Saudi Board Exam 2015: These Answers Are Mine, They May Be Right, May Be Wrong
Saudi Board Exam 2015: These Answers Are Mine, They May Be Right, May Be Wrong
Saudi Board Exam 2015: These Answers Are Mine, They May Be Right, May Be Wrong
2-15 years old girl Tanner stage II ,with primary amenorrhea. she have grown
5cm taller in the last month .what will you do?
a-skull x-ray
b-reassurrance
c-GnRH agonist
d-???
3-7years old,bone age 9 years old, Tanner stage III, with vaginal bleeding.what
will you give her?
a-GnRH agonist
b-OCP
c-Estrogen
d-no treatment
5-Laboratory and clinical findings with clear cell ovarian tumor are:
a-Hypernatremia and hypotension
b-hyperglycemia and
c-Hyperkalemia and pyrexia
d-?
2
6-Heparin physiological mechanism to reduce coagulopathy:
a-increase platelet function
b-increase platelet count
c-increase fibrin degradation product
d-block fibrinogen consumption
7- Patient has twin pregnancy, with absent fetal movements, diagnosed as IUFD
for twins at 30 weeks.what is your management?
a-Emergency C/S NOW
b-IOL now
c-Heparin to decrease the coagulopathy
d-Reassurance
27- Case scenario for avery ill pregnant patient with acute
pyelonephritis,admiited on IV antibiotics and IV fluids.After 5 hours from
admission , pt developed dyspnea,hypotension (BP:90/50), O2 saturation 88%.
what is your diagnosis?
a-Pulmonary edema
b-Drug induced
c-Sepsis lung injury
d-?
32-Pregnant patient with CMV, asking about the risk of having a severely
affected baby is:
a-10%
b-20%
c-50%
36-Patient her mother has breast cancer and her sister .you will council
a-Genetic screening
b-?
c-?
d-?
37-Patient her mother has ovarian cancer ,she can decrease her risk of having
an ovarian cancer by:
a-pelvic exam
b-CA 125
c-OCP
d-?
44-Patient has previous IUFD at 33 weeks now she is 28 weeks .what will you
do?
a- U/S at 38 weeks
b-U/S after 2 weeks
c-C/S now
d-Steroids
8
45-Ist line of treatment for acute severe hypertension in pregnancy
a-labetalol
b-Hydralazine
c-Nitroglycerin
d-Nifidipine
48-If patient with anti-D sensitization, the first sign to appear in the fetus is:
a-Skin edema
b-ascitis
c-?
d-?
53- prognosis of
9
56-Aminocentesis in twins
a-single needle inserted in one sac then to other sac
b-each sac is aspirated separately through twice insertion with indigo carmine
injection 1st sac
62-Endodermal
a-primitive yolk sac
63-Case scenario, Patient with 1ry amenorrhea, Pubic hair and breasts are
present
increased testosterone, decrease DHEA
Due to:
a-5 alpha reductase deficiency
b-17 keto-steroid
c-21 hydroxylase deficiency
d-11 beta hydroxylase deficiency
65-Patient with FSH :2 and very high LH:1500, and delayed cycle nice 3 months
a-PCO
66-Case scenario ,patient with prolonged labor, forceps delivery developed foot
drop
the cause is:
a-improper position
b-instrumental delivery
79-28 years old, young patient diagnosed as acute myeloid leukaemia received
chemotherapy 6 months ago, 2ry amenorrhea .FSH 50.
Best mangement:
a-OCP
b-conjugated equine oestrogen
c-GnRH
86- patient with pap smear showed atypical glandular cells of unknown origin .
Best management:
a-colposcopy ,biopsy and endometrial biopsy
b-repeat smear in 6months
93-32 years old, pap smear showed ASCUS, with intermittent pv bleeding.
What will you do?
a-LEEP
b-Colposcopy and biopsy
c-conization
d-repeat pap smear in 3-6 months
96-Young nullipara, cervical biopsy showed micro invasive cancer cervix with
+ve margins CIN III
Best management:
a-Simple hysterectomy
b-wide cone biopsy?
c-LEEP
d-repeat biopsy
100-which of the following is the best tool for follow up of an IUGR fetus:
a-Head circumference
b-Femur length
c-?AFI
d-Transcerebellar.
e-?
101-patient with failed induction ovulation with 50 and 100 mg clomid from day
5-9 of cycle
the next step is:
a-increase the dose to 150 mg
105- Tamoxifin used as treatment to breast cancer has greatest risk of:
a- endometrial hyperplasia
106-55 years old, known case of fibroids presented with heavy cycles.
Best management:
a-endometrial biopsy
108-what to do else for a young patient with a low malignant borderline ovarian
tumor found during oophorectomy?
16
a-pelvic lymphadenectomy
b-omentectomy
c-?
d-?
110-Patient has SLE, with history of lupus nephritis when she was 8 weeks in
current pregnancy received steroids, now she is 37 weeks in labor ,not on
steroids.what will you do regarding the steroids?
a-start steroids
b-Donot give steroids
111- 17 years old with 1ry amenorrhea, Tanner II, what will you do next?:
a-FSH
b-U/S
c-Karyotyping
115-patient had hysterectomy due to prolapse years ago, now she is complaint
from something coming from vagina.most probably:
a-Enterocele
b-Cystocele
c-Rectocele
17
125-patient with preeclampsia.what will she have increase risk in the future?
a-cardiovascular disease
b-renal disease
126-pregnant patient with routine ANC ,BP 150/90. the best diagnostic for
preeclampsia
a-serial BP readings
b-protein in urine
c-transaminases
d-platelet count
127-Diagnosis of chorioamnionitis :
a-malodorous vaginal discharge
b-Bacteria in liquor
c-Temperature 37.3
128-In patient with heart disease willing to conceive .you informed her that the
risk is highest immediately postpartum due to:
a-increase cardiac output
137-postpartum thyroiditis
a-high risk for recurrence in future pregnancies
Simple hyperplasia Without Cytologic Atypia (Two of the four criteria must be
present)
Increased number of glands relative to stroma
Dilated glands with irregular outlines
Crowded, clustered glands
Tall, columnar epithelium with nuclear pseudostratification
Complex Hyperplasia Without Cytologic Atypia( Both criteria must be present)
Increased number of glands relative to stroma
Back-to-back glands (crowded glands with little or no intervening stroma)
Hyperplasia With Cytologic Atypia(Three of the first four criteria must be
present)
Variation of size and shape of nuclei
Nuclear enlargement
Loss of polarity
Coarse chromatin clumping
Prominent nucleoli
Hyperchromatism
140-2ry amenorrhea ,BMI is very low with lanugo hair, FSH is normal
a-Anorexia nervosa
b-exercise induced amenorrhea
143-patient with 2 family members with ovarian cancer , her chance to have the
disease is:
a-5-7%
144-patient with ANC ,her 1st visit at 8 weeks it was diamniotic dichorionic
twins. pt returned back at 14 weeks ,you found fatal heart positive for one sac
and the other sac is complete mole.what is your management?
a-Termination
b-continuation of pregnancy
c-Expectant management
152-Risk factor for ovarian cancer with positive family history but negative
BRCA1 and BRCA 2:
a-15%
161-Diagnosis od adenomyosis:
a-myometrial thickness 2.5cm
22
164-epidural anaesthesia
a-slightly increase risk for C/S or unchanged
good luck!