next issue of the journal.
Name: Year

1) The incidence of conjoined twins is:

a) 1:10000 to 1:20000
b) 1:50000 to 1:100000
c) 1:100000 to 1:200000
d) 1:150000 to 1:200000.

2) Conjoined twins are best delivered:

a) vaginally
b) by cesarean section
c) by embryotomy
d) by obstetric forceps

3) Incidence of endometrial stromal tumors is:

a) 1:100000
b) 1:250000
c) 1:500000
d) 1:100000

4) Endometrial stromal nodules are:

a) never invasive
b) sometimes invasive
c) often invasive
d) almost always invasive

5) In chronic ectopic pregnancy, serum beta hCG levels tend to be:

a) positive
b) negative
c) very high
d) equivocal

6) Gold standard in the diagnosis of a chronic ectopic pregnancy is:

a) ultrasonography
b) magnetic resonance imaging
c) computerized tomography
d) laparoscopy

7) Infections affecting endometrium do not include:

a) tuberculosis
b) actinomycosis
c) myiasis
d) parasitic infestation

8) Noninfectious granulomas of the endometrium cannot be due to:

a) sarcoidosis
b) lymphoma
c) sperm
d) foreign body

9) Aurvedic medicine has described use of ___________ for treatment of genital prolapse.

a) Aegle marmelos
b) Rana tigrina
c) Pityriasis rosea
d) Malassezia furfur

10) The best location of a scar of myomectomy is ________ wall of the uterus:

a) anterior
b) posterior
c) right lateral
d) left lateral

11) Complications due to exposure of a myomectomy scar to the peritoneal cavity do not include:

a) chronic abdominal pain
b) infertility
c) rupture of the scar in a future pregnancy
d) intestinal obstruction

12) Bonney's hood operation is recommended for:

a) low posterior wall leiomyomas
b) high posterior wall leiomyomas
c) anterior wall leiomyomas
d) broad ligament leiomyomas

13) A retroperitoneal abscess does not form from infection of the:

a) kidney
b) colon
c) liver
d) appendix

14) A retroperitoneal abscess has:

a) very strong abdominal signs
b) features of acute abdomen
c) weak abdominal signs
d) no abdominal signs at all.

15) Pregnant renal transplant patient is not at a risk of developing:

a) preeclampsia
b) gestational diabetes
c) preterm delivery
d) polyhydramnios

16) The prognosis for a gravida with renal transplant is best if her prepregnancy serum creatinine is:

a) less than 1.4 mg/dL
b) 1.5 to 2 mg/dL
c) less than 2 mg/dL
d) 2 to 2.5 mg/dL

17) After the single fetal death in a monochorionic pregnancy the risk to the surviving twin of death is:

a) 6%
b) 12%
c) 18%
d) 24%

18) After the single fetal death in a monochorionic pregnancy the risk to the surviving twin of neurological abnormality is:

a) 6%
b) 12%
c) 18%
d) 24%

19) Transfer of _____ from the dead twin to the live twin increases risk of coagulopathy and thromboembolic phenomena in the live twin in TTTS.

a) Thrombin
b) Thromboplastin
c) Fibrin
d) Fibrin degradation products

20) About 10-15% of monochorionic pregnancies are complicates by TTTS.

a) 1-5%
b) 5-10%
c) 10-15%
d) 15-20%
Answers to Quiz October 2014

1-c, 2-b, 3-b, 4-d, 5-c, 6-d, 7-d, 8-b, 9-b, 10-c, 11-c, 12-a, 13-a, 14-a, 15-a, 16-c, 17-b, 18-b, 19-d, 20-d.